Izvorni znanstveni članak
https://doi.org/10.22514/SV132.112017.7
Development of a standardized in-hospital cardiopulmonary resuscitation set-up
JE HYEOK OH
orcid.org/0000-0002-5211-3838
; Department of Emergency Medicine, College of Medicine, Chung-Ang University, Dongjak-gu, Seoul, Republic of Korea
TAE SOON PARK
CHAN WOONG KIM
DONG HOON LEE
JUN YOUNG HONG
SUNG EUN KIM
Sažetak
Objective. This study evaluated whether
chest compression in a standardized inhospital
cardiopulmonary resuscitation
(CPR) set-up can be performed as effectively
as when the rescuer is kneeling beside
the patient lying on the floor. Specifically,
the in-hospital test was standardized
according to the rescuers’ average knee
height.
Methods. Experimental intervention (test
1) was a standardized, in-hospital CPR
set-up: first, the bed height was fixed at 70
cm. Second, the height difference between
the bed and a step stool was set to the average
knee height of the CPR team members
(45 cm). Control intervention (test 2) was
kneeling on floor. Thirty-eight medical
doctors on the CPR team each performed
2 minutes of chest compressions in test 1
and 2 in random order (cross-over trial). A
Little Anne was used as a simulated patient
who had experienced cardiac arrest. Chest
compression parameters, such as average
depth and rate, were measured using an accelerometer
device.
Results. In all tests, the average depths were
those recommended in the most recent
CPR guidelines (50–60 mm); there were no
significant differences between Tests 1 and
2 (53.1 ± 4.3 mm vs. 52.6 ± 4.8 mm, respectively;
p = 0.398). The average rate in Test
2 (119.1 ± 12.4 numbers/min) was slightly
faster than that in Test 1 (116.4 ± 10.2 numbers/
min; p = 0.028). No differences were
observed in any other parameters.
Conclusions. Chest compression quality in
our standardized in-hospital CPR set-up
was similar with that performed in a kneeling
position on the floor.
Trial Registration: Clinical Research Information
Service: KCT0001599
Ključne riječi
beds; cardiopulmonary resuscitation; posture
Hrčak ID:
190594
URI
Datum izdavanja:
12.12.2017.
Posjeta: 886 *