RESCUE PROCEDURE EFFECTIVENESS IN TERMS OF RESPIRATORY MUSCLE FATIGUE

Introduction: Diagnosis of sudden cardiac arrest in an injured person and taking quick actions to restore vital functions is a critical point of pre-hospital care, carried out not only by medical personnel in civilian, but also in water rescue conditions. Aim: The purpose of the study is to identify spirometry and cardiopulmonary indices that influence rescue actions at the level of respiratory muscle fatigue, and may have potential impact on the effectiveness and quality of the rescue operation. Material and methods: The study involved 48 male uniformed soldiers with permission to perform water rescue as part of a training programme regarding tactical activities. Spirometry and cardiopulmonary resuscitation tests were performed before and after lifesaving water tests. The quality of respiratory muscle fatigue at rest and in the condition of fatigue was compared. The recording instrument was the portable Micro Loop spirometer and Ambu Defib Trainer W (Wireless). Results: The respiratory parameters that may affect the quality and effectiveness of rescue water tests in the area of speed and intensity are: peak exhaust flow, maximal ventilation index, ventilation volume per minute, ventilation rate and maximal respiratory pressure. Conclusion: The most important spirometric and cardiopulmonary parameters identifying respiratory muscle fatigue level of are: VmV, FEV, FVC, PEF, FEVO FEV3, which total as much as 12.26% of all parameters taken into account, and their improvement may be associated with better rescue performance, both in qualitative and quantitative terms.