Effects of vertical compression during pediatric cardiopulmonary resuscitation using the one-handed chest compression technique
The posture of the rescuer while performing the one-handed chest compression (OHCC) has not yet been evaluated. This study aimed to investigate the effect of vertical compression during pediatric cardiopulmonary resuscitation (CPR) using the OHCC technique. This was a prospective randomized crossove...
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| Veröffentlicht in: | The American journal of emergency medicine 2022-09, Vol.59, p.24-29 |
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| creator | Oh, Je Hyeok Noh, Hyeonseok Lee, Jun Gyu Kim, Don-Kyu |
| description | The posture of the rescuer while performing the one-handed chest compression (OHCC) has not yet been evaluated. This study aimed to investigate the effect of vertical compression during pediatric cardiopulmonary resuscitation (CPR) using the OHCC technique.
This was a prospective randomized crossover simulation trial. A total of 42 medical doctors conducted a 2-min single-rescuer CPR using the conventional OHCC (Test 1) or vertical OHCC (Test 2) technique on a pediatric manikin. The chest compression and ventilation parameters were measured in real time during the experiments using sensors embedded in the manikin. In addition, the compression force of each technique was measured using a force plate.
The average and adequate chest compression depth (CCD) were significantly higher in Test 2 than in Test 1 (average depth: 54.0 mm (interquartile range [IQR]: 48.5–56.0) in Test 2 vs. 49.0 mm (IQR: 40.0–54.0) in Test 1, P < 0.001; adequate depth: 99.0% (IQR: 36.3–100.0) in Test 2 vs. 52.0% (IQR: 0.0–98.0) in Test 1, P < 0.001). The average force of compression was also significantly higher in vertical OHCC than that in conventional OHCC (25.7 kg ± 4.4 in vertical OHCC vs. 24.5 kg ± 4.2 in conventional OHCC, P < 0.001). The ventilation parameters were not significantly different between Tests 1 and 2.
The vertical OHCC could provide a deeper and more adequate CCD compared with the conventional OHCC, and the advantages of the vertical OHCC originate from the superiority of the compression force. |
| doi_str_mv | 10.1016/j.ajem.2022.06.044 |
| format | Article |
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This was a prospective randomized crossover simulation trial. A total of 42 medical doctors conducted a 2-min single-rescuer CPR using the conventional OHCC (Test 1) or vertical OHCC (Test 2) technique on a pediatric manikin. The chest compression and ventilation parameters were measured in real time during the experiments using sensors embedded in the manikin. In addition, the compression force of each technique was measured using a force plate.
The average and adequate chest compression depth (CCD) were significantly higher in Test 2 than in Test 1 (average depth: 54.0 mm (interquartile range [IQR]: 48.5–56.0) in Test 2 vs. 49.0 mm (IQR: 40.0–54.0) in Test 1, P < 0.001; adequate depth: 99.0% (IQR: 36.3–100.0) in Test 2 vs. 52.0% (IQR: 0.0–98.0) in Test 1, P < 0.001). The average force of compression was also significantly higher in vertical OHCC than that in conventional OHCC (25.7 kg ± 4.4 in vertical OHCC vs. 24.5 kg ± 4.2 in conventional OHCC, P < 0.001). The ventilation parameters were not significantly different between Tests 1 and 2.
The vertical OHCC could provide a deeper and more adequate CCD compared with the conventional OHCC, and the advantages of the vertical OHCC originate from the superiority of the compression force.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2022.06.044</identifier><language>eng</language><publisher>Philadelphia: Elsevier Inc</publisher><subject>Biometrics ; Cardiopulmonary resuscitation ; Chest ; Compression ; CPR ; Emergency medical care ; Hands ; Hypotheses ; Pediatrics ; Posture ; Simulation ; Variables ; Ventilation</subject><ispartof>The American journal of emergency medicine, 2022-09, Vol.59, p.24-29</ispartof><rights>2022 Elsevier Inc.</rights><rights>2022. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c291t-9f978a542b8d0bdf89319c950ec4c85550ed4659bb80a54ef1596b318f011cf23</citedby><cites>FETCH-LOGICAL-c291t-9f978a542b8d0bdf89319c950ec4c85550ed4659bb80a54ef1596b318f011cf23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675722004119$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids></links><search><creatorcontrib>Oh, Je Hyeok</creatorcontrib><creatorcontrib>Noh, Hyeonseok</creatorcontrib><creatorcontrib>Lee, Jun Gyu</creatorcontrib><creatorcontrib>Kim, Don-Kyu</creatorcontrib><title>Effects of vertical compression during pediatric cardiopulmonary resuscitation using the one-handed chest compression technique</title><title>The American journal of emergency medicine</title><description>The posture of the rescuer while performing the one-handed chest compression (OHCC) has not yet been evaluated. This study aimed to investigate the effect of vertical compression during pediatric cardiopulmonary resuscitation (CPR) using the OHCC technique.
This was a prospective randomized crossover simulation trial. A total of 42 medical doctors conducted a 2-min single-rescuer CPR using the conventional OHCC (Test 1) or vertical OHCC (Test 2) technique on a pediatric manikin. The chest compression and ventilation parameters were measured in real time during the experiments using sensors embedded in the manikin. In addition, the compression force of each technique was measured using a force plate.
The average and adequate chest compression depth (CCD) were significantly higher in Test 2 than in Test 1 (average depth: 54.0 mm (interquartile range [IQR]: 48.5–56.0) in Test 2 vs. 49.0 mm (IQR: 40.0–54.0) in Test 1, P < 0.001; adequate depth: 99.0% (IQR: 36.3–100.0) in Test 2 vs. 52.0% (IQR: 0.0–98.0) in Test 1, P < 0.001). The average force of compression was also significantly higher in vertical OHCC than that in conventional OHCC (25.7 kg ± 4.4 in vertical OHCC vs. 24.5 kg ± 4.2 in conventional OHCC, P < 0.001). The ventilation parameters were not significantly different between Tests 1 and 2.
The vertical OHCC could provide a deeper and more adequate CCD compared with the conventional OHCC, and the advantages of the vertical OHCC originate from the superiority of the compression force.</description><subject>Biometrics</subject><subject>Cardiopulmonary resuscitation</subject><subject>Chest</subject><subject>Compression</subject><subject>CPR</subject><subject>Emergency medical care</subject><subject>Hands</subject><subject>Hypotheses</subject><subject>Pediatrics</subject><subject>Posture</subject><subject>Simulation</subject><subject>Variables</subject><subject>Ventilation</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU2P1SAUhonRxOs4f8AViRs3rUALLYkbM5kPk0nc6JpQOMylaaECncSVf12a60YXrmDxvAfO-yD0jpKWEio-zq2eYW0ZYawloiV9_wKdKO9YM9KBvkQnMnS8EQMfXqM3Oc-EUNrz_oR-3ToHpmQcHX6GVLzRCzZx3RLk7GPAdk8-POENrNcleYONTtbHbV_WGHT6iSu4Z-OLLge-54MuZ8AxQHPWwYLF5gy5_DW1gDkH_2OHt-iV00uG6z_nFfp-d_vt5qF5_Hr_5ebzY2OYpKWRTg6j5j2bRksm60bZUWkkJ2B6M3JeL7YXXE7TSCoGjnIppo6Ori5qHOuu0IfL3C3F-mwuavXZwLLoAHHPiomxJ1JS0lX0_T_oHPcU6u8qJQchKCOyUuxCmRRzTuDUlvxaC1GUqMOJmtXhRB1OFBGqOqmhT5cQ1FWfPSRVm4NgarmpWlA2-v_FfwOPOZfT</recordid><startdate>202209</startdate><enddate>202209</enddate><creator>Oh, Je Hyeok</creator><creator>Noh, Hyeonseok</creator><creator>Lee, Jun Gyu</creator><creator>Kim, Don-Kyu</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202209</creationdate><title>Effects of vertical compression during pediatric cardiopulmonary resuscitation using the one-handed chest compression technique</title><author>Oh, Je Hyeok ; Noh, Hyeonseok ; Lee, Jun Gyu ; Kim, Don-Kyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c291t-9f978a542b8d0bdf89319c950ec4c85550ed4659bb80a54ef1596b318f011cf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Biometrics</topic><topic>Cardiopulmonary resuscitation</topic><topic>Chest</topic><topic>Compression</topic><topic>CPR</topic><topic>Emergency medical care</topic><topic>Hands</topic><topic>Hypotheses</topic><topic>Pediatrics</topic><topic>Posture</topic><topic>Simulation</topic><topic>Variables</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Je Hyeok</creatorcontrib><creatorcontrib>Noh, Hyeonseok</creatorcontrib><creatorcontrib>Lee, Jun Gyu</creatorcontrib><creatorcontrib>Kim, Don-Kyu</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Je Hyeok</au><au>Noh, Hyeonseok</au><au>Lee, Jun Gyu</au><au>Kim, Don-Kyu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of vertical compression during pediatric cardiopulmonary resuscitation using the one-handed chest compression technique</atitle><jtitle>The American journal of emergency medicine</jtitle><date>2022-09</date><risdate>2022</risdate><volume>59</volume><spage>24</spage><epage>29</epage><pages>24-29</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>The posture of the rescuer while performing the one-handed chest compression (OHCC) has not yet been evaluated. This study aimed to investigate the effect of vertical compression during pediatric cardiopulmonary resuscitation (CPR) using the OHCC technique.
This was a prospective randomized crossover simulation trial. A total of 42 medical doctors conducted a 2-min single-rescuer CPR using the conventional OHCC (Test 1) or vertical OHCC (Test 2) technique on a pediatric manikin. The chest compression and ventilation parameters were measured in real time during the experiments using sensors embedded in the manikin. In addition, the compression force of each technique was measured using a force plate.
The average and adequate chest compression depth (CCD) were significantly higher in Test 2 than in Test 1 (average depth: 54.0 mm (interquartile range [IQR]: 48.5–56.0) in Test 2 vs. 49.0 mm (IQR: 40.0–54.0) in Test 1, P < 0.001; adequate depth: 99.0% (IQR: 36.3–100.0) in Test 2 vs. 52.0% (IQR: 0.0–98.0) in Test 1, P < 0.001). The average force of compression was also significantly higher in vertical OHCC than that in conventional OHCC (25.7 kg ± 4.4 in vertical OHCC vs. 24.5 kg ± 4.2 in conventional OHCC, P < 0.001). The ventilation parameters were not significantly different between Tests 1 and 2.
The vertical OHCC could provide a deeper and more adequate CCD compared with the conventional OHCC, and the advantages of the vertical OHCC originate from the superiority of the compression force.</abstract><cop>Philadelphia</cop><pub>Elsevier Inc</pub><doi>10.1016/j.ajem.2022.06.044</doi><tpages>6</tpages></addata></record> |
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| subjects | Biometrics Cardiopulmonary resuscitation Chest Compression CPR Emergency medical care Hands Hypotheses Pediatrics Posture Simulation Variables Ventilation |
| title | Effects of vertical compression during pediatric cardiopulmonary resuscitation using the one-handed chest compression technique |
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