Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial
We aimed to compare rescuer fatigue and cardiopulmonary resuscitation (CPR) quality between standard 30:2 CPR (ST-CPR) and chest compression only CPR (CO-CPR) performed for 8 minutes on a realistic manikin by following the 2010 CPR guidelines. All 36 volunteers (laypersons; 18 men and 18 women) were...
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| Veröffentlicht in: | Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2014-10, Vol.22 (1), p.59-59, Article 59 |
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| container_title | Scandinavian journal of trauma, resuscitation and emergency medicine |
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| creator | Shin, Jonghwan Hwang, Seong Youn Lee, Hui Jai Park, Chang Je Kim, Yong Joon Son, Yeong Ju Seo, Ji Seon Kim, Jin Joo Lee, Jung Eun Lee, In Mo Koh, Bong Yeun Hong, Sung Gi |
| description | We aimed to compare rescuer fatigue and cardiopulmonary resuscitation (CPR) quality between standard 30:2 CPR (ST-CPR) and chest compression only CPR (CO-CPR) performed for 8 minutes on a realistic manikin by following the 2010 CPR guidelines.
All 36 volunteers (laypersons; 18 men and 18 women) were randomized to ST-CPR or CO-CPR at first, and then each CPR technique was performed for 8 minutes with a 3-hour rest interval. We measured the mean blood pressure (MBP) of the volunteers before and after performing each CPR technique, and continuously monitored the heart rate (HR) of the volunteers during each CPR technique using the MRx monitor. CPR quality measures included the depth of chest compression (CC) and the number of adequate CCs per minute.
The adequate CC rate significantly differed between the 2 groups after 2 minutes, with it being higher in the ST-CPR group than in the CO-CPR group. Additionally, the adequate CC rate significantly differed between the 2 groups during 8 minutes for male volunteers (p =0.012). The number of adequate CCs was higher in the ST-CPR group than in the CO-CPR group after 3 minutes (p =0.001). The change in MBP before and after performing CPR did not differ between the 2 groups. However, the change in HR during 8 minutes of CPR was higher in the CO-CPR group than in the ST-CPR group (p =0.007).
The rate and number of adequate CCs were significantly lower with the CO-CPR than with the ST-CPR after 2 and 6 minutes, respectively, and performer fatigue was higher with the CO-CPR than with the ST-CPR during 8 minutes of CPR. |
| doi_str_mv | 10.1186/s13049-014-0059-x |
| format | Article |
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All 36 volunteers (laypersons; 18 men and 18 women) were randomized to ST-CPR or CO-CPR at first, and then each CPR technique was performed for 8 minutes with a 3-hour rest interval. We measured the mean blood pressure (MBP) of the volunteers before and after performing each CPR technique, and continuously monitored the heart rate (HR) of the volunteers during each CPR technique using the MRx monitor. CPR quality measures included the depth of chest compression (CC) and the number of adequate CCs per minute.
The adequate CC rate significantly differed between the 2 groups after 2 minutes, with it being higher in the ST-CPR group than in the CO-CPR group. Additionally, the adequate CC rate significantly differed between the 2 groups during 8 minutes for male volunteers (p =0.012). The number of adequate CCs was higher in the ST-CPR group than in the CO-CPR group after 3 minutes (p =0.001). The change in MBP before and after performing CPR did not differ between the 2 groups. However, the change in HR during 8 minutes of CPR was higher in the CO-CPR group than in the ST-CPR group (p =0.007).
The rate and number of adequate CCs were significantly lower with the CO-CPR than with the ST-CPR after 2 and 6 minutes, respectively, and performer fatigue was higher with the CO-CPR than with the ST-CPR during 8 minutes of CPR.</description><identifier>ISSN: 1757-7241</identifier><identifier>EISSN: 1757-7241</identifier><identifier>DOI: 10.1186/s13049-014-0059-x</identifier><identifier>PMID: 25348723</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Blood pressure ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - methods ; Comparative analysis ; Consent ; CPR ; Cross-Over Studies ; Female ; Females ; Follow-Up Studies ; Gender ; Guideline Adherence ; Heart Arrest - therapy ; Heart beat ; Heart Massage - methods ; Heart rate ; Humans ; Lifesaving ; Male ; Manikins ; Measurement ; Methods ; Original Research ; Physiological aspects ; Pressure ; Prospective Studies ; Simulation ; Time Factors</subject><ispartof>Scandinavian journal of trauma, resuscitation and emergency medicine, 2014-10, Vol.22 (1), p.59-59, Article 59</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>Shin et al.; licensee BioMed Central Ltd. 2014. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Shin et al.; licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-e2c8e3779f31ab51f099fabba9e793fb44afa975fb5d887e9a48cdbe12a282a93</citedby><cites>FETCH-LOGICAL-c591t-e2c8e3779f31ab51f099fabba9e793fb44afa975fb5d887e9a48cdbe12a282a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219085/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219085/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25348723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Jonghwan</creatorcontrib><creatorcontrib>Hwang, Seong Youn</creatorcontrib><creatorcontrib>Lee, Hui Jai</creatorcontrib><creatorcontrib>Park, Chang Je</creatorcontrib><creatorcontrib>Kim, Yong Joon</creatorcontrib><creatorcontrib>Son, Yeong Ju</creatorcontrib><creatorcontrib>Seo, Ji Seon</creatorcontrib><creatorcontrib>Kim, Jin Joo</creatorcontrib><creatorcontrib>Lee, Jung Eun</creatorcontrib><creatorcontrib>Lee, In Mo</creatorcontrib><creatorcontrib>Koh, Bong Yeun</creatorcontrib><creatorcontrib>Hong, Sung Gi</creatorcontrib><title>Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial</title><title>Scandinavian journal of trauma, resuscitation and emergency medicine</title><addtitle>Scand J Trauma Resusc Emerg Med</addtitle><description>We aimed to compare rescuer fatigue and cardiopulmonary resuscitation (CPR) quality between standard 30:2 CPR (ST-CPR) and chest compression only CPR (CO-CPR) performed for 8 minutes on a realistic manikin by following the 2010 CPR guidelines.
All 36 volunteers (laypersons; 18 men and 18 women) were randomized to ST-CPR or CO-CPR at first, and then each CPR technique was performed for 8 minutes with a 3-hour rest interval. We measured the mean blood pressure (MBP) of the volunteers before and after performing each CPR technique, and continuously monitored the heart rate (HR) of the volunteers during each CPR technique using the MRx monitor. CPR quality measures included the depth of chest compression (CC) and the number of adequate CCs per minute.
The adequate CC rate significantly differed between the 2 groups after 2 minutes, with it being higher in the ST-CPR group than in the CO-CPR group. Additionally, the adequate CC rate significantly differed between the 2 groups during 8 minutes for male volunteers (p =0.012). The number of adequate CCs was higher in the ST-CPR group than in the CO-CPR group after 3 minutes (p =0.001). The change in MBP before and after performing CPR did not differ between the 2 groups. However, the change in HR during 8 minutes of CPR was higher in the CO-CPR group than in the ST-CPR group (p =0.007).
The rate and number of adequate CCs were significantly lower with the CO-CPR than with the ST-CPR after 2 and 6 minutes, respectively, and performer fatigue was higher with the CO-CPR than with the ST-CPR during 8 minutes of CPR.</description><subject>Adolescent</subject><subject>Blood pressure</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>Comparative analysis</subject><subject>Consent</subject><subject>CPR</subject><subject>Cross-Over Studies</subject><subject>Female</subject><subject>Females</subject><subject>Follow-Up Studies</subject><subject>Gender</subject><subject>Guideline Adherence</subject><subject>Heart Arrest - therapy</subject><subject>Heart beat</subject><subject>Heart Massage - methods</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Lifesaving</subject><subject>Male</subject><subject>Manikins</subject><subject>Measurement</subject><subject>Methods</subject><subject>Original Research</subject><subject>Physiological aspects</subject><subject>Pressure</subject><subject>Prospective Studies</subject><subject>Simulation</subject><subject>Time Factors</subject><issn>1757-7241</issn><issn>1757-7241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkt1u1DAQhSMEoj_wANwgS0iImxTbceK4F5WqFX9SJRCCa2uSjHddEntrJ6XbZ-Chcbql7CLkC1ue7xzLMyfLXjB6wlhdvY2soELllImc0lLlN4-yQyZLmUsu2OOd80F2FOMlpRWnpXiaHfCyELXkxWH2a-GHNQQbvSPekMWXr-Rqgt6OGwKuIwFjO2EgBka7nJA0OP5EdCSOqQqhIwU95XeqmW5XGEfSJseki9a73Lt-M5dPCZCQED_YW0xg8DH662Q8gLM_rCNjsNA_y54Y6CM-v9-Ps-_v331bfMwvPn_4tDi_yNtSsTFH3tZYSKlMwaApmaFKGWgaUChVYRohwICSpWnKrq4lKhB12zXIOPCagyqOs7Ot73pqBuxadGOAXq-DHSBstAer9yvOrvTSX2vBmaJ1mQze3BsEfzWlT-vBxhb7Hhz6KWpWyapUlWDzW6_-QS_9FFz6nuayrgVXXBV_qSX0qK0zPr3bzqb6vBS0qpiSdaJO_kOl1eFgW-_Q2HS_J3i9I1gh9OMq-n4a02ziPsi24N1kApqHZjCq56zpbdZ0ypqes6ZvkublbhcfFH_CVfwGQOvQCw</recordid><startdate>20141028</startdate><enddate>20141028</enddate><creator>Shin, Jonghwan</creator><creator>Hwang, Seong Youn</creator><creator>Lee, Hui Jai</creator><creator>Park, Chang Je</creator><creator>Kim, Yong Joon</creator><creator>Son, Yeong Ju</creator><creator>Seo, Ji Seon</creator><creator>Kim, Jin Joo</creator><creator>Lee, Jung Eun</creator><creator>Lee, In Mo</creator><creator>Koh, Bong Yeun</creator><creator>Hong, Sung Gi</creator><general>BioMed Central Ltd</general><general>Springer Nature B.V</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141028</creationdate><title>Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial</title><author>Shin, Jonghwan ; Hwang, Seong Youn ; Lee, Hui Jai ; Park, Chang Je ; Kim, Yong Joon ; Son, Yeong Ju ; Seo, Ji Seon ; Kim, Jin Joo ; Lee, Jung Eun ; Lee, In Mo ; Koh, Bong Yeun ; Hong, Sung Gi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-e2c8e3779f31ab51f099fabba9e793fb44afa975fb5d887e9a48cdbe12a282a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Blood pressure</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>Comparative analysis</topic><topic>Consent</topic><topic>CPR</topic><topic>Cross-Over Studies</topic><topic>Female</topic><topic>Females</topic><topic>Follow-Up Studies</topic><topic>Gender</topic><topic>Guideline Adherence</topic><topic>Heart Arrest - therapy</topic><topic>Heart beat</topic><topic>Heart Massage - methods</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Lifesaving</topic><topic>Male</topic><topic>Manikins</topic><topic>Measurement</topic><topic>Methods</topic><topic>Original Research</topic><topic>Physiological aspects</topic><topic>Pressure</topic><topic>Prospective Studies</topic><topic>Simulation</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shin, Jonghwan</creatorcontrib><creatorcontrib>Hwang, Seong Youn</creatorcontrib><creatorcontrib>Lee, Hui Jai</creatorcontrib><creatorcontrib>Park, Chang Je</creatorcontrib><creatorcontrib>Kim, Yong Joon</creatorcontrib><creatorcontrib>Son, Yeong Ju</creatorcontrib><creatorcontrib>Seo, Ji Seon</creatorcontrib><creatorcontrib>Kim, Jin Joo</creatorcontrib><creatorcontrib>Lee, Jung Eun</creatorcontrib><creatorcontrib>Lee, In Mo</creatorcontrib><creatorcontrib>Koh, Bong Yeun</creatorcontrib><creatorcontrib>Hong, Sung Gi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</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 Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</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 China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scandinavian journal of trauma, resuscitation and emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shin, Jonghwan</au><au>Hwang, Seong Youn</au><au>Lee, Hui Jai</au><au>Park, Chang Je</au><au>Kim, Yong Joon</au><au>Son, Yeong Ju</au><au>Seo, Ji Seon</au><au>Kim, Jin Joo</au><au>Lee, Jung Eun</au><au>Lee, In Mo</au><au>Koh, Bong Yeun</au><au>Hong, Sung Gi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial</atitle><jtitle>Scandinavian journal of trauma, resuscitation and emergency medicine</jtitle><addtitle>Scand J Trauma Resusc Emerg Med</addtitle><date>2014-10-28</date><risdate>2014</risdate><volume>22</volume><issue>1</issue><spage>59</spage><epage>59</epage><pages>59-59</pages><artnum>59</artnum><issn>1757-7241</issn><eissn>1757-7241</eissn><abstract>We aimed to compare rescuer fatigue and cardiopulmonary resuscitation (CPR) quality between standard 30:2 CPR (ST-CPR) and chest compression only CPR (CO-CPR) performed for 8 minutes on a realistic manikin by following the 2010 CPR guidelines.
All 36 volunteers (laypersons; 18 men and 18 women) were randomized to ST-CPR or CO-CPR at first, and then each CPR technique was performed for 8 minutes with a 3-hour rest interval. We measured the mean blood pressure (MBP) of the volunteers before and after performing each CPR technique, and continuously monitored the heart rate (HR) of the volunteers during each CPR technique using the MRx monitor. CPR quality measures included the depth of chest compression (CC) and the number of adequate CCs per minute.
The adequate CC rate significantly differed between the 2 groups after 2 minutes, with it being higher in the ST-CPR group than in the CO-CPR group. Additionally, the adequate CC rate significantly differed between the 2 groups during 8 minutes for male volunteers (p =0.012). The number of adequate CCs was higher in the ST-CPR group than in the CO-CPR group after 3 minutes (p =0.001). The change in MBP before and after performing CPR did not differ between the 2 groups. However, the change in HR during 8 minutes of CPR was higher in the CO-CPR group than in the ST-CPR group (p =0.007).
The rate and number of adequate CCs were significantly lower with the CO-CPR than with the ST-CPR after 2 and 6 minutes, respectively, and performer fatigue was higher with the CO-CPR than with the ST-CPR during 8 minutes of CPR.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25348723</pmid><doi>10.1186/s13049-014-0059-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Scandinavian journal of trauma, resuscitation and emergency medicine, 2014-10, Vol.22 (1), p.59-59, Article 59 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerNature Journals; Norart Open Access; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adolescent Blood pressure Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - methods Comparative analysis Consent CPR Cross-Over Studies Female Females Follow-Up Studies Gender Guideline Adherence Heart Arrest - therapy Heart beat Heart Massage - methods Heart rate Humans Lifesaving Male Manikins Measurement Methods Original Research Physiological aspects Pressure Prospective Studies Simulation Time Factors |
| title | Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial |
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