Comparison of effects of different hand positions during cardiopulmonary resuscitation

Diószeghy, Csaba; Kiss, Domonkos; Fritúz, Gábor; Székely, Gábor; Élő, Gábor

doi:10.1016/j.resuscitation.2005.03.010

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Furthermore, the incidence of fractured ribs increases with incorrect hand position, resulting in increased pressure on dangerous areas. 25 Therefore, correct hand position during CPR is important. However, as rapid initiation of CPR is crucial, the emphasis should be on immediate chest compressions rather than using time locating the correct position for hand placement.…”

Section: Incorrect Hand Position During Cprmentioning

confidence: 99%

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European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Pettersen

Mårtensson

Axelsson³

et al. 2017

European Journal of Cardiovascular Nursing

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Section: Incorrect Hand Position During Cprmentioning

confidence: 99%

“…However, as rapid initiation of CPR is crucial, the emphasis should be on immediate chest compressions rather than using time locating the correct position for hand placement. 25…”

Section: Incorrect Hand Position During Cprmentioning

confidence: 99%

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Pettersen

Mårtensson

Axelsson³

et al. 2017

European Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

show abstract

“…Importantly, compressions on the sternum would increase the intrathoracic pressure, which may not be the case with a hand position below the sternum being used by some of the laypersons. 8 However, several studies suggest that a hand-position too cranial would compress the ascending aorta or the left ventricular outflow tract, which could lead to lower systolic blood pressures and less effective chest compressions. 9 , 10 , 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

“…The majority of studies providing evidence for resuscitation guidelines include healthcare professionals such as emergency medical technicians, medical students, nurses, and physicians. 5 , 7 , 8 , 9 The results of these studies are extrapolated to laypersons, irrespective of differences in experience, knowledge, and training. However, whether findings from healthcare professionals can be extrapolated to the lay public remains to be investigated.…”

Section: Introductionmentioning

confidence: 99%

Different perceptions of thorax anatomy and hand placement for chest compressions among healthcare professionals and laypersons: Implications for cardiopulmonary resuscitation

et al. 2021

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Aim The European Resuscitation Council guidelines recommend that the hand position for chest compressions is obtained by “placing the heel of your hand in the centre of the chest”. Importantly, guidelines are based on a study on healthcare professionals being extrapolated to laypersons. This study explored whether healthcare professionals and laypersons differ in anatomical knowledge necessary for obtaining the correct hand position for chest compressions and understanding of European Resuscitation Council guideline recommendations in the absence of a demonstration. Methods We asked laypersons and healthcare professionals to identify where to place the hands for chest compressions on digital pictures of the chest of a man and a woman. Both groups were asked to identify where to place the hands for chest compressions, the left nipple (positive control), the centre of the chest and to delineate the anterior area of the chest. Results In total, 50 laypersons and 50 healthcare professionals were included. Healthcare professionals were significantly better at identifying the correct hand position for chest compressions compared to laypersons (male chest: P = 0.03, female chest: P < 0.0001) and delineating the anterior area of the chest. We found no significant difference between groups when instructed to identify the left nipple nor the centre of the chest (male chest: P = 0.57, female chest: P = 0.50). Conclusion Laypersons and healthcare professionals have different perceptions of chest anatomy and where to perform chest compressions suggesting that caution should be taken when extrapolating results from healthcare professionals to laypersons. The ERC 2015 guideline recommendations on hand placement for chest compressions seems understandable by both laypersons and healthcare professionals.

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“…However, the upper limb must be in the correct configuration to perform high-quality chest compression. Other studies have demonstrated the importance of attaining correct hand position during CPR [8,9]. The CPRmeter is a small device which gives a dynamic real-time feedback related to depth and rate of chest wall movement during compression.…”

Section: Study Protocolmentioning

confidence: 99%

Influenece of the CPRmeter on angular position of elbows and generated forces during cardiopulmonary resuscitation

Kopacz

Fronczek–Wojciechowska

Jaźwińska

et al. 2017

Int J Occup Med Environ Health

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Objectives: It is commonly known that ergonomics in emergency medical services (EMS) is very important. Emergency medical services workers are exposed to different conditions and they should perform a variety of tasks. Material and Methods: The aim of the work has been to analyze the angular position of elbows and forces generated by the upper limbs during cardiopulmonary resuscitation with and without the CPRmeter based on feedback technology. Ten male paramedics and 10 male non-paramedics, in a kneeling position, performed cardiopulmonary resuscitation (CPR) on an Ambu Megacode manikin placed on the ground. Measurements were taken after 1 min and 4 min following the beginning of the trial. The angular position of the elbows was evaluated with a BTS Smart DX 7000 motion capture system. Kistler platforms 9286BA were used for measuring forces. Results: In the paramedic group, one statistically significant difference was observed in the mean difference between maximal and minimal right elbow angle in the 1st min without the device vs. the mean difference in the 4th min without the device. In the paramedic group, a 25% force decrease was observed after 4 min of resuscitation in trials without the CPRmeter in comparison to the 1st min. In trials with the CPRmeter, the force parameters were similar in the 1st and 4th min and more stable. No statistically significant differences were noticed in the control group. Conclusions: The CPRmeter has influence on the magnitude of the forces applied by the upper limbs and on the optimization of the rescuer effort during cardiopulmonary resuscitation. The CPRmeter had no influence on the position of the upper part of the kinematic chain. Int J Occup Med Environ Health 2017;30(6):909-916

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Comparison of effects of different hand positions during cardiopulmonary resuscitation

Cited by 10 publications

References 9 publications

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Different perceptions of thorax anatomy and hand placement for chest compressions among healthcare professionals and laypersons: Implications for cardiopulmonary resuscitation

Influenece of the CPRmeter on angular position of elbows and generated forces during cardiopulmonary resuscitation

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