Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min

Ashton, Andrew; McCluskey, A.; Gwinnutt, Carl; Keenan, Andrew M.

doi:10.1016/s0300-9572(02)00168-5

Cited by 234 publications

(189 citation statements)

References 9 publications

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“…However, it has also been noted in studies by other authors that chest compression quality depends on the biometrical factor (body mass), fitness and professional preparation of the rescuers. In those studies, the above mentioned elements are important factors predicting a properly performed maneuver [9,16]. In this study, participants with a BMI > 25 were able to reach deeper compression during the whole task.…”

Section: Discussionmentioning

confidence: 70%

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Bucki

Karpe

Michnik

et al. 2017

Ann. Acad. Med. Siles.

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Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compressionOcena głębokości i częstotliwości kompresji klatki piersiowej podczas symulacji resuscytacji krążeniowo-oddechowej, w trakcie 10-minutowego ciągłego zewnętrznego masażu serca AB ST R ACT I N T R O D U C T I O N:External cardiac massage has been a basic CPR maneuver for years. The aim of the study was to assess the quality of chest compression during a real-time continuous cardiac compression simulation on a cardiopulmonary resuscitation mannequin (considering medical rescuer experience and BMI). M A T E R I A L A N D M E T H O D S:This was a prospective study involving 17 medical rescuers, and 21 Medical Rescue students and university lecturers. During the simulation the participants performed continuous external cardiac compression for 15 minutes or until the refusal to continue. The depth and rate were analyzed at 60-second periods, leading to average values of cardiopulmonary resuscitation effectiveness. The analysis covered complete research data gathered in real time (10 minute periods). R E S U L T S:The average compression depth significantly decreased from the first (40.66 SE ± 0.80 mm) to the fourth minute of the study (38.21 SE ± 0.95 mm). The average compression rate was significantly different between the initial values (120.97 SE ± 2.83/min) and the sixth minute of the study (123.69 SE ± 2.55/min). The average compression depth amounted to n 36.03 SE ± 1.22 mm in non-professionals and 40.06 SE ± 1.37 mm in professionally active participants. In the participants with a BMI > 25, the only differentiating point in time was the beginning of the task when the average compression depth was 41.97 SE ± 1.12 mm. In the participants with a BMI < 25, there was a gradual decrease in the compression depth within the initial four minutes of the task.

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Section: Discussionmentioning

confidence: 70%

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Bucki

Karpe

Michnik

et al. 2017

Ann. Acad. Med. Siles.

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“…[7,11] This study showed a weak positive correlation between self-reported fatigue time and the accuracy of hands placement and the accuracy of deep-compression, which suggests that while the compressors reported a longer fatigue time, their compression was shown to be with a higher accuracy of hands placement and a higher accuracy of deepcompression. Some researchers pointed out that when dynamically monitoring the quality of chest compression, the depth of compression decreased significantly by minute, [11] indicating that fatigue acted as a main factor in inducing shallow compression [7,12] and the conclusion was consistent with that of our experiment. At the meantime, the compressors perceived fatigue in a short time naturally led to distraction or adjusting the posture and location of hands or other methods to save strength, which might cause the correlation between fatigue time and compression depth and the accuracy of hands placement.…”

Section: The Relationship Between the Quality Indexes Of Chest Comprementioning

confidence: 82%

Correlations between quality indexes of chest compression

Zhang¹,

Li²,

Huang³

et al. 2013

World Journal of Emergency Medicine

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“…2 Studies using manikins showed that the quality of chest compression would start to deteriorate over 90 seconds. 3 Compressions would become too shallow or slow and there might be frequent hands-off periods when no effective circulation was produced. Even with correctly executed manual CPR, only around 20% of normal cardiac output was produced which would further be jeopardised by human fatigue.…”

Section: Discussionmentioning

confidence: 99%

Mechanical Cardiopulmonary Resuscitation Device in an Accident and Emergency Department: A Case Report and Literature Review

Chan¹,

Wong²,

Lau³

2008

Hong Kong Journal of Emergency Medicine

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We present a case of resuscitation of a 38-year-old lady with ventricular fibrillation using the Lund University Cardiopulmonary Assist System (LUCAS), a mechanical cardiopulmonary resuscitation (CPR) device. Return of spontaneous circulation was obtained after prolonged resuscitation but the patient eventually succumbed nine days after admission to the coronary care unit. The role of mechanical CPR devices in resuscitation in the accident and emergency department is discussed. (Hong Kong j.emerg.med. 2008;15:49-52) 38 LUCAS 9

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Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min

Cited by 234 publications

References 9 publications

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Correlations between quality indexes of chest compression

Mechanical Cardiopulmonary Resuscitation Device in an Accident and Emergency Department: A Case Report and Literature Review

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