Is it feasible “scoop and run while playing” resuscitation on a rescue water craft? A randomized simulation study with lifeguards

Barcala-Furelos, Roberto; Abelairas‐Gómez, Cristian; Aranda-García, Silvia; Lorenzo-Martínez, Miguel; Martínez‐Isasi, Santiago; Durán-Álvarez, Carlota; Palacios-Aguilar, José; Rodrı́guez-Núñez, Antonio

doi:10.1016/j.ajem.2019.10.045

Cited by 9 publications

(13 citation statements)

References 18 publications

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“…BMV is a technique that involves greater difficulty than MMV and it is therefore less simple to carry out adequate insufflations with said technique [21,29]. Its effectiveness depends to a large extent on the rescuer's skills [23]. The results described would suggest that the training received by nursing students was not sufficient to adequately master the BMV technique.…”

Section: Discussionmentioning

confidence: 95%

“…Mastering the BMV technique requires more training time than the MMV technique [21]. A lack of experience or training leads to human error when delivering ventilations via BMV, which can be rectified by increasing training [23]. Despite the fact that the quality results obtained by the nursing students were not low, it is necessary to find a training method that allows ventilation delivery to be improved, especially when using BMV.…”

Section: Discussionmentioning

confidence: 99%

“…The software was configured in accordance with the recommendations of the European Resuscitation Council (ERC) [1,22]. Regarding ventilation volumes in infant victims, a delivery of between 35 and 55 ml of air per breath was chosen as being correct, as this is a value which is suggested by Rodríguez-Núñez for mechanical ventilation in 3-month-old pediatric victims weighing approximately 5.5 kg [23]. For the BMV technique, Laerdal's self-inflating Bag II adult w/mask no.…”

Section: Cpr Trainingmentioning

confidence: 99%

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Assessing Ventilation Skills by Nursing Students in Paediatric and Adult Basic Life Support: A Crossover Randomized Simulation Study Using Bag-Valve-Mask (BMV) vs Mouth-to-Mouth Ventilation (MMV)

Otero-Agra¹,

Hermo-Gonzalo²,

Santos-Folgar³

et al. 2020

Signa Vitae

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To evaluate nursing students’ CPR skills using mouth-to-mouth (MMV) and bag-valve-mask (BMV) ventilation techniques on manikin simulators for infant and adult victims after practical and theoretical training. A quasi-experimental randomised cross-over design study with 44 nursing students was carried out. The participants attended a 5-hour theoretical and practical CPR training session using MMV and BMV on adult and infant manikins. A month later, four 4-minute CPR tests were performed in pairs. Two tests were performed on the infant manikin and two on the adult, using the two ventilation techniques (MMV and BMV). No significant differences between the tests were observed in the quality of chest compression (p > 0.008). Significantly higher values of effective ventilations were observed with MMV as compared with BMV in both age groups: Adult (MMV: 98 ± 7% / BMV: 84 ± 17% / p = 0.003) and Infant (MMV: 97 ± 11% / BMV: 76 ± 26% / p = 0.001). CPR quality was significantly higher when using MMV on the infant (68 ± 16%; p < 0.001) than in the other tests. The nursing students did not manage to master BMV with either victim. New complementary strategies to help them grasp the necessary BMV skills will be required.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Cpr Trainingmentioning

confidence: 99%

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Assessing Ventilation Skills by Nursing Students in Paediatric and Adult Basic Life Support: A Crossover Randomized Simulation Study Using Bag-Valve-Mask (BMV) vs Mouth-to-Mouth Ventilation (MMV)

Otero-Agra¹,

Hermo-Gonzalo²,

Santos-Folgar³

et al. 2020

Signa Vitae

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“…For data analysis, a Laerdal Resusci Baby QCPR Wireless SkillReporter® (Stavanger, Noruega) manikin was used, with software Laerdal Resusci Anne Wireless software (Stavanger, Norway) version 2.0.0.14. The configuration parameters were: tidal volume 6-10 ml/kg (35-55 ml), [6][7][8] CC depth 36-44 mm and CC rate 100-120/min, according to the 2015 ERC guidelines. 5 The manufacturer does not specify the age of the Resusci Baby QCPR, so the growth charts of the World Health Organization (WHO) 16 were used to identify its anthropometric parameters.…”

Section: • Ventilations (V): Number Of Ventilations (V-n) Mean Volume...mentioning

confidence: 99%

Infant Cardiopulmonary Resuscitation Quality While Walking Fast

et al. 2021

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Objective: This study focuses on the characteristics (feasibility, resuscitation quality, and physical demands) of infant cardiopulmonary resuscitation (CPR) on the forearm during fast walking, performed by a trained lay rescuer.Methods: Twenty-one university students from the infant education degree participated in a randomized crossover simulation study to compare a standard pediatric CPR versus a walking pediatric CPR with a manikin on the rescue forearm. Each rescuer performed 2 resuscitation tests of 2 minutes on the infant manikin. Cardiopulmonary resuscitation, physiological, and perceived effort variables were measured. Results:The quality of chest compressions was higher in standard pediatric CPR than in walking pediatric CPR (72% vs 51%; P < 0.001) and overall CPR quality (59% vs 49%; P = 0.02). There were no differences between ventilation quality (47% vs 46%). Walking pediatric CPR presented a higher percentage of maximum heart rate (52% vs 69%; P < 0.001) and perceived exertion rate (2 vs 5; P < 0.001). Participants walked an average of 197 m during the test. Conclusions:In conclusion, pediatric walking CPR is feasible although it represents a slight quality decrease in a simulation infant CPR setting. The option "CPR while walking fast to a safe place" seems to be suitable in terms of safety both for the victim and the rescuer, as well as CPR quality in special circumstances.

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“…Quality parameters were evaluated and disaggregated into Quality of CC (Q-CC), Quality of V (Q-V) and overall CPR Quality (Q-CPR). Each variable was expressed as a percentage and its calculation is based on the following formulas published in previous studies [ 19 ]: Q-CPR = [(Q-CC + Q-V) ÷ 2], Q-CC, calculated using the formula; Q-CC = [%CC with adequate depth + %CC with correct chest recoil + %CC with adequate rate (100–120 CC per minute) ÷ 3] and Q-V = V-C ÷ Number of V × 100. Quantitatively, the number of CC and number of V performed during each test were also recorded.…”

Section: Methodsmentioning

confidence: 99%

A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation: A Cross-Over Study with Lifeguards

Barcala-Furelos

Noguera

et al. 2022

Children

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The aim of the study was to compare the quality of CPR (Q-CPR), as well as the perceived fatigue and hand pain in a prolonged infant cardiopulmonary resuscitation (CPR) performed by lifeguards using three different techniques. A randomized crossover simulation study was used to compare three infant CPR techniques: the two-finger technique (TF); the two-thumb encircling technique (TTE) and the two-thumb-fist technique (TTF). 58 professional lifeguards performed three tests in pairs during a 20-min period of CPR. The rescuers performed compressions and ventilations in 15:2 cycles and changed their roles every 2 min. The variables of analysis were CPR quality components, rate of perceived exertion (RPE) and hand pain with numeric rating scale (NRS). All three techniques showed high Q-CPR results (TF: 86 ± 9%/TTE: 88 ± 9%/TTF: 86 ± 16%), and the TTE showed higher values than the TF (p = 0.03). In the RPE analysis, fatigue was not excessive with any of the three techniques (values 20 min between 3.2 for TF, 2.4 in TTE and 2.5 in TTF on a 10-point scale). TF reached a higher value in RPE than TTF in all the intervals analyzed (p < 0.05). In relation to NRS, TF showed significantly higher values than TTE and TTF (NRS minute 20 = TF 4.7 vs. TTE 2.5 & TTF 2.2; p < 0.001). In conclusion, all techniques have been shown to be effective in high-quality infant CPR in a prolonged resuscitation carried out by lifeguards. However, the two-finger technique is less efficient in relation to fatigue and hand pain compared with two-thumb technique (TF vs. TTF, p = 0.01).

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Is it feasible “scoop and run while playing” resuscitation on a rescue water craft? A randomized simulation study with lifeguards

Cited by 9 publications

References 18 publications

Assessing Ventilation Skills by Nursing Students in Paediatric and Adult Basic Life Support: A Crossover Randomized Simulation Study Using Bag-Valve-Mask (BMV) vs Mouth-to-Mouth Ventilation (MMV)

Assessing Ventilation Skills by Nursing Students in Paediatric and Adult Basic Life Support: A Crossover Randomized Simulation Study Using Bag-Valve-Mask (BMV) vs Mouth-to-Mouth Ventilation (MMV)

Infant Cardiopulmonary Resuscitation Quality While Walking Fast

A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation: A Cross-Over Study with Lifeguards

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