Kurzdarstellung

Monsieurs, Koenraad G.; Nolan, Jerry P.; Bossaert, Leo; Greif, Robert; Maconochie, Ian; Νικολάου, Νικόλαος; Perkins, Gavin D; Soar, Jasmeet; Truhlář, Anatolij; Wyllie, Jonathan; Zideman, David

doi:10.1007/s10049-015-0097-6

Cited by 22 publications

(13 citation statements)

References 995 publications

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“…During CPR, it is extremely important to conduct chest compressions when the chest is complete recoil. Monsieurs et al [25] recommend that the person conducting chest compressions should take care not to press on the chest in the relaxation phase, thus allowing the chest walls to return to their anatomical shape. Fried et al [26] assessed cardiopulmonary resuscitation carried out on 108 patients with SCA.…”

Section: Discussionmentioning

confidence: 99%

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

Ćwiertnia¹,

Kawecki²,

Ilczak³

et al. 2019

Preprint

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Background Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial respiration using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side, with compression carried out from behind the patient’s head. Methods The subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of 30 chest compressions from the patient’s side, and two attempts at artificial respiration after moving round to behind the patient’s head. In the OTH method, both compression and respiration were conducted from behind the patient’s head. Results Both CPR methods were conducted by 38 paramedics working in medical response teams. The average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p<0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p<0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p<0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p<0.001); correct hand position (STD 99.32%, OTH method 99.66%, p<0.001). The remaining parameters showed no significant differences in comparison to reference values. Conclusions The demonstrated higher quality of CPR in the simulated research using the OTH method conducted by one person justifies the use of this method in a wider range of emergency interventions than only for CPR conducted in confined spaces.

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Section: Discussionmentioning

confidence: 99%

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

Ćwiertnia¹,

Kawecki²,

Ilczak³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…During CPR, it is extremely important to conduct chest compressions when the chest is complete recoil. In ERC 2015 guidelines, Monsieurs et al [25] recommend that the person conducting chest compressions should take care not to press on the chest in the relaxation phase, thus allowing the chest walls to return to their anatomical shape. Fried et al [26] assessed cardiopulmonary resuscitation carried out on 108 patients with SCA.…”

Section: Discussionmentioning

confidence: 99%

“…ERC and AHA guidelines define the volume of air for artificial ventilation as 6-7 ml/kg of patient body mass [25,30]. This value was adopted in our research as a ventilation volume reference parameter.…”

Section: Discussionmentioning

confidence: 99%

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Ćwiertnia

Kawecki

Ilczak

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial ventilation using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side with compression conducted from the ‘over-the-head’ position. Methods: The subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of cycles of 30 chest compressions from the patient’s side, and two attempts at artificial ventilation after moving round to behind the patient’s head. In the OTH method, both compression and ventilation were conducted from behind the patient’s head. Results: Both CPR methods were conducted by 38 paramedics working in medical response teams. Statistical analysis was conducted on the data collected, giving the following results: the average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p < 0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p < 0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p < 0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p < 0.001); correct hand position (STD 99.32%, OTH method 99.66%, p < 0.001). A statistically significant difference was demonstrated in the results to the benefit of the OTH method in the above parameters. The remaining parameters showed no significant differences in comparison to reference values. Conclusions: The demonstrated higher quality of CPR in the simulated research using the OTH method conducted by one person justifies the use of this method in a wider range of emergency interventions than only for CPR conducted in confined spaces.

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“…36,37 The regional organizations forming the ILCOR have published resuscitation guidelines that are consistent with the CoSTR document, but also take into consideration geographic, economic, and system differences in practice, and the availability of medical devices and drugs. 38,39 In 2015, the ERC published comprehensive guidelines, whereas the AHA published an update to its 2010 guidelines.…”

Section: Educationalmentioning

confidence: 99%

Cardiac Arrest and Cardiopulmonary Resuscitation

Nolan

2017

Semin Neurol

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In this review, the author summarizes the incidence, causes, and survival associated with out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA). The resuscitation guideline process is outlined, and the impact of resuscitation interventions is discussed. The incidence of OHCA treated by emergency medical services varies throughout the world, but is in the range of 30 to 50 per 100,000 of the population. Survival-to-hospital-discharge rates also vary, but are in the range of 8 to 10% for many countries. Cardiac disease accounts for the vast majority of OHCAs; however, although it is a common cause of IHCAs, many other diseases are also common causes of IHCA. Five yearly reviews of resuscitation science have been facilitated in recent years by the International Liaison Committee on Resuscitation; these have been followed by the publication of regional resuscitation guidelines. There is good evidence that increasing rates of bystander cardiopulmonary resuscitation and earlier defibrillation are both contributing to improving the survival rate after an OHCA.

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Kurzdarstellung

Cited by 22 publications

References 995 publications

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Cardiac Arrest and Cardiopulmonary Resuscitation

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