Prehospital cardiopulmonary resuscitation with manual or mechanical chest compression: A study of compression‐induced injuries

Milling, Louise; Astrup, Birgitte Schmidt; Mikkelsen, Søren

doi:10.1111/aas.13347

Cited by 16 publications

(34 citation statements)

References 31 publications

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“…However, CCD‐assisted PCI has been shown to be associated with an increased rate of ROSC compared to PCI supported with standard CPR in a retrospective case series 13 . Even in special settings, CCDs should be used with caution as there are reports of increased number of complications 14 . In our case, the timely evacuation by snowmobile and helicopter during ongoing CPR would have been significantly more difficult without CCD.…”

Section: Discussionmentioning

confidence: 74%

A long pre‐hospital resuscitation and evacuation of a skier with cardiac arrest—A case report

Mannerkorpi

Raatiniemi

Kaikkonen

et al. 2020

Acta Anaesthesiol Scand

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The prognosis for patients with refractory cardiac arrest transferred to hospital during ongoing resuscitation is poor. 1 Additionally in remote areas, the response time of the emergency medical services (EMS) may be long, which further decreases the likelihood of a good outcome. The most common reason for sudden death during cross-country skiing is acute coronary artery syndrome and subsequent ventricular fibrillation (VF). 2 We describe a patient who suffered a cardiac arrest during a long-distance cross-country skiing competition in northern Finland. He was transported to a university hospital and underwent a percutaneous coronary intervention supported by a mechanical chest compression device while still in cardiac arrest. He made a full recovery.

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Section: Discussionmentioning

confidence: 74%

A long pre‐hospital resuscitation and evacuation of a skier with cardiac arrest—A case report

Mannerkorpi

Raatiniemi

Kaikkonen

et al. 2020

Acta Anaesthesiol Scand

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“…Some studies have systematically described injuries following mech-CPR with LUCAS in autopsy material [6][7][8][9][10][11] , while other studies have described injuries as a secondary outcome in patients who survived out-of-hospital cardiac arrest (OHCA) treated with mech-CPR 2,17,18 . In a previous study including both deceased patients and survivors, we found visceral injuries in 14.3% of people who underwent mech-CPR, whereas 1.1% of patients receiving manual-CPR only had visceral injuries 15 .…”

Section: Prevalence Of Injuriesmentioning

confidence: 68%

“…The study period ran from September 1 st 2016 to August 31 st 2018. The present case series represents a subpopulation of an injury prevalence study carried out by our research group and previously published 15 . For details on injury prevalence in manual CPR vs. mech CPR, please refer to this study.…”

Section: Recruitmentmentioning

confidence: 99%

Characteristics of mechanical CPR-related injuries: A case series

Milling

Mikkelsen

Astrup

2020

Journal of Forensic and Legal Medicine

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“…The only randomised trial of devicerelated injuries so far did not include the Corpuls CPRdevice used in this study, but the piston-based device analysed in that study, LUCAS, was found to be noninferior to manual CPR in terms of severe injuries [17]. By contrast, in two other recently published large studies, patients resuscitated with the LUCAS-device had more resuscitation-related injuries [18,19], even though this effect lost statistical significance after adjusting for CPRduration in one of the studies [18]. In case of evacuation from an upper floor, we would still suggest using CPRdevices, even if their injury potential were higher, because of the improvement of CPR-quality versus manual CPR, which performs poorly in this situation.…”

Section: Discussionmentioning

confidence: 84%

Rescue under ongoing CPR from an upper floor: evaluation of three different evacuation routes and mechanical and manual chest compressions: a manikin trial

Drinhaus

Nüsgen²,

Adams

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: If transport under ongoing cardiopulmonary resuscitation (CPR) from an upper floor is indicated, the ideal CPR-method and evacuation route is unknown hitherto. We aimed to elaborate a strategy for evacuation of patients under ongoing CPR from an upper floor, comparing three different evacuation routes and manual and mechanical chest compressions. Methods: A CPR-training manikin recording CPR-quality was placed on the fifth floor and was evacuated to an ambulance via lift, turntable ladder, or staircase. Chest compressions were performed manually or with a mechanical CPR-device. Efficiency endpoints were compression depth and frequency, sufficiency of chest release, compared with European Resuscitation Council (ERC) Guidelines, and duration of the evacuation. Adverse outcomes were disconnection/dislocation of devices and hazards/accidents to the personnel.Results: For all evacuation routes, compression depth and frequency were significantly more compliant with ERCguidelines under mechanical CPR. Manual CPR was associated with considerable deviations from correct compression depth and frequency. Chest release only slightly differed between groups. Evacuation via lift under mechanical CPR was fastest and evacuation via turntable ladder under manual CPR was slowest. No device disconnections or accidents occurred, but hazard to personnel was perceived during evacuation via ladder under manual CPR. Conclusions:In this study, a mechanical CPR-device proved to deliver better CPR-quality during evacuation from an upper floor. If a lift accessible with a stretcher is available, this route should be preferred, regardless of manual or mechanical CPR. Turntable ladders can only be meaningfully used with mechanical CPR, otherwise CPR-quality is poor and hazard to the personnel is increased. Not all evacuation routes may be useable in a specific real-life scenario.

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Prehospital cardiopulmonary resuscitation with manual or mechanical chest compression: A study of compression‐induced injuries

Abstract: This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Cited by 16 publications

References 31 publications

A long pre‐hospital resuscitation and evacuation of a skier with cardiac arrest—A case report

A long pre‐hospital resuscitation and evacuation of a skier with cardiac arrest—A case report

Characteristics of mechanical CPR-related injuries: A case series

Rescue under ongoing CPR from an upper floor: evaluation of three different evacuation routes and mechanical and manual chest compressions: a manikin trial

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