Quality of lay person CPR performance with compression:ventilation ratios 15:2, 30:2 or continuous chest compressions without ventilations on manikins

Odegaard, Silje; Sæther, Elisabeth; Steen, Petter Andreas; Wik, Lars

doi:10.1016/j.resuscitation.2006.05.012

Cited by 66 publications

(46 citation statements)

References 141 publications

(212 reference statements)

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“…The study of Odegaard et al 19 demonstrated that there is an association between duration and quality of ventilation breaths. Only half of the ventilation attempts by lay rescuers on a manikin were successful.…”

Section: Limitationsmentioning

confidence: 98%

Duration of Ventilations During Cardiopulmonary Resuscitation by Lay Rescuers and First Responders

et al. 2013

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In the Netherlands, when a cardiac arrest is suspected, 2 ambulances equipped with a manual defibrillator are sent by the dispatcher. Besides the ambulance, the dispatcher sends firefighters or policemen (first Background-The 2010 guidelines for cardiopulmonary resuscitation allow 5 seconds to give 2 breaths to deliver sufficient chest compressions and to keep perfusion pressure high. This study aims to determine whether the recommended short interruption for ventilations by trained lay rescuers and first responders can be achieved and to evaluate its consequence for chest compressions and survival. Methods and Results-From a prospective data collection of out-of-hospital cardiac arrest, we used automatic external defibrillator recordings of cardiopulmonary resuscitation by rescuers who had received a standard European Resuscitation Council basic life support and automatic external defibrillator course. Ventilation periods and total compressions delivered per minute during each 2 minutes of cardiopulmonary resuscitation cycle were measured, and the chest compression fraction was calculated. Neurological intact survival to discharge was studied in relation to these factors and covariates. We included 199 automatic external defibrillator recordings. The median interruption time for 2 ventilations was 7 seconds (25th-75th percentile, 6-9 seconds). Of all rescuers, 21% took <5 seconds and 83% took <10 seconds for a ventilation period; 97%, 88%, and 63% of rescuers were able to deliver >60, >70, and >80 chest compressions per minute, respectively. The median chest compression fraction was 65% (25th-75th percentile, 59%-71%

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Section: Limitationsmentioning

confidence: 98%

Duration of Ventilations During Cardiopulmonary Resuscitation by Lay Rescuers and First Responders

et al. 2013

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“…Three LOE 5 studies showed that some rescuers were unable to complete 5 minutes (laypeople), 213 5 to 6 minutes (lay females), 214 or 18 minutes (HCPs) 215 of continuous chest compressions because of physical exhaustion.…”

Section: Rescuer Fatiguementioning

confidence: 99%

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

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“…Other studies have explored the physiological demands of performing CPR and the effect of fatigue (Claesson, Karlsson, Thoren, & Herlitz, 2011;Odegaard, Saether, Steen, & Wik, 2006;Reilly, Wooler, &Tipton, 2006).…”

mentioning

confidence: 99%

“…A study on the quality of lay person CPR performance indicated some deterioration in quality of chest compressions over time when different compression to ventilation ratios were used (Odegaard et al, 2006). A study on British surf lifeguards reported that they possessed the necessary fitness to perform CPR after a strenuous rescue (Reilly et al, 2006), while another study found similar capacities among 42 Swedish surf lifeguards whose performance of CPR was unaffected by a 100 m rescue and tow/carry (Claesson et al, 2011).…”

mentioning

confidence: 99%