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

Drinhaus, Hendrik; Nüsgen, Sebastian; Adams, Niels; Wetsch, Wolfgang A.; Annecke, Thorsten

doi:10.1186/s13049-020-0709-0

Cited by 7 publications

(11 citation statements)

References 19 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A further seven articles were removed after review of full texts. Finally, 23 articles were included in the scoping review [ 4 , 5 , 6 , 7 , 8 , 11 , 12 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. The characteristics of included studies are summarised in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

Cardiac Arrest Occurring in High-Rise Buildings: A Scoping Review

Han

Yeo

Ong

et al. 2021

JCM

View full text Add to dashboard Cite

Out-of-hospital cardiac arrests (OHCAs) occurring in high-rise buildings are a challenge to Emergency Medical Services (EMS). Contemporary EMS guidelines lack specific recommendations for systems and practitioners regarding the approach to these patients. This scoping review aimed to map the body of literature pertaining to OHCAs in high-rise settings in order to clarify concepts and understanding and to identify knowledge gaps. Databases were searched from inception through to 6 May 2021 including OVID Medline, PubMed, Embase, CINAHL, and Scopus. Twenty-three articles were reviewed, comprising 8 manikin trials, 14 observational studies, and 1 mathematical modelling study. High-rise settings commonly have lower availability of bystanders and automatic external defibrillators (AEDs), while height constraints often lead to delays in EMS interventions and suboptimal cardiopulmonary resuscitation (CPR), scene access, and extrication. Four studies found return of spontaneous circulation (ROSC) rates to be significantly poorer, while seven studies found rates of survival-to-hospital discharge (n = 3) and neurologically favourable survival (n = 4) to be significantly lower in multistorey settings. Mechanical chest compression devices, transfer sheets, and strategic defibrillator placement were suggested as approaches to high-rise OHCA management. A shift to maximising on-scene treatment time, along with bundling novel prehospital interventions, could ameliorate some of these difficulties and improve clinical outcomes for patients.

show abstract

Section: Resultsmentioning

confidence: 99%

Cardiac Arrest Occurring in High-Rise Buildings: A Scoping Review

Han

Yeo

Ong

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…Since this was not the case in the CPR-S group, the recommended average compression depth was achieved; this finding aligned with the results of studies conducted by Shinchi et al 12 and Jansen et al 13 An effective CPR depth was achieved using CPR-MCCD; this was also reported in a manikin study by Gassler et al 9 The study compared the effectiveness of the various types of MCDD and manual CPR while transporting patients on a helicopter. 9 A manikin study by Drinhaus et al 14 compared the effectiveness of MCDD and manual CPR methods while transporting patients on a stretcher. Since there were no significant differences between the CPR-S and CPR-MCDD groups, the CPR-S method was found to be as effective as the CPR-MCDD group, especially in terms of compression depth.…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary resuscitation is more effective for in-hospital cardiac arrest when performed on a stretcher

Tezel

Bilge

Özkan

2021

SMJ

View full text Add to dashboard Cite

Objectives: To compare the efficacies of various chest compression procedures performed on a stretcher during dynamic transport of patients with in-hospital cardiac arrest. Methods: This prospective and randomized cross-over study used manikins. Practitioners were asked to perform chest compressions on a manikin placed on a moving stretcher for 2 minutes. Cardiopulmonary resuscitation (CPR) procedures were included the following 3 types: i) CPR-walking (CPR-W) ii) CPR-straddling (CPR-S), and iii) CPR-mechanical chest compression device (CPR-MCCD). Demographic data of the participants, CPR quality indicators, the time between the start command and first compression, level of difficulty, and the distance covered by the stretcher for the duration of each application were recorded. Results: Thirty-two physicians (9 female, 23 male), participated in this study. The CPR-MCCD procedure was the most effective for all parameters, except the time between the start command and first compression. On the other hand, the compression rate at optimal depth, CPR success score, distance covered, and level of difficulty parameters were significantly favored in the CPR-S group, when compared to the CPR-W group ( p <0.001, all comparisons). Conclusions: It is possible to perform high-quality chest compressions during patient transport using the CPR-MCCD method. The CPR-S method allowed practitioners to perform higher-quality chest compressions compared to CPR-W.

show abstract

“…Transport situations using mCPR devices that have been investigated to date primarily include ambulance, turntable ladders and helicopter transport [17][18][19][20]. In the study by Lyon et al, use of a soft stretcher with AutoPulse achieved good results and was presented as a possibility for improved rescue measures [21].…”

Section: Discussionmentioning

confidence: 99%

Testing mechanical chest compression devices for pre-hospital patient transport under resuscitation

Jörgens

Körniger²,

Kanz

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Mechanical chest compression (mCPR) offers advantages during transport under cardiopulmonary resuscitation. Little is known how devices perform en-route. Aim of the study was to measure performance of mCPR devices of different design during pre-hospital transport.Methods We tested animax mono (AM), autopulse (AP), corpuls cpr (CC) and LUCAS2 (L2). The route had 6 stages (transport on soft stretcher or gurney involving a stairwell, trips with turntable ladder, rescue basket and ambulance including loading/unloading). Stationary mCPR with the respective device served as control. A four-person team carried an intubated and bag-ventilated mannequin under mCPR to assess device-stability (displacement, pressure point correctness), compliance with 2015 ERC guideline criteria for high-quality chest compressions (frequency, proportion of recommended pressure depth and compression-ventilation ratio) and user satisfaction (by standardized questionnaire).Results All devices performed comparable to stationary use. Displacement rates ranged from 83% (AM) to 11% (L2). Two incorrect pressure points occurred over 15,962 compressions (0.013%). Guideline-compliant pressure depth was > 90% in all devices and compression-ventilation ratio was 40% (AM), 87% (CC, L2 respectively) and 93% (AP). Electrically powered devices showed constant frequencies while muscle-powered AM showed more variability (median 100/min, interquartile range 9). Although physical effort of AM use was comparable (median 4.0 vs. 4.5 on visual scale), participants preferred electrical devices.Conclusion All devices showed good to very good performance although device-stability, guideline compliance and user satisfaction varied by design. Our results underline the importance to check stability and connection to patient under transport.

show abstract

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

Cited by 7 publications

References 19 publications

Cardiac Arrest Occurring in High-Rise Buildings: A Scoping Review

Cardiac Arrest Occurring in High-Rise Buildings: A Scoping Review

Cardiopulmonary resuscitation is more effective for in-hospital cardiac arrest when performed on a stretcher

Testing mechanical chest compression devices for pre-hospital patient transport under resuscitation

Contact Info

Product

Resources

About