The effect of hydraulic bed movement on the quality of chest compressions

Park, Maeng Real; Lee, Dae Sup; Kim, Yong In; Ryu, Jiho; Cho, Young Mo; Kim, Hyung Bin; Yeom, Seok Ran; Min, Mun Ki

doi:10.1016/j.ajem.2017.02.042

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Significantly, in in-hospital settings, the posture of rescuers is affected by the relationship between beds and rescuers [18][19][20][21]. In addition, hospital beds and mattresses could affect the quality of CPR performed [22][23][24][25]. The standard posture and position for a rescuer performing CPR is based on the occurrence of cardiac arrest in out-of-hospital settings, in which patients lie on hard floors.…”

Section: Discussionmentioning

confidence: 99%

Effect of the Use of Metronome Feedback on the Quality of Pediatric Cardiopulmonary Resuscitation

Yang

Lee

2021

IJERPH

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Although the use of audio feedback with devices such as metronomes during cardiopulmonary resuscitation (CPR) is a simple method for improving CPR quality, its effect on the quality of pediatric CPR has not been adequately evaluated. In this study, 64 healthcare providers performed CPR (with one- and two-handed chest compression (OHCC and THCC, respectively)) on a pediatric resuscitation manikin (Resusci Junior QCPR), with and without audio feedback using a metronome (110 beats/min). CPR was performed on the floor, with a compression-to-ventilation ratio of 30:2. For both OHCC and THCC, the rate of achievement of an adequate compression rate during CPR was significantly higher when performed with metronome feedback than that without metronome feedback (CPR with vs. without feedback: 100.0% (99.0, 100.0) vs. 94.0% (69.0, 99.0), p < 0.001, for OHCC, and 100.0% (98.5, 100.0) vs. 91.0% (34.5, 98.5), p < 0.001, for THCC). However, the rate of achievement of adequate compression depth during the CPR performed was significantly higher without metronome feedback than that with metronome feedback (CPR with vs. without feedback: 95.0% (23.5, 99.5) vs. 98.5% (77.5, 100.0), p = 0.004, for OHCC, and 99.0% (95.5, 100.0) vs. 100.0% (99.0, 100.0), p = 0.003, for THCC). Although metronome feedback during pediatric CPR could increase the rate of achievement of adequate compression rates, it could cause decreased compression depth.

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Section: Discussionmentioning

confidence: 99%

Effect of the Use of Metronome Feedback on the Quality of Pediatric Cardiopulmonary Resuscitation

Yang

Lee

2021

IJERPH

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“…The manikin was the size of a 5‐year‐old child. The bed was specially manufactured with a plywood plate to prevent bed frame deflection from external impact, such as chest compression . The bed was 50 cm wide, 60 cm long and 70 cm high.…”

Section: Methodsmentioning

confidence: 99%

Comparison between modified and conventional one‐handed chest compression techniques for child cardiopulmonary resuscitation: A randomised, non‐blind, cross‐over simulation trial

Lee

2019

J Paediatrics Child Health

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Aim: Chest compression depth (CCD) decreases significantly when performing one-handed chest compression (OHCC). We modified OHCC posture to increase CCD as follows: first, the axis of the compression hand was adjusted to the compression area; second, the opposite hand was wrapped around the elbow of the compression arm. This study compared modified OHCC with conventional OHCC for child cardiopulmonary resuscitation. Methods: A total of 46 health-care providers performed 2 min of continuous chest compression using conventional OHCC (trial 1) and modified OHCC (trial 2) in a random order on a 5-year-old-sized child manikin lying on a bed. Chest compression parameters were assessed with an accelerometer and analysed by comparing the mean values of 30-s segments. Results: The average CCD decreased significantly in all segments in both trials (trial 1 (segments 1-4): 40.9 AE 5.6 mm, 39.4 AE 6.6 mm, 38.0 AE 6.9 mm, 36.7 AE 7.3 mm, P < 0.001; trial 2 (segments 1-4): 42.3 AE 5.4 mm, 41.2 AE 6.2 mm, 40.1 AE 6.8 mm, 39.0 AE 6.9 mm, P < 0.001). However, the average CCD in trial 2 was significantly greater in all segments than that in trial 1 (segments 1-4: P = 0.016; P = 0.009; P = 0.004; P = 0.001). The average chest compression rates were comparable in all segments in both trials. Conclusion: By modifying OHCC posture, a deeper mean CCD could be maintained for 2 min than by using conventional OHCC.

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Effect of bed frame deflection on chest compression quality during cardiopulmonary resuscitation

2017

The American Journal of Emergency Medicine

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The effect of hydraulic bed movement on the quality of chest compressions

Cited by 4 publications

References 11 publications

Effect of the Use of Metronome Feedback on the Quality of Pediatric Cardiopulmonary Resuscitation

Effect of the Use of Metronome Feedback on the Quality of Pediatric Cardiopulmonary Resuscitation

Comparison between modified and conventional one‐handed chest compression techniques for child cardiopulmonary resuscitation: A randomised, non‐blind, cross‐over simulation trial

Effect of bed frame deflection on chest compression quality during cardiopulmonary resuscitation

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