DOI QR코드

DOI QR Code

Analysis of cardiopulmonary resuscitation during main stretcher transport - A manikin study -

이동 중 주들것에서 심폐소생술 분석

  • Roh, Sang-Gyun (Department of Emergency Medical Services, Sunmoon University)
  • Received : 2020.06.19
  • Accepted : 2020.08.14
  • Published : 2020.08.31

Abstract

Purpose: This study aimed to compare the effect of chest compression and the resulting ventilation volume in walking cardiopulmonary resuscitation (CPR), straddling CPR, and mechanical CPR while moving manikins to main stretchers. Methods: We compared the chest compressions in terms of compression depth, number of incomplete releases, complete release depth, compression rate, duration between peak time of previous compression and peak time of current compression, and respiration. We analyzed the compression comparatively with the ventilation volume in three different types of CPR. Results: The chest compression depth was significantly improved during straddling CPR as compared to walking CPR, during which women were unable to achieve sufficient chest compression depth. A constant chest compression depth was maintained during mechanical CPR. Conclusion: High-quality chest compressions were difficult to achieve in moving spaces. Further, walking CPR may be helpful in men, but straddling or applying automatic chest compressions in women would result in more effective CPR. Our findings demonstrate the limitations and trends in administering CPR in men and women, which may be useful in devising better education and training methods in the future.

Keywords

References

  1. Kramer-Johansen J, Myklebust H, Wik L, Fellows B, Svensson L, Sorebo H et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation 2006;71(3):283-92. https://doi.org/10.1016/j.resuscitation.2006.05.011
  2. Shin SY, Kim JH, Kim GY, Kang SW, Bang SH, Yun JG et al. A study on the cardiopulmonary resuscitation method in ambulance. Fire science and engineering 2014;28(4):104-11. https://doi.org/10.7731/KIFSE.2014.28.4.104
  3. Lee JG, Kim JS, Roh SG. Comparison of chest compression and ventilation volume using LUCAS and manual in virtual reality-based ambulance simulation. Korean J Emerg Med Ser 2018;22(3):67-76. https://doi.org/10.14408/KJEMS.2018.22.3.067
  4. Park JH, Cho IS, Kim ES, Ha CM. Comparison of outcomes between AutoPulse and manual compression in out-of hospital cardiac arrest patient. J Korea Soc Emerg Med 2017;28(6):628-34. https://doi.org/10.3346/jkms.2017.32.4.628
  5. Byun JS, Cho IS, Ha CM. Comparison of outcome of cardiopulmonary resuscitation with AutoPulse and LUCAS in out-of hospital cardiac arrest patient. J Korea Soc Emerg Med 2019;30(1):16-21.
  6. Russi CS, Myers LA, Kolb LJ, Lohse CM, Hess EP, White RD. A comparison of chest compression quality delivered during on-scene and ground transport cardiopulmonary resuscitation. West J Emerg Med 2016;17(5):634-9. https://doi.org/10.5811/westjem.2016.6.29949
  7. Shim GS. The effect of applying subsidiary step developed for CPR on the main stretcher during movement. Journal of the Korea Academia-Industrial cooperation Society 2012;13(12):5950-7. https://doi.org/10.5762/KAIS.2012.13.12.5950
  8. Lei Z, Qing H, Yaxiong Z. The efficacy of straddling external chest compression on a moving stretcher. Resuscitation 2010;81(11):1562-5. https://doi.org/10.1016/j.resuscitation.2010.05.017
  9. Kim JA, Vogel D, Guimond G, Hostler D, Wang HE, Menegazzi JJ. A randomized, controlled comparison of cardiopulmonary resuscitation performed on the floor and on a moving ambulance stretcher. Prehosp Emerg Care 2006;10(1):68-70. https://doi.org/10.1080/10903120500373108
  10. Handley AJ, Handley JA. Performing chest compressions in a confined space. Resuscitation 2004;61(1):55-61. https://doi. org/10.1016/j.resuscitation.2003.11.012
  11. Shinchi M, Kobayashi M, Soma K, Maeda A. Comparison of chest compression quality in walking versus straddling cardiopulmonary resuscitation during stretcher transportation: A prospective randomised crossover study using manikins. PLoS One 2019;14(5):e0216739. https://doi.org/10.1371/journal.pone.0216739
  12. Talikowska M, Tohira H, Finn J. Cardiopulmonary resuscitation quality and patient survival outcome in cardiac arrest: a systematic review and meta-analysis. Resuscitation 2015;96:66-77. https://doi.org/10.1016/j.resuscitation.2015.07.036
  13. Stiell IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW et al. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients?. Circulation 2014;130(22):1962-70. https://doi.org/10.1161/CIRCULATIONAHA.114.008671
  14. Yasuda Y, Kato Y, Sugimoto K, Tanaka S, Tsunoda N, Kumagawa D et al. Muscles used for chest compression under static and transportation conditions. Prehosp Emerg Care 2013;17(2):162-9. https://doi.org/10.3109/10903127.2012.749964
  15. 2015 AHA Guidelines for CPR and ECC. AHA. 2015.
  16. Lee MJ, Rho TH, Kim H, Kang GH, Kim JS, Rho SG et al. Part 3. Advanced cardiac life support: 2015 Korean guideline for cardiopulmonary resuscitation. Clinical and Experimental Emergency Medicine 2016;3(S):S17-S26. https://doi.org/10.15441/ceem.16.134
  17. Jeon HJ, Lee IS, Kim SC. Comparison of manual CPR versus X-CPRTM during simulative out of hospital. Korea Society for Wellness 2015;10(2):181-9. UCI:G704-SER000002143.2015.10.2.005
  18. Cho YS, Choi SC, Lee CA, Jung YS, Kim GW. Comparison of manual versus mechanical chest compression during simulative out of hospital cardiac arrest. J Korea Soc Emerg Med 2012;23(4):486-92.