International Journal of Advanced Culture Technology

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A Systematic Review of the Mechanical CPR and Manual CPR on Out-of-Hospital Cardiac Arrest Occurring in High-rise Building

  • ChanHo, Lee (Dept. of Emergency Medical Services, Konyang University) ;
  • ByounGgil, Yoon (Dept. of Emergency Medical Service, Konyang University) ;
  • HongBeom, Ahn (Dept. of Emergency Medical Services, Konyang University) ;
  • YongSeok, Kim (Dept. of Emergency Medical Service, Konyang University)
  • Received : 2022.10.31
  • Accepted : 2022.12.03
  • Published : 2022.12.31
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Abstract

CPR in High-rise building is one of the challenging tasks to 119 paramedics, evacuating patient from the narrow and vertical area. This study was built to compare the method of mechanical CPR and manual CPR is to maximizing on-scene treatment time, and minimizing the hand-off time in cardiac arrest, transporting patient as fast as possible. The electronic data research (Science, Pubmed, Medline, Medline and 55 academic DB interworking) was conducted, and five articles were included by reviewing and excluding through the Covidence program and Review Manager version 5.4(Cochrane Collaboration). OHCA occurring on the higher floor indicates lower in survival. A total studies uniformly reported mechanical CPR is more effective during the high-rise building evacuation, than manual CPR in rate, depth, and hands-on time of chest compression. Use of mechanical CPR device is more suitable in case of High-rise building OHCA to improve the survival rate which is affected by high-quality CPR.

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References

  1. Chi, C-Y, Renhao, DM, Yang, C-W, Yang, M-F, Lee, H-J, Lee, C-H, Shih, FF-Y, Ong, EHM & Ko, PCI, "Comparison of Chest Compression Quality between Transfer Sheet and Stretcher Use for Transporting out-of-Hospital Cardiac Arrest Patients in a High-Rise Building - A Randomized and Open-Label Crossover Design", Prehospital Emergency Care, Vol. 3, No. 25, pp. 370-376, 2010. 
  2. Kleinman, M. E., Brennan, E. E., Goldberger, Z. D., Swor, R. A., Terry, M., Bobrow, B. J., Gazmuri, R. J., Travers, A. H., & Rea, T. "Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality" 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 132(18 Suppl 2), pp. 414-435, 2015. 
  3. Kiguchi, T.; Okubo, M.; Nishiyama, C.; Maconochie, I.; Ong, M.E.H.; Kern, K.B.; Wyckoff, M.H.; McNally, B.; Christensen, E.F.; Tjelmeland, I.; et al. "Out-of-Hospital Cardiac Arrest Across the World" First Report From the International Liaison Committee on Resuscitation (ILCOR). Resuscitation 2020, pp. 39-49, 2020. 
  4. Silverman, R.A.; Galea, S.; Blaney, S.; Freese, J.; Prezant, D.J.; Park, R.; Pahk, R.; Caron, D.; Yoon, S.; Epstein, J.; et al. The "vertical response time": Barriers to ambulance response in an urban area. Acad. Emerg. Med. Vol. 14, pp. 772-778, 2007.  https://doi.org/10.1197/j.aem.2007.04.016
  5. Lee, D.E.; Ryoo, H.W.; Ahn, J.Y.; Moon, S.; Kim, J.K.; Kim, Y.J.; Park, J.B.; Kim, J.H.; Lee, K.W. Jin, S.C. "Does the placement of automated external defibrillators affect first responders' willingness to perform cardiopulmonary resuscitation in high-rise residential buildings?" Resuscitation 2018, Vol. 29, pp. 557-567, 2018. 
  6. Kim, J.; Brewster, L.; Maria, S.; Moon, J. "The effect of a mechanical compression device and supraglottic airway on flow time: A simulation study of out-of-hospital cardiac arrest in a high-rise building." Emerg. Med. Int. pp. 1-6, Feb. 2018. 
  7. Kim, T. H., Shin, S. D., Song, K. J., Hong, K. J., Ro, Y. S., Song, S. W., & Kim, C. H. "Chest Compression Fraction between Mechanical Compressions on a Reducible Stretcher and Manual Compressions on a Standard Stretcher during Transport in Out-Of-Hospital Cardiac Arrests: The Ambulance Stretcher Innovation of Asian Cardiopulmonary Resuscitation (Asia-Cpr) Pilot Trial." Prehospital Emergency Care, Vol. 5, No. 21, pp. 636-644, 2017. 
  8. Zhu N., Chen Q, Jiang Z, Liao F, Kou B, Tang H, & Zhou M. "A meta-analysis of the resuscitative effects of mechanical and manual chest compression in out-of-hospital cardiac arrest patients." Critical Care, Vol. 1, No. 23, pp. 1-11, 2019. 
  9. D. E. Lee, H. W. Ryoo, J. Y. Ahn, S. B. Moon, J. K. Kim, Y. J. Kim, J. B. Park, J. H. Kim, K. W. Lee, and S. C. Jin. "Does the Placement of Automated External Defibrillators Affect First Responders' Willingness to Perform Cardiopulmonary Resuscitation in High-Rise Residential Buildings?" Journal of the Korean Society of Emergency Medicine 29, No. 6, pp. 557, Dec. 2018. 
  10. M. X. Han, Amelia Natasha Wen Ting Yeo, Marcus Eng Hock Ong, Karen Smith, Yu Liang Lim, Norman Huangyu Lin, Bobo Tan, Shalini Arulanandam, Andrew Fu Wah Ho, and Qin Xiang Ng. "Cardiac Arrest Occurring in High-Rise Buildings: A Scoping Review." Journal of Clinical Medicine, Vol. 10, pp. 4684. Oct. 2021. 
  11. Chi, C.-Y.; Renhao, D.M.; Yang, C.-W.; Yang, M.-F.; Lee, H.-J.; Lee, C.-H.; Shih, F.F.-Y.; Ong, E.H.M.; Ko, P.C.-I. "Comparison of Chest Compression Quality between Transfer Sheet and Stretcher Use for Transporting out-of-Hospital Cardiac Arrest Patients in a High-Rise Building-A Randomized and Open-Label Cross-over Design." Prehosp. Emerg. Care, No. 25, pp. 370-376, 2021. 
  12. Drennan, I.R.; Strum, R.P.; Byers, A.; Buick, J.E.; Lin, S.; Cheskes, S.; Hu, S.; Morrison, L.J. "Out-of-hospital cardiac arrest in high-rise buildings: Delays to patient care and effect on survival". CMAJ, No. 188, pp. 413-419, 2016. 
  13. Kim, T. H., Hong, K. J., Sang Do, S., Kim, C. H., Song, S. W., Song, K. J., Ro, Y. S., Ahn, K. O., & Jang, D. B. "Quality between mechanical compression on reducible stretcher versus manual compression on standard stretcher in small elevator." American Journal of Emergency Medicine, Vol. 8, No. 34, pp. 1604-1609, 2016. 
  14. Bekgoz, B.; ,San, ˙I.; Ergin, M. "Quality comparison of the manual chest compression and the mechanical chest compression during difficult transport conditions." J. Emerg. Med. No. 58, pp. 432-438, 2020. 
  15. Drinhaus, H.; Nusgen, S.; Adams, N.; Wetsch, W.A.; Annecke, T. "Rescue under ongoing CPR from an upper floor: Evaluation of three different evacuation routes and mechanical and manual chest compressions: A manikin trial." Scand. J. Trauma Resusc. Emerg. Med., No. 28, pp. 16, 2020. 
  16. Kobayashi, D., Kitamura, T., Kiyohara, K., Nishiyama, C., Hayashida, S., Fujii, T., Izawa, J., Shimamoto, T., Matsuyama, T., Hatakeyama, T., Katayama, Y., Kiguchi, T., Kawamura, T., & Iwami, T. "High-rise buildings and neurologically favorable outcome after out-of-hospital cardiac arrest." International Journal of Cardiology, No. 224, pp. 178-182, 2016. 
  17. Sohn Y, Cho Y, Cho G. "Neurological outcomes after an out-of-hospital cardiac arrest among people living in high-rise buildings in South Korea. European journal of emergency medicine" Official Journal of the European Society for Emergency Medicine. Vol. 3, No. 27, pp. 207-212, 2020.  https://doi.org/10.1097/MEJ.0000000000000643
  18. Morrison LJ, Angelini MP, Vermeulen MJ, Schwartz B. "Measuring the EMS patient access time interval and the impact of responding to high-rise buildings." Prehosp Emerg Care. Vol. 9, pp. 14-18, 2005.  https://doi.org/10.1080/10903120590891679
  19. Westfall M, Krantz S, Mullin C, Kaufman C. "Mechanical versus manual chest compressions in out-of-hospital cardiac arrest: a meta-analysis." Crit Care Med. Vol. 7, No. 41, pp. 1782-1789, 2013. 
  20. Brooks SC, Hassan N, Bigham BL, Morrison LJ. "Mechanical versus manual chest compressions for cardiac arrest." Cochrane Database Syst Rev. Vol. 2: CD007260, 2014.