Chest compression fraction in ambulance while transporting patients with out-of-hospital cardiac arrest to the hospital in rural Taiwan

Abstract

The chest compression fraction was low for patients with out-of-hospital cardiac arrest in a moving ambulance, irrespective of the number of providers. Reasons for this observation, as well as the effectiveness of the one-handed chest compression require further evaluation.

Cardiopulmonary Resuscitation During Simulated Pediatric Interhospital Transport: Lessons Learned From Implementation of an Institutional Curriculum

“…Specific challenges to achieving and maintaining high-quality CPR during pediatric interhospital transport include long transport times, multiple transition points, unpredictable driving conditions, limited availability of resources (personnel, equipment), cramped spaces, difficult communication, and safety of the staff performing manual CPR in a moving vehicle 3 . Some of these variables and their impact on CPR quality have been explored in adult prehospital transport studies 13–20 . Relatively little has been reported about pediatric prehospital resuscitation, with available data suggesting opportunities for professional rescuers to improve CPR quality for children with OHCA 21 .…”

“…[13][14][15][16][17][18][19][20] Relatively little has been reported about pediatric prehospital resuscitation, with available data suggesting opportunities for professional rescuers to improve CPR quality for children with OHCA. 21 The adult literature remains inconclusive on the feasibility of performing high-quality CPR in prehospital transport; some investigators report that CPR quality may degrade even during short ambulance transports, [16][17][18] whereas others suggest that high-quality manual chest compressions (CCs) can be performed for adult OHCA. 14,20 A safer alternative to performing manual CC in a moving vehicle may be represented by mechanical CPR devices, although their use is generally limited to adult OHCA.…”

“…3 Some of these variables and their impact on CPR quality have been explored in adult prehospital transport studies. [13][14][15][16][17][18][19][20] Relatively little has been reported about pediatric prehospital resuscitation, with available data suggesting opportunities for professional rescuers to improve CPR quality for children with OHCA. 21 The adult literature remains inconclusive on the feasibility of performing high-quality CPR in prehospital transport; some investigators report that CPR quality may degrade even during short ambulance transports, [16][17][18] whereas others suggest that high-quality manual chest compressions (CCs) can be performed for adult OHCA.…”