CPR PRO® Device Reduces Rescuer Fatigue during Continuous Chest Compression Cardiopulmonary Resuscitation: A Randomized Crossover Trial Using a Manikin Model

Ković, Ivor; Lulic, Dinka; Lulić, Ileana

doi:10.1016/j.jemermed.2013.04.021

Cited by 17 publications

(15 citation statements)

References 21 publications

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“…This suggestion seems to be reasonable as none of the participants of this study mentioned fatigue, and in other sources, fatigue was the most frequently noted factor demanding rescuer change during external cardiac massage [10,17,19,20,21]. Other complaints (wrist pain, knee pain, lumbosacralis pain) indicated by the CCC-CPR rescuers were similar to those found in other sources but they came out relatively late during observation and were not a reason to stop resuscitation [22]. In this context, especially when the 2010 AHA guidelines are considered, the authors of the article claim that further studies on chest compression-improving predictive factors are needed.…”

Section: Discussionsupporting

confidence: 78%

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Bucki

Karpe

Michnik

et al. 2017

Ann. Acad. Med. Siles.

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Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compressionOcena głębokości i częstotliwości kompresji klatki piersiowej podczas symulacji resuscytacji krążeniowo-oddechowej, w trakcie 10-minutowego ciągłego zewnętrznego masażu serca AB ST R ACT I N T R O D U C T I O N:External cardiac massage has been a basic CPR maneuver for years. The aim of the study was to assess the quality of chest compression during a real-time continuous cardiac compression simulation on a cardiopulmonary resuscitation mannequin (considering medical rescuer experience and BMI). M A T E R I A L A N D M E T H O D S:This was a prospective study involving 17 medical rescuers, and 21 Medical Rescue students and university lecturers. During the simulation the participants performed continuous external cardiac compression for 15 minutes or until the refusal to continue. The depth and rate were analyzed at 60-second periods, leading to average values of cardiopulmonary resuscitation effectiveness. The analysis covered complete research data gathered in real time (10 minute periods). R E S U L T S:The average compression depth significantly decreased from the first (40.66 SE ± 0.80 mm) to the fourth minute of the study (38.21 SE ± 0.95 mm). The average compression rate was significantly different between the initial values (120.97 SE ± 2.83/min) and the sixth minute of the study (123.69 SE ± 2.55/min). The average compression depth amounted to n 36.03 SE ± 1.22 mm in non-professionals and 40.06 SE ± 1.37 mm in professionally active participants. In the participants with a BMI > 25, the only differentiating point in time was the beginning of the task when the average compression depth was 41.97 SE ± 1.12 mm. In the participants with a BMI < 25, there was a gradual decrease in the compression depth within the initial four minutes of the task.

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Section: Discussionsupporting

confidence: 78%

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Bucki

Karpe

Michnik

et al. 2017

Ann. Acad. Med. Siles.

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“…This was reported as consistent with previous data [2]; however, although the referenced study noted the association of increased immunological activity with elevated anti-dsDNA and decreased complement levels, it did not report on association with CRP. We also note that the combination of a low B-type natriuretic peptide (brain natriuretic peptide (BNP) and elevated CRP levels was used as prima facie evidence that serositis, instead of heart failure, was the underlying etiology of the pericardial and pleural effusions.…”

Section: To the Editorsupporting

confidence: 90%

“…Cardiac arrest is a leading cause of death worldwide [1,2]. Highquality chest compressions (CCs) are of paramount importance for survival and good neurologic outcome.…”

Section: To the Editormentioning

confidence: 99%

“…Chest compression is often too shallow, compression ratio is inadequate, and hands-off time is too long [1,3,4]. Cardiopulmonary resuscitation feedback devices might be an option for rescuers to increase CC efficiency [2,4].…”

Section: To the Editormentioning

confidence: 99%

“…Furthermore, compression depth and rate were significantly better when the CP was used. Fischer et al [1], Kovic et al [2], Hellevuo et al [3], and Yeung et al [5] found that the use of CPR feedback improves CC efficiency; whereas, Zapletal et al [4] found that use of CPR feedback devices reduced compression efficiency compared with standard CPR. Research from Kovic et al [2] additionally indicates a reduction of rescuer fatigue, when a CPR feedback device is used.…”

Section: To the Editormentioning

confidence: 99%

See 2 more Smart Citations

Quality of chest compressionwith CardioPump CPR compared to single rescuer standard BLS

Kurowski

Czyżewski

Bogdański

et al. 2015

The American Journal of Emergency Medicine

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Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research

Allison

Tiesman

Wong

et al. 2022

American J Industrial Med

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Background The public safety sector includes law enforcement officers (LEO), corrections officers (CO), firefighter service (FF), wildland firefighting (WFF), and emergency medical services (EMS), as defined in the National Occupational Research Agenda (NORA) of the National Institute for Occupational Safety and Health (NIOSH). Across these occupations, shiftwork, long‐duration shifts, and excessive overtime are common. Our objective was to identify research gaps related to working hours, sleep, and fatigue among these workers. Methods We used a scoping review study design that included searches of MEDLINE, Embase, CAB Abstracts, Global Health, PsychInfo, CINAHL, Scopus, Academic Search Complete, Agricultural and Environmental Science Collection, ProQuest Central, Cochrane Library, Safety Lit, Homeland Security Digital Library, and Sociological Abstracts using a range of occupational search terms and terms related to working hours, sleep, and fatigue. Results Out of 3415 articles returned from our database search, 202 met all inclusion criteria. Six common outcomes related to working hours, sleep, and fatigue emerged: sleep, fatigue, work performance, injury, psychosocial stress, and chronic disease. Nearly two‐thirds (59%, n = 120) of the studies were observational, of which 64% (n = 77) were cross sectional and 9% were (n = 11) longitudinal; 14% (n = 30) of the studies were reviews; and 19% (n = 39) were experimental or quasi‐experimental studies. Only 25 of the 202 articles described mitigation strategies or interventions. FFs, LEOs, EMS, and WFFs were the most studied, followed by COs. Conclusions In general, more longitudinal and experimental studies are needed to enrich the knowledge base on the consequences of long working hours, poor sleep, and fatigue in the public safety sector. Few experimental studies have tested novel approaches to fatigue mitigation in diverse sectors of public safety. This gap in research limits the decisions that may be made by employers to address fatigue as a threat to public‐safety worker health and safety.

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CPR PRO® Device Reduces Rescuer Fatigue during Continuous Chest Compression Cardiopulmonary Resuscitation: A Randomized Crossover Trial Using a Manikin Model

Cited by 17 publications

References 21 publications

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Quality of chest compressionwith CardioPump CPR compared to single rescuer standard BLS

Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research

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