Infant chest compression quality: A video-based comparison of two-thumb versus one-hand technique in the emergency department

Filming for auditing of real-life emergency teams: a systematic review

“…A further eight studies were identified by checking the references lists. Among these 165 studies, 50 were eligible according to the inclusion criteria (online supplementary table S1),4 5 8 13 21–66 and five of these evaluated the impact of video review in regards to improvement in patient care (PICOS)8 21 23 41 62 (figure 1).…”

“…There were 6 cohort or case–control studies,8 21–23 27 42 27 cross-sectional studies24 25 28 30 33–40 43 44 46 47 49 51–54 56–59 65 66 and 17 case reports or series4 5 13 26 27 29 31 32 45 48 50 55 60–64 (figure 2). There were no trials or protocols of RCTs.…”

“…We identified five categories of team: cardiac arrest team (n=7),41–47 neonatal resuscitation team (n=18),48–65 trauma team (n=15),4 5 8 13 21–31 paediatric trauma team (n=9)32–40 and obstetric emergency team (n=1) 66. The 50 studies were conducted at 30 different hospitals situated in the USA (n=12), Australia (n=1), Europe (n=11) and Asia (n=5) (figure 2).…”

“…To inform the video review of the patients’ condition, data such as vital signs and echocardiography, the monitor was recorded in five studies,31 42 49 51 65 and in one of those, several views had been recorded simultaneously, viz three camera views of the team’s management and one of the patient’s monitor.…”

Why should the two-thumb technique be used for infant cardiopulmonary resuscitation?

“…I read the article by Jang et al entitled, "Infant chest compression quality: a video-based comparison of two-thumb versus one-hand technique in the emergency department," with great interest [1]. Although finding a proper chest compression technique for infant cardiopulmonary resuscitation (CPR) is an important issue, real human data that compare various chest compression techniques during infant CPR have not been published before this article, as indicated by the authors.…”