Mountain rescue cardiopulmonary resuscitation: a comparison between manual and mechanical chest compressions during manikin cardio resuscitation

Thomassen, Øyvind; Skaiaa, Sven Christjar; Aßmuss, Jörg; Østerås, Øyvind; Heltne, Jon Kenneth; Brattebø, Guttorm

doi:10.1136/emermed-2016-206323

Cited by 13 publications

(10 citation statements)

References 18 publications

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“…During transportation in an alpine setting, this seems to be only feasible using mechanical chest compression devices. Feasibility of this has been shown previously in the urban/flat rural setting [ 12 ]. The findings in our current study suggest that high quality mechanical chest compressions during an alpine rescue mission are achievable.…”

Section: Discussionmentioning

confidence: 78%

“…Our results complement the findings of one previous study, in which mechanical CPR in alpine terrain was investigated. Thomassen et al [ 12 ] report high quality of both manual and mechanical chest compressions during transportation on a sledge. Compared to our study, the scenario of this study was however much less representative for the reality of alpine rescue organizations, as mentioned before.…”

Section: Discussionmentioning

confidence: 99%

“…There is currently only one controlled study on modes of CPR during transportation in the alpine environment. Thomassen et al [ 12 ] could demonstrate that it was possible to maintain high-quality chest compression both manual and mechanical in such a setting. The applicability of these findings is however limited by the setting of transportation in a sledge attached to a snowmobile on a very flat slope with a descent of only 18%.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of different mechanical chest compression devices in the alpine rescue setting: a randomized triple crossover experiment

Egger¹,

Tscherny

Fuhrmann

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background Cardiopulmonary resuscitation in mountain environment is challenging. Continuous chest compressions during transport or hoist rescue are almost impossible without mechanical chest compression devices. Current evidence is predominantly based on studies conducted by urbane ambulance service. Therefore, we aimed to investigate the feasibility of continuous mechanical chest compression during alpine terrestrial transport using three different devices. Methods Randomized triple crossover prospective study in an alpine environment. Nineteen teams of the Austrian Mountain Rescue Service trained according to current ERC guidelines performed three runs each of a standardised alpine rescue-scenario, using three different devices for mechanical chest compression. Quality of CPR, hands-off-time and displacement of devices were measured. Results The primary outcome of performed work (defined as number of chest compressions x compression depth) was 66,062 mm (2832) with Corpuls CPR, 65,877 mm (6163) with Physio-Control LUCAS 3 and 40,177 mm (4396) with Schiller Easy Pulse. The difference both between LUCAS 3 and Easy Pulse (Δ 25,700; 95% confidence interval 21,118 – 30,282) and between Corpuls CPR and Easy Pulse (Δ 25,885; 23,590 – 28,181) was significant. No relevant differences were found regarding secondary outcomes. Conclusion Mechanical chest compression devices provide a viable option in the alpine setting. For two out of three devices (Corpuls CPR and LUCAS 3) we found adequate quality of CPR. Those devices also maintained a correct placement of the piston even during challenging terrestrial transport. Adequate hands-off-times and correct placement could be achieved even by less trained personnel.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of different mechanical chest compression devices in the alpine rescue setting: a randomized triple crossover experiment

Egger¹,

Tscherny

Fuhrmann

et al. 2021

Scand J Trauma Resusc Emerg Med

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“…Including staff from ICU-related units has been found to be an efficient use of human resources and time, to ensure that the MET arrives at the calling site within the target of 5 minutes, as rescue performance metrics for CPR are limited to 5 minutes. 16 Some studies have evaluated the performance of general ward staff with respect to activating an RRS when the triggering criteria are fulfilled; study findings have revealed a wide variation in the rate of delayed activation (21%-81%). [17][18][19] We should mention that not all patients need to be treated within 5 minutes, for example, a patient at risk of a suicide attempt.…”

Section: Regional Rrs Administrationmentioning

confidence: 99%

Improving rapid response system performance in a Chinese Joint Commission International Hospital

et al. 2019

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Objective To assess the impact of a regional rapid response system (RRS) implemented in a Chinese Joint Commission International Hospital on the timely treatment of patients with serious adverse events (SAEs). Methods Clinical SAEs, activation periods, reasons for RSS activation, and patient outcomes were assessed using SAE response sheets at admission to the hospital and over 31 months of follow-up. Results We found that 192 events were called by medical staff and 6 were called by auxiliary staff. Reasons for the 385 RRS activations included: unconsciousness (133; 34.5%), and airway obstruction and absent carotid pulse (49 each; 12.7%). The average arrival time of the medical emergency team was 2.4 ± 0.1 minutes. There were 123 (62.1%) RRS activations during daytime working hours (8:00–17:00); CPR was performed in 86 (43.4%) cases. Outcomes of RRS were: vital signs stabilized in 82 (41.4%) patients and 61 (30.8%) patients were transferred to ICU. Conclusion Our experience showed that the regional RRS has led to better integrated multidisciplinary cooperation and reduced time for treating patients with SAEs, resulting in success of the RRS.

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“…It follows that manual compression of the chest is possible on a snowmobile during transport, even in difficult terrain. This experimental study shows that high-quality chest compressions and manual ventilation can be performed on a patient intubated during short-term toboggan transport (Thomassen, Skaiaa, Assmuss, Østerås, Heltne, Wik, and Brattebo, 2017).…”

Section: Scientific Research In the Area Of Emergency Medical Servicesmentioning

confidence: 92%

Mountain Rescue in Non-Profit Organizations: Interdisciplinary Research Spectrum in Mountain Tourism

Nagody-Mrozowicz¹,

Halemba²

2021

ERSJ

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Purpose: The purpose of the presented article is to fill the existing epistemological gap in the analyzed phenomenon, which will be filled with aspects of mountain rescue in non-profit organizations. In connection with the above, certain issues may meet with the interest of the world of science, which will expand the research horizons and theoretical perspectives of the analyzed social processes. In addition, the article may become a contribution to the increase in the publishing activity and development of a bibliographic base, that is a literary source of scientific knowledge in the field of activities of non-profit mountain rescue organizations. This article is the first study that is a synthesis of scientific achievements in the field of professional mountain rescue. It is a compilation of the most important research results published so far in the field of saving people in the mountains. Design/Methodology/Approach: The research used a theoretical analysis focused on the presentation of source literature and a literature review showing the directions, areas and research issues in the studied thematic area, mountain rescue. Findings: Mountain rescue is an interdisciplinary phenomenon and process that includes knowledge and skills in many fields and scientific disciplines. Among the sciences that significantly affect the practical functioning of mountain rescue, the following can be identified: medical sciences, health sciences, technical and engineering sciences as well as social sciences. Practical Implications: The further development of research on the presented aspects of mountain rescue leads to the improvement of rescue strategies and techniques used in them. Knowledge of the presented research areas allows scientists to constantly deepen their research and theory in this field: technology for rescue and transport, life functions of the human body in mountain accident conditions and human behavior during mountain activity. Originality/value: The activities of mountain rescue organizations include various forms of conducting rescue operations, which include the following aspects: medical and therapeutic, logistics and transport, meteorological, technological, psychosocial and, last but not least, competence and training.

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Mountain rescue cardiopulmonary resuscitation: a comparison between manual and mechanical chest compressions during manikin cardio resuscitation

Abstract: Manual chest compression is possible on a snowmobile during transport even in challenging terrain. This experimental study shows that high-quality chest compressions and manual ventilation can be performed in an intubated patient during a short-term transportation on a sledge.

Cited by 13 publications

References 18 publications

Comparison of different mechanical chest compression devices in the alpine rescue setting: a randomized triple crossover experiment

Comparison of different mechanical chest compression devices in the alpine rescue setting: a randomized triple crossover experiment

Improving rapid response system performance in a Chinese Joint Commission International Hospital

Mountain Rescue in Non-Profit Organizations: Interdisciplinary Research Spectrum in Mountain Tourism

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