The Effect of Lacrosse Protective Equipment and Different Airway Management Devices on the Ability to Provide CPR to a Manikin

Lacrosse Protective Equipment and the Initiation of Cardiopulmonary Resuscitation and Time to First Automated External Defibrillator Shock

“…[8][9][10] Football shoulder pads are much thicker than lacrosse pads which may explain the discrepancy. Previous studies of lacrosse pads have found adequate chest compression quality 13,14 while a separate study found inadequate chest compression depth with equipment in place. 12 Our participants, as well as the participants of previous studies, 13,19 were required to pass a CPR skill proficiency test prior to participating in data collection which we speculate may explain the differences between study findings.…”

“…We used the same methods and an 80% overall CPR score determined by the QCPR manikin to define proficiency as reported in previous studies. 13,14,19 The SimPad device that records data from the QCPR manikin provided overall CPR scores calculated using an algorithm that takes into account incorrect compression depth, incorrect compression rate, incomplete recoil, inaccurate hand placement, flow time fraction, incorrect ventilation volume and incorrect ventilation rate. If participant groups failed to reach 80%, they needed to remediate by watching an additional video on how to improve performance followed by practicing with the manikin and SimPad in practice mode.…”

“…Although one study found a lack of high quality chest compressions over lacrosse shoulder pads, 12 two different studies have found that high quality chest compressions can be provided with lacrosse shoulder pads in place on simulation manikins. 13,14 However, leaving lacrosse shoulder pads in place to improve time to first compression may interfere with the ability to apply Automated External Defibrillator (AED) pads to patient chests.…”

Airway Management in Athletes Wearing Lacrosse Equipment

“…4 In an airway-management investigation 13 of football helmets, only a small subsample with chinstrap conditions using a 2-person bag valve mask procedure was tested because they had such difficulty performing a modified jaw thrust and ventilating the patient. In a study 19 of airway management with lacrosse helmets, participants had similar difficulty ventilating patients using a bag valve mask but were highly successful using a King airway. Similarly, our data suggested that the clinician can provide quality ventilations using a King airway when performing FMR and that the helmet and chinstrap should be left intact to stabilize the head and neck with a suspected cervical spine injury.…”