The impact of compliant surfaces on in-hospital chest compressions: Effects of common mattresses and a backboard

Noordergraaf, Gerrit J.; Paulussen, Igor; Venema, A.; Berkom, Paul F.J. van; Woerlee, P.H.; Scheffer, Gert Jan; Noordergraaf, Abraham

doi:10.1016/j.resuscitation.2009.03.023

Cited by 63 publications

(53 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Backboards are commonly used to achieve target depths [107][108][109] and reduce rescuer exertion, 110 but their placement interrupts CPR. 111 For this reason, the expert panel recommends placement of a backboard or firm, hard surface as soon as possible and in coordination with other mandatory pauses in compressions to minimize interruption time.…”

Section: Ensure a Firm Hard Surfacementioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

864

521

View full text Add to dashboard Cite

The "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care" increased the focus on methods to ensure that high-quality cardiopulmonary resuscitation (CPR) is performed in all resuscitation attempts. There are 5 critical components of high-quality CPR: minimize interruptions in chest compressions, provide compressions of adequate rate and depth, avoid leaning between compressions, and avoid excessive ventilation. Although it is clear that high-quality CPR is the primary component in influencing survival from cardiac arrest, there is considerable variation in monitoring, implementation, and quality improvement. As such, CPR quality varies widely between systems and locations. Victims often do not receive high-quality CPR because of provider ambiguity in prioritization of resuscitative efforts during an arrest. This ambiguity also impedes the development of optimal systems of care to increase survival from cardiac arrest. This consensus statement addresses the following key areas of CPR quality for the trained rescuer: metrics of CPR performance; monitoring, feedback, and integration of the patient’s response to CPR; team-level logistics to ensure performance of high-quality CPR; and continuous quality improvement on provider, team, and systems levels. Clear definitions of metrics and methods to consistently deliver and improve the quality of CPR will narrow the gap between resuscitation science and the victims, both in and out of the hospital, and lay the foundation for further improvements in the future.

show abstract

Section: Ensure a Firm Hard Surfacementioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

864

521

View full text Add to dashboard Cite

show abstract

“…22 Optimal chest compressions are best delivered with the victim on a firm surface. 23,24 • While one rescuer performs chest compressions and another performs ventilations, other rescuers should obtain a monitor/defibrillator, establish vascular access, and calculate and prepare the anticipated medications.…”

Section: Cm] In Infants and Approximately 2 Inches [5 Cm] In Children)mentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

915

304

View full text Add to dashboard Cite

“…5,7 Mattress deflection can be reduced using a backboard, as reported by previous studies. 1,3,4,6 However, no h u m a n s t u d y h a s b e e n c o n d u c t e d , a n d t h e improvement in compression depth using a backboard was only a few millimetres. Therefore, the current CPR guidelines state that the evidence for the use of a backboard during CPR is insufficient.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] However, mattress deflection could not be removed completely even using a backboard. 1,3,4,6 The mattress deflection could decrease chest compression depth and induce overestimation of the compression depth when we use the accelerometer feedback devices. 5,7,8 If then, will only the mattress deflection occur when we perform chest compression on a bed?…”

Section: Introductionmentioning

confidence: 99%

Does the Bed Frame Deflection Occur along with Mattress Deflection during In‐Hospital Cardiopulmonary Resuscitation? an Experiment Using Mechanical Devices

Jh¹,

Cw²,

Se³

et al. 2016

Hong Kong j. emerg. med.

View full text Add to dashboard Cite

Objectives: When we perform chest compression on a patient on a bed, the mattress and bed frame can be depressed together with the patient's chest. This study was conducted to assess whether bed frame deflection occurred during chest compressions. Methods: We designed a firm bed ("bed like the ground," BLG) to assess the bed frame deflection in the Stryker Trauma Stretcher (STS) and the ER stretcher cart (ER-SC). The STS included a soft mattress and the ER-SC a hard mattress. We performed 50 continuous chest compressions on the Resusci Anne Skill Reporter with CPRmeter in each experiment. The experiments were done in four settings. Test 1 included the BLG; test 2 included a mattress and backboard on each bed; test 3 included the mattress of each bed and a backboard on the BLG; and test 4 included the mattress of each bed on the BLG. We calculated the mattress and bed frame deflections using the gaps of compression depths between the values measured by Resusci Anne and CPRmeter. Results: The mattress deflections of the STS and ER-SC mattress were determined to be 11.2 and 0.67 mm, respectively. The bed frame deflection for the STS and ER-SC were 0.95 and 5.17 mm, respectively. Conclusion: The study confirms that bed frame deflection will occur when we perform chest compressions on the manikin lying on a bed. Additionally, the bed frame deflections differ depending on the type of bed. (Hong Kong j.

show abstract

The impact of compliant surfaces on in-hospital chest compressions: Effects of common mattresses and a backboard

Cited by 63 publications

References 24 publications

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Part 14: Pediatric Advanced Life Support

Does the Bed Frame Deflection Occur along with Mattress Deflection during In‐Hospital Cardiopulmonary Resuscitation? an Experiment Using Mechanical Devices

Contact Info

Product

Resources

About