The Importance of Physical Fitness In the Performance of Adequate Cardiopulmonary Resuscitation

Lucı́a, Alejandro; Heras, José F. de las; Pérez, Manuel Sierra; Elvira, Juan Carlos; Carvajal, Alfredo; Alvarez, Antonio J; Chicharro, José López

doi:10.1378/chest.115.1.158

Cited by 64 publications

(64 citation statements)

References 19 publications

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“…Therefore, not only the initial (first 2 min) quality of CC matters. We have observed that -in agreement with prior studies -in the baseline test, CPR quality decreases as the minutes elapse, both in control and trained participants [18,19].…”

Section: Discussionsupporting

confidence: 90%

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The effect of strength training on quality of prolonged basic cardiopulmonary resuscitation

et al. 2017

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A b s t r a c tBackground: Providing high-quality chest compressions and rescue breaths are key elements in the effectiveness of cardiopulmonary resuscitation. Aim:To investigate the effects of a strength training programme on the quality of prolonged basic cardiopulmonary resuscitation on a manikin. Methods:This was a quasi-experimental trial. Thirty-nine participants with prior basic life support knowledge were randomised to an experimental or control group. They then performed a test of 10 min of chest compressions and mouth-to-mouth ventilation on manikins equipped with a skill reporter tool (baseline or test 1). The experimental group participated in a four-week strength training programme focused on the muscles involved in chest compressions. Both groups were subsequently tested again (test 2).Results: After training, the experimental group significantly increased the mean depth of compression (53.7 ± 2.3 mm vs. 49.9 ± 5.9 mm; p = 0.003) and the correct compression fraction (68.2 ± 21.0% vs. 46.4 ± 29.1%; p = 0.004). Trained subjects maintained chest compression quality over time better than the control group. The mean tidal volume delivered was higher in the experimental than in the control group (701.5 ± 187.0 mL vs. 584.8 ± 113.6 mL; p = 0.040) and above the current resuscitation guidelines. In test 2, the percentage of rescue breaths with excessive volume was higher in the experimental group than in the controls (31.5 ± 19.6% vs. 15.6 ± 13.0%; p = 0.007). Conclusions:A simple strength training programme has a significant impact on the quality of chest compressions and its maintenance over time. Additional training is needed to avoid over-ventilation of potential patients.

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Section: Discussionsupporting

confidence: 90%

“…Perhaps physical training is one option. If confirmed, this aspect should be considered in life support programmes [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

The effect of strength training on quality of prolonged basic cardiopulmonary resuscitation

et al. 2017

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“…Three LOE 5 studies showed that some rescuers were unable to complete 5 minutes (laypeople), 213 5 to 6 minutes (lay females), 214 or 18 minutes (HCPs) 215 of continuous chest compressions because of physical exhaustion.…”

Section: Rescuer Fatiguementioning

confidence: 99%

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

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“…Investigations of rescuer capacity to keep up compelling mid-section pressure rate and profundity after some time have focused on muscle and/or metabolic exhaustion as a key element in execution deterioration [7] The work interest of CPR is portrayed as humble to difficult, requiring somewhere around 60% and 65% of most extreme achievable workload, [8,9] and similar to a moderate oxygen consuming activity [10] requiring around 4 metabolic equivalents [11]. People's subjective judgments assess CPR as light work and light to some degree hard work [8].…”

Section: Developing a Tool To Maximize Cpr Without Inflicting Injmentioning

confidence: 99%

“…People's subjective judgments assess CPR as light work and light to some degree hard work [8]. People who are physically fit can perform CPR in the preparation setting for more time frames than can the individuals who are not fit but rather there are no distinctions in the pressure rate or profundity connected with fitness [11].…”

Section: Developing a Tool To Maximize Cpr Without Inflicting Injmentioning

confidence: 99%

Maximising CPR utility through biomedical-engineering

2017

IJMTER

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The Importance of Physical Fitness In the Performance of Adequate Cardiopulmonary Resuscitation

Cited by 64 publications

References 19 publications

The effect of strength training on quality of prolonged basic cardiopulmonary resuscitation

The effect of strength training on quality of prolonged basic cardiopulmonary resuscitation

Part 12: Education, Implementation, and Teams

Maximising CPR utility through biomedical-engineering

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