The quality of manual chest compressions during transport – effect of the mattress assessed by dual accelerometers

Hellevuo, Heidi; Sainio, Marko; Olkkola, Klaus T.; Tenhunen, Jyrki; Hoppu, Sanna

doi:10.1111/aas.12245

Cited by 21 publications

(26 citation statements)

References 28 publications

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“…Contrary to the authors' assertion that elevated levels of CRP are associated with generalized inflammation and SLE disease activity, it is well recognized that CRP is often normal or only mildly elevated in patients with active SLE [3,4]. There are many hypotheses concerning this phenomenon, but the explanation is still unknown.…”

Section: To the Editormentioning

confidence: 85%

“…Unfortunately, even health professionals have difficulty performing effective cardiopulmonary resuscitation (CPR). Chest compression is often too shallow, compression ratio is inadequate, and hands-off time is too long [1,3,4]. Cardiopulmonary resuscitation feedback devices might be an option for rescuers to increase CC efficiency [2,4].…”

Section: To the Editormentioning

confidence: 99%

“…Furthermore, compression depth and rate were significantly better when the CP was used. Fischer et al [1], Kovic et al [2], Hellevuo et al [3], and Yeung et al [5] found that the use of CPR feedback improves CC efficiency; whereas, Zapletal et al [4] found that use of CPR feedback devices reduced compression efficiency compared with standard CPR. Research from Kovic et al [2] additionally indicates a reduction of rescuer fatigue, when a CPR feedback device is used.…”

Section: To the Editormentioning

confidence: 99%

See 2 more Smart Citations

Quality of chest compressionwith CardioPump CPR compared to single rescuer standard BLS

Kurowski

Czyżewski

Bogdański

et al. 2015

The American Journal of Emergency Medicine

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Section: To the Editormentioning

confidence: 85%

Section: To the Editormentioning

confidence: 99%

Section: To the Editormentioning

confidence: 99%

See 1 more Smart Citation

Quality of chest compressionwith CardioPump CPR compared to single rescuer standard BLS

Kurowski

Czyżewski

Bogdański

et al. 2015

The American Journal of Emergency Medicine

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“…Prehospital emergency medicine involves the acute phase of any pathology. Numerous studies have focused on the possibility of prehospital emergencies (PE) teams performing certain therapeutic procedures during the patient's transfer to a hospital center, [1][2][3] maintaining both their clinical safety and the professional's safety. So, in prior studies, we have analyzed whether or not it was feasible to intubate a critical patient in a moving ambulance and any potentially Therapeutic measures in a moving ambulance: Qualitative study of professional opinions regarding prehospital emergencies adverse events.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic measures in a moving ambulance: Qualitative study of professional opinions regarding prehospital emergencies

Encina

Sanjuan-Quiles

Moral

et al. 2018

Hong Kong Journal of Emergency Medicine

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Background: current organization of the prehospital emergency teams, decreasing the prehospital times, given the possibility of working during the patient's transport and, therefore, the consequences that may result from the same improving the prognostic. Objectives: To explore the opinion of professional healthcare experts regarding prehospital emergencies arising when forced to assist a critical patient in a moving vehicle, based on a high-fidelity clinical simulation, as well as the factors influencing them. Methods: An exploratory study of content analysis with qualitative methodology, via semi-structured questionnaires that are self-completed anonymously, before and after the clinical simulation intervention in which participants intubate a mannequin in a moving ambulance. The sample consisted of 36 experts in prehospital emergencies from the province of Alicante (Spain). Codification and assessment of the data obtained was carried out via triangulation, respecting the language and literal expressions of the participants. Results: Thirty-two pre-and post-intervention questionnaires were completed. Four different units of meaning or categories emerged which were organized based on two thematic structures, from the perspective of professional and patient needs. Twenty-three participants had never previously intubated in a moving vehicle. Discussion: Working in a moving vehicle may be yet another aspect to consider in the specialized teaching-learning process of prehospital emergency medicine. Conclusion: Based on the need to decrease prehospital assistance times, a new paradigm has been opened in prehospital emergencies with the possibility of being able to safely assist our patients during their transport on a moving ambulance or helicopter. It will be necessary further research in the future.

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“…1 Tüm bu nedenlerden dolayı, kardiyak arrestlerde hastane öncesi sağlık personelinin kaliteli göğüs kompresyonu uygulaması konusundaki bilgi ve becerilerinin geliştirilmesi hayati önem taşı-maktadır. 9 Bu çalışmada amaç, İzmir İl Sağlık Müdürlü-ğü'ne bağlı 112 Acil Sağlık Hizmetleri İstasyonu ça-lışanlarının, CPR bilgi düzeyleri ve kaliteli göğüs basısı uygulaması konusundaki bilgi ve becerilerini ölçülebilir yöntemlerle kayıt altına alarak tanımla-mak ve uygulama sırasında verilen eğitimin etkinliğini değerlendirmektir.…”

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Improvement of Chest Compression Quality in Prehospital Cardiopulmonary Resuscitation

Ok¹,

Vatansever²,

Araz³

et al. 2016

Turkiye Klinikleri J Anest Reanim

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada amaç, ambulans servisi çalışanlarının "kardiyopulmoner resusitasyon (CPR)" bilgi düzeyleri ve kaliteli göğüs basısı uygulaması konusundaki bilgi ve becerilerini objektif yapılandırılmış yöntemlerle belirlemek ve verilen eğitimin etkisini değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmada 30 acil tıp teknisyeni ve 25 paramedik yer almıştır. Katılımcıların sosyodemografik özellikleri saptanmış, CPR ile ilgili bilgi ve psikomotor beceri düzeyleri gelişmiş, hasta simülatörü niteliğinde bir maket aracılığıyla ölçülmüş ve kayıt altına alınmıştır. İstatistiksel analizde, ki-kare, Student t-testi, ANOVA, tekrarlanan ölçümlerde miksed ANOVA ve lineer regresyon yön-temleri kullanılmıştır. B Bu ul lg gu ul la ar r: : Çalışmada katılımcıların ön-test ve son-test puanları karşılaştırıl-mış; ön-test puan ortalaması 8,10 (ss=1,26), son-test puan ortalaması ise 9,55 (ss=0,90) olarak bulunmuş ve anlamlı istatistiksel farklılık gözlenmiştir. İdeal bası derinliğine ulaşma açısından ise, erkekler kadınlardan birinci ölçümde 1,39 kat; ikinci ölçümde 17,33 kat ve üçüncü ölçümde 6,22 kat daha başarılı bulunmuştur. Katılımcıların yaşı, ideal bası derinliğine ulaşma performansı ile iliş-kili bulunmamıştır. Diğer yandan, bası sayısı ve bası yeri doğruluk oranı performansları hiçbir bağımsız değişkenle istatistiksel olarak ilişkili bulunmamıştır. S So on nu uç ç: : Bu çalışmada, hastane öncesi ambulans hizmetlerinde çalışanların özellikle bası derinliği performanslarının cinsiyet, ağırlık ve ça-lışma süresi bağımsız değişkenlerinden etkilendiği saptanmıştır. Bu bulgu daha geniş gruplarla yapılacak çalışmalarda mutlaka analiz edilmeli ve belki de hastane öncesi acil sağlık hizmetlerine işe alımda boy ve ağırlık gibi bedensel özellikler dikkate alınmalıdır. Ayrıca becerinin uzun vadede kalıcılığının sınandığı, hasta başı performansın değerlendirildiği ve eğitimin topluma ve hastalara yararını değerlendirme açısından hastaların iyileşme durumlarının gözden geçirildiği ileri çalış-malara da gereksinim vardır.A An na ah ht ta ar r K Ke el li im me el le er r: : Kardiyopulmoner resusitasyon; acil tıbbi servisler; canlandırma A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim is to identify and record the CPR knowledge level and quality chest compression skills of the staff ambulance service staff by objective structured methods and to evaluate the influence of the training. M Ma at te er ri ia al l a an nd d m me et th ho od ds s: In this study, 30 emergency medical technician (EMT) and 25 paramedics were included. Participants' social and demographic characteristics were determined. Their cognitive and psychomotor skill levels of CPR were measured and recorded by an advanced patient simulator manikin. Chi square test, Student t-test, ANOVA, mixed ANOVA for repeated measurements and linear regression tests were used as statistical analysis. R Re es su ul lt ts s: : When pre-test and post-test scores of the participants were compared; pre-test average score 8....

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The quality of manual chest compressions during transport – effect of the mattress assessed by dual accelerometers

Abstract: CPR quality was good during transportation in general. However, the results suggest that the feedback system improves CPR quality. Dual accelerometer measurements show, on the other hand, that the mattress effect may be a clinically relevant impediment to high quality CPR.

Cited by 21 publications

References 28 publications

Quality of chest compressionwith CardioPump CPR compared to single rescuer standard BLS

Quality of chest compressionwith CardioPump CPR compared to single rescuer standard BLS

Therapeutic measures in a moving ambulance: Qualitative study of professional opinions regarding prehospital emergencies

Improvement of Chest Compression Quality in Prehospital Cardiopulmonary Resuscitation

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