Diego Enriquez1, Lorena Firenze2, Josefina Fernández Díaz2, Agustín Iglesias2, Nicolás Falk2, Pablo Pollini3, Edgardo Szyld4,5. 1. Simulación Médica Roemmers (SIMMER). dsenriquez2000@yahoo.com.ar. 2. Hospital de Niños Ricardo Gutiérrez, Comité de Docencia e Investigación. 3. Simulación Médica Roemmers (SIMMER). 4. Icahn School of Medicine at Mount Sinai, NYC, USA. 5. Oklahoma University Health Sciences Center (OUHSC), Oklahoma, USA.
Abstract
INTRODUCTION: High-quality chest compressions (CCs) are the main component of cardiopulmonary resuscitation (CPR). Objectives. T o assess the depth of CCs during CPR using a pediatric patient manikin. A secondary objective was to explore the association between CC depth and sex, level of training, body mass index, and periodic physical training. MATERIAL AND METHODS: Prospective study with experimental observation. Pediatric residents, pediatricians, nurses, and other health care providers trained in CPR and who attended children were included. A software program was used to record the depth of CCs while performing CPR during 2 minutes. Tiredness was defined as a deterioration in the number of adequately deep CCs (> 50 mm) by more than 3 CCs between the first and the last cycles. RESULTS: A total of 137 subjects participated (85.4 % were women). Only 48 participants (35.8 %) showed an adequate performance in terms of depth. Significant differences were observed for men (p < 0.0001) and trained pediatricians compared to the rest (p = 0.038). A worsening was observed in performance in terms of depth after 2 minutes in 36.5 % of participants. No significant differences were observed in relation to body mass index and physical activity. CONCLUSIONS: Depth rate reduced after 2 minutes. No association was observed with the body mass index or regular physical activity of resuscitators but with their sex and level of training. Sociedad Argentina de Pediatría.
INTRODUCTION: High-quality chest compressions (CCs) are the main component of cardiopulmonary resuscitation (CPR). Objectives. T o assess the depth of CCs during CPR using a pediatric patient manikin. A secondary objective was to explore the association between CC depth and sex, level of training, body mass index, and periodic physical training. MATERIAL AND METHODS: Prospective study with experimental observation. Pediatric residents, pediatricians, nurses, and other health care providers trained in CPR and who attended children were included. A software program was used to record the depth of CCs while performing CPR during 2 minutes. Tiredness was defined as a deterioration in the number of adequately deep CCs (> 50 mm) by more than 3 CCs between the first and the last cycles. RESULTS: A total of 137 subjects participated (85.4 % were women). Only 48 participants (35.8 %) showed an adequate performance in terms of depth. Significant differences were observed for men (p < 0.0001) and trained pediatricians compared to the rest (p = 0.038). A worsening was observed in performance in terms of depth after 2 minutes in 36.5 % of participants. No significant differences were observed in relation to body mass index and physical activity. CONCLUSIONS: Depth rate reduced after 2 minutes. No association was observed with the body mass index or regular physical activity of resuscitators but with their sex and level of training. Sociedad Argentina de Pediatría.
Authors: Marek Malysz; Marek Dabrowski; Bernd W Böttiger; Jacek Smereka; Klaudia Kulak; Agnieszka Szarpak; Milosz Jaguszewski; Krzysztof J Filipiak; Jerzy R Ladny; Kurt Ruetzler; Lukasz Szarpak Journal: Cardiol J Date: 2020-05-18 Impact factor: 2.737