Roberto Barcala-Furelos1,2, Cristian Abelairas-Gómez3, Alejandra Alonso-Calvete1, Francisco Cano-Noguera4, Aida Carballo-Fazanes5, Santiago Martínez-Isasi5, Antonio Rodríguez-Núñez5. 1. REMOSS Research Group, Faculty of Education and Sports Sciences, University of Vigo, Pontevedra, Spain. 2. CLINURSID Network Group, Department of Psychiatry, Radiology and Public Health. University of Santiago de Compostela, Santiago de Compostela, Spain. 3. Faculty of Education Sciences, University of Santiago de Compostela, Santiago de Compostela, Spain. 4. Faculty of Sport, University of Murcia, Murcia, Spain. 5. Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.
Abstract
INTRODUCTION: On-boat resuscitation can be applied by lifeguards in an inflatable rescue boat (IRB). Due to Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2) and recommendations for the use of personal protective equipment (PPE), prehospital care procedures need to be re-evaluated. The objective of this study was to determine how the use of PPE influences the amount of preparation time needed before beginning actual resuscitation and the quality of cardiopulmonary resuscitation (CPR; QCPR) on an IRB. METHODS: Three CPR tests were performed by 14 lifeguards, in teams of two, wearing different PPE: (1) Basic PPE (B-PPE): gloves, a mask, and protective glasses; (2) Full PPE (F-PPE): B-PPE + a waterproof apron; and (3) Basic PPE + plastic blanket (B+PPE). On-boat resuscitation using a bag-valve-mask (BVM) and high efficiency particulate air (HEPA) filter was performed sailing at 20km/hour. RESULTS: Using B-PPE takes less time and is significantly faster than F-PPE (B-PPE 17 [SD = 2] seconds versus F-PPE 69 [SD = 17] seconds; P = .001), and the use of B+PPE is slightly higher (B-PPE 17 [SD = 2] seconds versus B+PPE 34 [SD = 6] seconds; P = .002). The QCPR remained similar in all three scenarios (P >.05), reaching values over 79%. CONCLUSION: The use of PPE during on-board resuscitation is feasible and does not interfere with quality when performed by trained lifeguards. The use of a plastic blanket could be a quick and easy alternative to offer extra protection to lifeguards during CPR on an IRB.
INTRODUCTION: On-boat resuscitation can be applied by lifeguards in an inflatable rescue boat (IRB). Due to Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2) and recommendations for the use of personal protective equipment (PPE), prehospital care procedures need to be re-evaluated. The objective of this study was to determine how the use of PPE influences the amount of preparation time needed before beginning actual resuscitation and the quality of cardiopulmonary resuscitation (CPR; QCPR) on an IRB. METHODS: Three CPR tests were performed by 14 lifeguards, in teams of two, wearing different PPE: (1) Basic PPE (B-PPE): gloves, a mask, and protective glasses; (2) Full PPE (F-PPE): B-PPE + a waterproof apron; and (3) Basic PPE + plastic blanket (B+PPE). On-boat resuscitation using a bag-valve-mask (BVM) and high efficiency particulate air (HEPA) filter was performed sailing at 20km/hour. RESULTS: Using B-PPE takes less time and is significantly faster than F-PPE (B-PPE 17 [SD = 2] seconds versus F-PPE 69 [SD = 17] seconds; P = .001), and the use of B+PPE is slightly higher (B-PPE 17 [SD = 2] seconds versus B+PPE 34 [SD = 6] seconds; P = .002). The QCPR remained similar in all three scenarios (P >.05), reaching values over 79%. CONCLUSION: The use of PPE during on-board resuscitation is feasible and does not interfere with quality when performed by trained lifeguards. The use of a plastic blanket could be a quick and easy alternative to offer extra protection to lifeguards during CPR on an IRB.
Authors: Bernd Wallner; Hannah Salchner; Markus Isser; Thomas Schachner; Franz J Wiedermann; Wolfgang Lederer Journal: Int J Environ Res Public Health Date: 2022-10-05 Impact factor: 4.614
Authors: María Fernández-Méndez; Martín Otero-Agra; Felipe Fernández-Méndez; Santiago Martínez-Isasi; Myriam Santos-Folgar; Roberto Barcala-Furelos; Antonio Rodríguez-Núñez Journal: Int J Environ Res Public Health Date: 2021-07-02 Impact factor: 3.390
Authors: Allart M Venema; Marko M Sahinovic; Albert J D W R Ramaker; Yvette N van de Riet; Anthony R Absalom; J K Götz Wietasch Journal: Front Public Health Date: 2021-07-06