Study of the correlations between chest compression quality items

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Author:
ZHANG Feng-ling(Department of Emergency,Tongji Hospital Affilitated to Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430030, China)
YAN Li(Department of Emergency,Tongji Hospital Affilitated to Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430030, China)
HUANG Su-fang(Department of Emergency,Tongji Hospital Affilitated to Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430030, China)
BAI Xiang-jun(Department of Emergency,Tongji Hospital Affilitated to Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430030, China)
Journal Title:
Chinese Journal of Emergency Medicine
Issue:
Volume 21, Issue 10, 2012
DOI:
10.3760/cma.j.issn.1671-0282.2012.10.016
Key Word:
Chest compression ; Quality items ; Compression hands placement ; Compression rate ;Compression depth; Chest wall recoil; Fatigue time; Correlation

Abstract: Objective To explore the relationship between quality items of chest compression for resuscitation of cardiac arrest and to identify the key points in chest compression training and practice.Method The training project was offered to 219 healthcare workers by using Laerdal ACLS advanced life support resuscitation model, and the quality issues of chest compression were monitored including compression hands placement,compression rate,compression depth,and chest wall recoil,as well as selfreported fatigue time by Laerdal Computer Skills and Reporting System.Results The quality of chest compression was related to the geuder of the practitioner.The items in males including self-reported fatigue time,the accuracy of compression depth and the compression rate,the accuracy of compression rate were higher than those in females.However,the chest recoil rate was higher in females than that in males.The quality items of chest compression were correlated with one another. The self-reported fatigue time was related to all the items except the compression rate.Conclusions It is necessary to offer cardiopulmonary resuscitation (CPR) training courses regularly. In clinical practice,it might be better to change the practitioner before fatigue,especially for female or weak practitioners.In training projects,more attention should be paid to the control of compression rate, in order to delay the fatigue, guarantee enough compression depth and improve the quality of chest compression.

  • [1]Christenson J,Andrusiek D,Everson-Stewart S,et al. Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation [J]. Circulation, 2009, 120(13):1241-1247.
  • [2]Rajab TK,Pozner CN,Conrad C,et al..Technique for chest compressions in adult CPR[J].World J Emerg Surg,2011,6:41.
  • [3]Song F,Sun S,Ristagno G,et al.Delayed high-quality CPR does not improve outcomes[J].Resuscitation,2011,82 Suppl 2:S52-55.
  • [4]Travers AH,Rea TD,Bobrow B J,et al.Part 4:CPR overview:2010 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J].Circulation,2010,122 (18 Suppl 3):S676-684.
  • [5]沈洪,王一镗.中国心肺复苏的发展[J].中华急诊医学杂志,2006,15 (1):13-14
  • [6]李春盛.目前心肺复苏存在的问题及对策[J].中华急诊医学杂志,2005,14 (5):362-363.
  • [7]Ochoa FJ,Ramalle-Gomara E,Lisa V,et al..The effect of rescuer fatigue on the quality of chest compressions[J].Resuscitation,1998,37 (3):149-152.
  • [8]Peberdy MA,Silver A,Ornato JP.Effect of caregiver gender,age,and feedback prompts on chest compression rate and depth[J].Resuscitation,2009,80 (10):1169-1174.
  • [9]Krikscionaitiene A,Stasaitis K,Dambrauskiene M,et al. Can lightweight rescuers adequately perform CPR according to 2010resuscitation guideline requirements[J].Emerg Med J,2012.
  • [10]秦俭,孙长怡.心肺复苏培训中的常见错误分析[J].中国急救复苏与灾害医学杂志,2007,4 (3):183-184,186.
  • [11]Ashton A,McCluskey A,Gwinnutt CL,et al.Effect of rescuer fatigue on performance of continuous external chest compressions over3 min[J].Resuscitation,2002,55 (2):151-155.
  • [12]Hightower D,Thomas SH,Stone CK,et al.Decay in quality of closed-chest compressions over time[J].Ann Emerg Med,1995,26 (3):300-303.
  • [13]孟凡山,赵玉兰,戴冬梅.护士心肺复苏操作现况及培训效果的评价[J].实用心脑肺血管病杂志,2009,8 (3):215-216.
  • [14]朱英华.护士心肺复苏操作现况及培训效果的评价[J].检验医学与临床,2010,7 (10):988-989.
  • [15]Bj(φ)rshol CA,Sunde K,Myklebust H,et al. Decay in chest compression quality due to fatigue is rare during prolonged advanced life support in a manikin model[J].Scand J Trauma Resusc Emerg Med,2011,19:46.
  • [16]Yannopoulos D,McKnite S,Aufderheide TP,et al.Effects of incomplete chest wall decompression during cardiopulmonary resuscitation on coronary and cerebral perfusion pressures in a porcine model of cardiac arrest[J]. Resuscitation,2005,64(3):363-372.
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