Effectiveness of finger-marker for maintaining the correct compression point during paediatric resuscitation: A simulation study - 21/08/17
Abstract |
Objective |
High-quality cardiopulmonary resuscitation is a significant factor for increasing the survival rate of paediatric patients. This study is to investigate the effectiveness of finger-marker stickers for maintaining the correct compression point during simulated infant cardiopulmonary resuscitation (CPR).
Methods |
This crossover simulation study was conducted with 40 emergency physicians and paramedics at emergency departments of 2 tertiary hospitals. We used a remodeled infant CPR manikin developed to measure CPR quality indicators. After random coupling of participants (20 pairs), the pre-group (10 pairs) performed conventional 2-rescuer infant manikin CPR, then performed sticker-applied CPR after 1month. The post-group (10 pairs) performed the process in the opposite order. The participants placed finger-marker stickers to indicate the appropriate compression point before starting CPR. We compared accurate finger placement rates and other CPR quality indicators (compression depth, rate, complete chest recoil, and hands-off time) with and without the finger-marker sticker.
Results |
All finger-marker stickers were correctly attached within 5s (4.88±1.28s) of approaching the model. There were significant differences in the rate of correct finger compression position between conventional and sticker-applied CPR (25.4% [IQRs 7.6–69.8] vs. 88.2% [IQRs 69.6–95.5], P<0.001). Results did not differ according to sex, career, and job of the participants. There were no significant differences in mean compression rate, depth, hands-off times, and rate of fully recoiled compression between the 2 groups.
Conclusion |
Finger-marker stickers can be used to maintain correct finger positioning during 2-rescuer infant manikin CPR.
Le texte complet de cet article est disponible en PDF.Keywords : Cardiac arrest, Resuscitation, Heart massage, Infant, Children
Plan
☆ | Conflicts of interest and source of funding: The research plan was approved by the Seoul National University Hospital institutional review board (IRB NO: 1203-062-402) and the written consents were obtained from all participants. There are no conflicts of interests and currently no funding sources in this study. |
Vol 35 - N° 9
P. 1303-1308 - septembre 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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