Leg-heel chest compression as an alternative for medical professionals in times of COVID-19 - 30/11/21
, Alexander Krohn, MD a, Laurence H. Bilfield, MD b, Florian Dengler, MD a, Christina Jaki, MD c, Fabian Echterdiek, MD d, Tobias Schilling, MD a, Johannes Heymer, MD a
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Abstract |
Objective |
To evaluate leg-heel chest compression without previous training as an alternative for medical professionals and its effects on distance to potential aerosol spread during chest compression.
Methods |
20 medical professionals performed standard manual chest compression followed by leg-heel chest compression after a brief instruction on a manikin. We compared percentage of correct chest compression position, percentage of full chest recoil, percentage of correct compression depth, average compression depth, percentage of correct compression rate and average compression rate between both methods. In a second approach, potential aerosol spread during chest compression was visualized.
Results |
Our data indicate no credible difference between manual and leg-heel compression. The distance to potential aerosol spread could have been increased by leg-heel method.
Conclusion |
Under special circumstances like COVID-19-pandemic, leg-heel chest compression may be an effective alternative without previous training compared to manual chest compression while markedly increasing the distance to the patient.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Leg-heel chest compression may provide similar CPR quality. |
• | Leg-heel chest compression markedly increases distance to a potential contagious airway. |
• | Increased distance to patient's airway is a readily available protection from virus transmission. |
Keywords : Chest compression, Cardiopulmonary resuscitation, COVID-19, Aerosol
Plan
Vol 50
P. 575-581 - décembre 2021 Retour au numéro
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