論文

査読有り 国際誌
2019年

Comparison of chest compression quality in walking versus straddling cardiopulmonary resuscitation during stretcher transportation: A prospective randomised crossover study using manikins.

PloS one
  • Mikako Shinchi
  • ,
  • Masanao Kobayashi
  • ,
  • Kaori Soma
  • ,
  • Akifumi Maeda

14
5
開始ページ
e0216739
終了ページ
記述言語
英語
掲載種別
DOI
10.1371/journal.pone.0216739

The optimal strategy to ensure chest compression quality for patients being transported on a stretcher has not been established yet. We hypothesised that straddling cardiopulmonary resuscitation may improve chest compression quality in patients being transported on stretchers. We conducted a prospective randomised crossover study using manikins to investigate whether straddling cardiopulmonary resuscitation improves chest compression quality (depth, recoil, rate, correct hand position) performed on patients during stretcher transportation compared to walking cardiopulmonary resuscitation. Walking and straddling cardiopulmonary resuscitation were performed for 2 minutes each. The mean chest compression depth (mm) for 2 minutes was significantly greater in the straddling cardiopulmonary resuscitation group than in the walking cardiopulmonary resuscitation group (median, 51.3 [interquartile range, 46.7-55.5] versus 40.9 [34.6-50.1], P = 0.003). An adequate depth of chest compressions could not be achieved when walking cardiopulmonary resuscitation was performed by female participants, but the depth of chest compressions was within the acceptable range when female participants performed straddling cardiopulmonary resuscitation. On the other hand, the degree of deterioration was relatively small in male participants, even when they performed walking cardiopulmonary resuscitation. In patients with cardiac arrest being transported on a stretcher, straddling cardiopulmonary resuscitation improved the depth of chest compressions compared to walking cardiopulmonary resuscitation. Female rescuers, in particular, may consider using straddling cardiopulmonary resuscitation.

リンク情報
DOI
https://doi.org/10.1371/journal.pone.0216739
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31112576
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528974

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