Effect of bed width on the quality of compressions in simulated resuscitation: a randomized crossover manikin study.
Am J Emerg Med
; 34(12): 2272-2276, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27592725
ABSTRACT
OBJECTIVES:
To investigate the effects of bed width on the quality of chest compressions during simulated in-hospital resuscitation.METHODS:
Each candidate performed two 2-minute cycles of compression-only cardiopulmonary resuscitation on an adult manikin placed on either an emergency stretcher (narrow bed) or a standard hospital bed (wide bed) in random order at 1 day intervals. We conducted subjective assessments of cardiopulmonary resuscitation quality and rescuer fatigue at the end of each session, using surveys.RESULTS:
There were no significant differences between narrow and wide bed sessions in either mean depth or the percentage of compressions with adequate depth (P=.56 and .58, respectively). The mean rate of compressions and the percentage of compressions with adequate rate were also similar between sessions (P=.24 and .27, respectively). However, the percentage of correct hand position and complete chest recoil was significantly higher in the narrow bed session than in the wide bed session (P=.02 and .02, respectively). In addition, survey results showed that rescuers felt more comfortable and less exhausted in the narrow bed session compared with the wide bed session (P<.001 and < .001).CONCLUSIONS:
When rescuers performed chest compressions on an emergency stretcher, chest compression quality increased, and the fatigue of rescuers decreased compared with a standard hospital bed. Therefore, we propose a narrow bed for critically ill inpatients with high risk of cardiac arrest.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Leitos
/
Reanimação Cardiopulmonar
/
Fadiga
/
Massagem Cardíaca
Tipo de estudo:
Clinical_trials
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Emerg Med
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
China