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One-handed versus two-handed chest compressions in paediatric cardio-pulmonary resuscitation.

Abstract：

OBJECTIVES:To determine emergency department (ED) staff preference for one- or two-handed paediatric chest compressions and to determine if there was a difference in compression rates delivered and fatigability between the techniques. METHODS:This was a randomised, cross-over observational study of paediatric CPR performed on a standard paediatric manikin by ED staff. Consenting, eligible staff [ED doctors and nurses] performed CPR in pairs with chest compressions delivered using a one- and two-handed technique. The outcomes of interest were compression rates for one- and two-handed CPR, decrease in compression rate over time for each technique and staff preference for technique. Data was analysed using descriptive statistics, Chi Square test and Mann-Whitney U-test as appropriate. RESULTS:Sixty-two ED staff participated in the study. Compression rates with both techniques were similar and higher than guidelines recommend (133.6 min(-1) for one-handed and 135.7 min(-1) for two-handed respectively). The compression rate slowed by 6.9 compressions/min over 1 min in one-handed compressions compared with 2.6 compressions/min in two-handed compressions (p = 0.0264). 65.6% of participants reported that they preferred the two-handed compression technique. CONCLUSION:This study showed that CPR compression rate is similar with one- and two-handed compression techniques, but compression rate decreased more quickly with the one-handed technique. The majority of staff preferred the two-handed compression technique for reasons of ease, control and uniformity with other CPR techniques.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Peska E,Kelly AM,Kerr D,Green D

doi

10.1016/j.resuscitation.2006.02.007

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

65-9

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(06)00087-6

journal_volume

71

pub_type

杂志文章,随机对照试验

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