Training a Chest Compression of 6-7 cm Depth for High Quality Cardiopulmonary Resuscitation in Hospital Setting: A Randomised Controlled Trial.
10.3349/ymj.2016.57.2.505
- Author:
Jaehoon OH
1
;
Tae Ho LIM
;
Youngsuk CHO
;
Hyunggoo KANG
;
Wonhee KIM
;
Youngjoon CHEE
;
Yeongtak SONG
;
In Young KIM
;
Juncheol LEE
Author Information
1. Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, Korea. erthim@gmail.com
- Publication Type:Original Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Cardiopulmonary resuscitation;
chest compression;
basic life support;
advanced cardiac life support;
bed
- MeSH:
Adult;
Beds;
Cardiopulmonary Resuscitation/*education/*methods;
Female;
Health Personnel/*education;
Hospitals;
Humans;
Male;
*Manikins;
Pressure;
Prospective Studies;
*Students, Medical;
Thorax/*physiology
- From:Yonsei Medical Journal
2016;57(2):505-511
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: During cardiopulmonary resuscitation (CPR), chest compression (CC) depth is influenced by the surface on which the patient is placed. We hypothesized that training healthcare providers to perform a CC depth of 6-7 cm (instead of 5-6 cm) on a manikin placed on a mattress during CPR in the hospital might improve their proper CC depth. MATERIALS AND METHODS: This prospective randomised controlled study involved 66 premedical students without CPR training. The control group was trained to use a CC depth of 5-6 cm (G 5-6), while the experimental group was taught to use a CC depth of 6-7 cm (G 6-7) with a manikin on the floor. All participants performed CCs for 2 min on a manikin that was placed on a bed 1 hour and then again 4 weeks after the training without a feedback. The parameters of CC quality (depth, rate, % of accurate depth) were assessed and compared between the 2 groups. RESULTS: Four students were excluded due to loss to follow-up and recording errors, and data of 62 were analysed. CC depth and % of accurate depth were significantly higher among students in the G 6-7 than G 5-6 both 1 hour and 4 weeks after the training (p<0.001), whereas CC rate was not different between two groups (p>0.05). CONCLUSION: Training healthcare providers to perform a CC depth of 6-7 cm could improve quality CC depth when performing CCs on patients who are placed on a mattress during CPR in a hospital setting.
