Which Fingers Should We Perform Two-Finger Chest Compression Technique with When Performing Cardiopulmonary Resuscitation on an Infant in Cardiac Arrest?.
10.3346/jkms.2016.31.6.997
- Author:
Young Sinn KIM
1
;
Je Hyeok OH
;
Chan Woong KIM
;
Sung Eun KIM
;
Dong Hoon LEE
;
Jun Young HONG
Author Information
1. Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. jehyeok.oh@gmail.com
- Publication Type:Original Article
- Keywords:
Cardiopulmonary Resuscitation;
Infant;
Fingers;
Hand
- MeSH:
Adult;
Cardiopulmonary Resuscitation/*methods;
Cross-Over Studies;
Female;
*Fingers;
Hand;
Heart Arrest/*therapy;
Humans;
Infant;
Male;
Manikins;
Models, Cardiovascular;
Thorax/physiology;
Young Adult
- From:Journal of Korean Medical Science
2016;31(6):997-1002
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study compared the effectiveness two-finger chest compression technique (TFCC) performed using the right vs. left hand and the index-middle vs. middle-ring fingers. Four different finger/hand combinations were tested randomly in 30 healthcare providers performing TFCC (Test 1: the right index-middle fingers; Test 2: the left index-middle fingers; Test 3: the right middle-ring fingers; Test 4: the left middle-ring fingers) using two cross-over trials. The "patient" was a 3-month-old-infant-sized manikin. Each experiment consisted of cardiopulmonary resuscitation (CPR) consisting of 2 minutes of 30:2 compression: ventilation performed by one rescuer on a manikin lying on the floor as if in cardiac arrest. Ventilations were performed using the mouth-to-mouth method. Compression and ventilation data were collected during the tests. The mean compression depth (MCD) was significantly greater in TFCC performed with the index-middle fingers than with the middle-ring fingers regardless of the hand (95% confidence intervals; right hand: 37.8-40.2 vs. 35.2-38.6 mm, P = 0.002; left hand: 36.9-39.2 vs. 35.5-38.1 mm, P = 0.003). A deeper MCD was achieved with the index-middle fingers of the right versus the left hand (P = 0.004). The ratio of sufficiently deep compressions showed the same patterns. There were no significant differences in the other data. The best performance of TFCC in simulated 30:2 compression: ventilation CPR performed by one rescuer on an infant in cardiac arrest lying on the floor was obtained using the index-middle fingers of the right hand. Clinical Trial Registry at the Clinical Research Information Service (KCT0001515).
