Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial
Background: Success in resuscitation depends not only on the timeliness of the maneuvers but also on the quality of chest compressions. Factors such as the rescuer position and arm angle can significantly impact compression quality. Aim: This study explores the influence of rescuer positioning and a...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424002662 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846113647126904832 |
|---|---|
| author | Abel Nicolau Ingrid Bispo Marc Lazarovici Christoffer Ericsson Pedro Sa-Couto Inês Jorge Pedro Vieira-Marques Carla Sa-Couto |
| author_facet | Abel Nicolau Ingrid Bispo Marc Lazarovici Christoffer Ericsson Pedro Sa-Couto Inês Jorge Pedro Vieira-Marques Carla Sa-Couto |
| author_sort | Abel Nicolau |
| collection | DOAJ |
| description | Background: Success in resuscitation depends not only on the timeliness of the maneuvers but also on the quality of chest compressions. Factors such as the rescuer position and arm angle can significantly impact compression quality. Aim: This study explores the influence of rescuer positioning and arm angle on the quality of chest compressions among healthcare professionals experienced in cardiopulmonary resuscitation. Methods: In this international, multicentric, randomized crossover simulation trial with independent groups, healthcare professionals were assigned to one of four positions: kneeling on the floor, standing, standing on a step stool, and kneeling on the bed. Participants performed two 3-minute trials of uninterrupted chest compressions at arm angles of 90° and 105°. Compression quality was assessed, using manikin derived data. Results: A total of 76 participants entered the study. Those using a 90° arm angle exhibited higher compression scores than those at a 105° angle. Rescuers standing on a step stool maintained higher scores over time when compared to other groups. In contrast, rescuers kneeling on the bed consistently scored below 75% throughout the trial, with particularly low scores at the 105° angle. Conclusion: Rescuer position and arm angle significantly influence CPR quality, with a 90° arm angle and elevated positioning optimizing compression depth and effectiveness. The results recommend against kneeling on the bed due to its negative impact on chest compression quality. |
| format | Article |
| id | doaj-art-61efdfb5ca624f7cab64e63875e118d5 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-61efdfb5ca624f7cab64e63875e118d52024-12-21T04:29:56ZengElsevierResuscitation Plus2666-52042024-12-0120100815Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trialAbel Nicolau0Ingrid Bispo1Marc Lazarovici2Christoffer Ericsson3Pedro Sa-Couto4Inês Jorge5Pedro Vieira-Marques6Carla Sa-Couto7CINTESIS@RISE, Faculty of Medicine, University of Porto (FMUP), Porto, PortugalCINTESIS@RISE, Community Medicine, Information and Decision Sciences Department (MEDCIDS), Faculty of Medicine, University of Porto (FMUP), Porto, PortugalInstitut für Notfallmedizin und Medizinmanagement (INM), LMU Klinikum, LMU München, München, GermanyArcada University of Applied Sciences, School of Business and Healthcare, Helsinki, FinlandCenter for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics (DMAT), University of Aveiro, PortugalCINTESIS@RISE, Faculty of Medicine, University of Porto (FMUP), Porto, PortugalCINTESIS@RISE, Community Medicine, Information and Decision Sciences Department (MEDCIDS), Faculty of Medicine, University of Porto (FMUP), Porto, PortugalCINTESIS@RISE, Community Medicine, Information and Decision Sciences Department (MEDCIDS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal; Corresponding author.Background: Success in resuscitation depends not only on the timeliness of the maneuvers but also on the quality of chest compressions. Factors such as the rescuer position and arm angle can significantly impact compression quality. Aim: This study explores the influence of rescuer positioning and arm angle on the quality of chest compressions among healthcare professionals experienced in cardiopulmonary resuscitation. Methods: In this international, multicentric, randomized crossover simulation trial with independent groups, healthcare professionals were assigned to one of four positions: kneeling on the floor, standing, standing on a step stool, and kneeling on the bed. Participants performed two 3-minute trials of uninterrupted chest compressions at arm angles of 90° and 105°. Compression quality was assessed, using manikin derived data. Results: A total of 76 participants entered the study. Those using a 90° arm angle exhibited higher compression scores than those at a 105° angle. Rescuers standing on a step stool maintained higher scores over time when compared to other groups. In contrast, rescuers kneeling on the bed consistently scored below 75% throughout the trial, with particularly low scores at the 105° angle. Conclusion: Rescuer position and arm angle significantly influence CPR quality, with a 90° arm angle and elevated positioning optimizing compression depth and effectiveness. The results recommend against kneeling on the bed due to its negative impact on chest compression quality.http://www.sciencedirect.com/science/article/pii/S2666520424002662Cardiopulmonary resuscitationChest compressions qualityRescuer positionArm anglePhysical activityCPR |
| spellingShingle | Abel Nicolau Ingrid Bispo Marc Lazarovici Christoffer Ericsson Pedro Sa-Couto Inês Jorge Pedro Vieira-Marques Carla Sa-Couto Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial Resuscitation Plus Cardiopulmonary resuscitation Chest compressions quality Rescuer position Arm angle Physical activity CPR |
| title | Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial |
| title_full | Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial |
| title_fullStr | Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial |
| title_full_unstemmed | Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial |
| title_short | Influence of rescuer position and arm angle on chest compression quality: An international multicentric randomized crossover simulation trial |
| title_sort | influence of rescuer position and arm angle on chest compression quality an international multicentric randomized crossover simulation trial |
| topic | Cardiopulmonary resuscitation Chest compressions quality Rescuer position Arm angle Physical activity CPR |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424002662 |
| work_keys_str_mv | AT abelnicolau influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT ingridbispo influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT marclazarovici influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT christofferericsson influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT pedrosacouto influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT inesjorge influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT pedrovieiramarques influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial AT carlasacouto influenceofrescuerpositionandarmangleonchestcompressionqualityaninternationalmulticentricrandomizedcrossoversimulationtrial |