Influence of physical strain at high altitude on the quality of cardiopulmonary resuscitation

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Alexander EggerHarald Herkner

Abstract

High quality cardiopulmonary resuscitation is a key factor in survival with good overall quality of life after out-of-hospital cardiac arrest. Current evidence is predominantly based on studies conducted at low altitude, and do not take into account the special circumstances of alpine rescue missions. We therefore aimed to investigate the influence of physical strain at high altitude on the quality of cardiopulmonary resuscitation. Alpine field study. Twenty experienced mountaineers of the Austrian Mountain Rescue Service trained in Basic Life Support (BLS) performed BLS on a manikin in groups of two for 16 min. The scenario was executed at baseline altitude and immediately after a quick ascent over an altitude difference of 1200 m at 3454 m above sea level. The sequence of scenarios was randomised for a cross over analysis. Quality of CPR and exhaustion of participants (vital signs, Borg-Scale, Nine hole peg test) were measured and compared between high altitude and baseline using random-effects linear regression models. The primary outcome of chest compression depth significantly decreased at high altitude compared to baseline by 1 cm (95% CI 0.5 to 1.3 cm, p < 0.01). There was a significant reduction in the proportion of che...Continue Reading

References

Mar 12, 2002·Resuscitation·Harald HerknerAnton N Laggner
May 25, 2012·Circulation·Ahamed H IdrisUNKNOWN Resuscitation Outcomes Consortium (ROC) Investigators
Aug 2, 2012·Emergency Medicine Journal : EMJ·Catherine H McDonaldJonathan Hulme
Nov 22, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Henrik FischerRobert Greif
Mar 16, 2013·Applied Ergonomics·Elisabet Borg, Gunnar Borg
Aug 27, 2014·The American Journal of Emergency Medicine·Jen-Chun WangYing-Hsin Chen
Sep 26, 2014·Circulation·Ian G StiellUNKNOWN Resuscitation Outcomes Consortium Investigators
Jan 8, 2015·Critical Care Medicine·Ahamed H IdrisUNKNOWN Resuscitation Outcomes Consortium Investigators
Oct 20, 2015·Resuscitation·Gavin D PerkinsUNKNOWN Adult basic life support and automated external defibrillation section Collaborators
Feb 10, 2019·Wilderness & Environmental Medicine·Carmen M Martínez-Caballero, Eva Sierra Quintana

❮ Previous
Next ❯

Citations

Nov 28, 2020·Aerospace Medicine and Human Performance·Anna CleboneKeith J Ruskin
Jul 1, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Egger AlexanderRoth Dominik

❮ Previous
Next ❯

Software Mentioned

BORG
Stata
Scale
CR
MS Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Cardiology
Athanasios ChalkiasTheodoros Xanthos
Transactions of the American Climatological Association for the Year
W A Campbell
The British and Foreign Medico-chirurgical Review
John Macpherson
The Australian Journal of Science
© 2021 Meta ULC. All rights reserved