Rescue under ongoing CPR from an upper floor: evaluation of three different evacuation routes and mechanical and manual chest compressions: a manikin trial

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Hendrik DrinhausThorsten Annecke

Abstract

If transport under ongoing cardiopulmonary resuscitation (CPR) from an upper floor is indicated, the ideal CPR-method and evacuation route is unknown hitherto. We aimed to elaborate a strategy for evacuation of patients under ongoing CPR from an upper floor, comparing three different evacuation routes and manual and mechanical chest compressions. A CPR-training manikin recording CPR-quality was placed on the fifth floor and was evacuated to an ambulance via lift, turntable ladder, or staircase. Chest compressions were performed manually or with a mechanical CPR-device. Efficiency endpoints were compression depth and frequency, sufficiency of chest release, compared with European Resuscitation Council (ERC) Guidelines, and duration of the evacuation. Adverse outcomes were disconnection/dislocation of devices and hazards/accidents to the personnel. For all evacuation routes, compression depth and frequency were significantly more compliant with ERC-guidelines under mechanical CPR. Manual CPR was associated with considerable deviations from correct compression depth and frequency. Chest release only slightly differed between groups. Evacuation via lift under mechanical CPR was fastest and evacuation via turntable ladder under manu...Continue Reading

References

Jul 27, 2012·Emergency Medicine Journal : EMJ·Holger GässlerMatthias Helm
Oct 20, 2015·Resuscitation·Jasmeet SoarUNKNOWN Adult advanced life support section Collaborators
Jan 20, 2016·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Ian R DrennanUNKNOWN Rescu Investigators
Feb 3, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Hui LiXiaoli Jing
Apr 25, 2017·The Western Journal of Emergency Medicine·Robert A GyoryJeffrey S Lubin
Mar 29, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ben SingerBen O'Brien
Oct 27, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Guido MichelsHolger Thiele
Dec 29, 2018·Journal of the American Heart Association·Aurora MaglioccaGiuseppe Ristagno

❮ Previous
Next ❯

Citations

Mar 27, 2021·Current Opinion in Critical Care·Andrew Fu Wah Ho, Marcus Eng Hock Ong

❮ Previous
Next ❯

Software Mentioned

Excel
GraphPad
SimView
SimPad
Laerdal Session Viewer
AutoPulse
Graph Pad Prism

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.