Rescuer fatigue in the elderly: standard vs. hands-only CPR

The Journal of Emergency Medicine
Joseph W HeidenreichArthur B Sanders

Abstract

Hands-only cardiopulmonary resuscitation (HO-CPR) is recommended as an alternative to standard CPR (STD-CPR). Studies have shown a degradation of adequate compressions with HO-CPR after 2 min when performed by young, healthy medical students. Elderly rescuers' ability to maintain an adequate compression rate and depth until emergency medical services (EMS) arrives is unknown. The specific aim of this study was to compare elderly rescuers' ability to maintain adequate compression rate and depth during HO-CPR and STD-CPR in a manikin model. In this prospective, randomized crossover study, 17 elderly volunteers performed both HO-CPR and STD-CPR, separated by at least 2 days, on a manikin model for 9 min each. The primary endpoint was the number of adequate chest compressions (> 38 mm) delivered per minute. Secondary endpoints were total compressions, compression rate, and the number of breaks taken for rest. There was no difference in the number of adequate compressions between groups in the first minute; however, the STD-CPR group delivered significantly more adequate chest compressions in minutes 2-9 (p<0.05). The total number of compressions delivered was significantly greater in the HO-CPR than STD-CPR group when considering t...Continue Reading

References

May 8, 1995·Archives of Internal Medicine·C J LockeG A Ewy
Dec 1, 1994·American Journal of Respiratory and Critical Care Medicine·W TangJ Bisera
May 29, 2000·The New England Journal of Medicine·A HallstromM Copass
Aug 25, 2004·Resuscitation·Joseph W HeidenreichGordon A Ewy
Nov 9, 2004·Resuscitation·Joseph W HeidenreichGordon A Ewy
Mar 1, 2005·Resuscitation·Karl B KernGordon A Ewy
Apr 28, 2005·Annals of Emergency Medicine·Marc EcksteinLinda S Chan
Jan 13, 2006·Circulation·Thomas ThomUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee

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Citations

Aug 2, 2012·Emergency Medicine Journal : EMJ·Catherine H McDonaldJonathan Hulme
Jun 25, 2014·Journal of Physiological Anthropology·Tomoyuki HasegawaYayoi Saito
Nov 20, 2013·Heart & Lung : the Journal of Critical Care·Konstantina PapalexopoulouTheodoros Xanthos
Oct 23, 2012·The American Journal of Emergency Medicine·Roberto Barcala-FurelosJose Palacios-Aguilar
Mar 12, 2013·The Journal of Emergency Medicine·Joseph W Heidenreich, Arthur B Sanders
Mar 12, 2013·The Journal of Emergency Medicine·Andres NesetJo Kramer-Johansen
Oct 21, 2016·The American Journal of Emergency Medicine·Lukasz SzarpakOliver Robak
Apr 14, 2017·Current Opinion in Critical Care·Mary P Chang, Ahamed H Idris
Mar 7, 2018·Anesthesia Progress·Carlos Cobo-VázquezMaría Del Carmen Gasco-García
Mar 5, 2015·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Dong Hyuk ShinSang O Park
Jan 21, 2020·Japan Journal of Nursing Science : JJNS·Tomoyuki HasegawaShin Saito
Aug 23, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jakob MühlbacherKarl Schebesta

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