A stabilization device that promotes the efficiency of cardiopulmonary resuscitation during ambulance transportation to the level as under non-moving conditions

Ning Ping Foo, Jer Hao Chang, Shih Bin Su, Kow Tong Chen, Ching Fa Cheng, Pei Chung Chen, Tsung Yi Lin, How Ran Guo

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Results: The overall effective compressions in 10 minutes were 86.4±17.5% for NM, 60.9±14.6% for MND, 69.7±22.4% for MD, and 86.6%±13.2% for MVSD (p<0.001). Whereas changes in back pain severity and physiology parameters were similar under all conditions, MVSD had the lowest no-flow fraction. Differences in effective compressions and the no-flow fraction between MVSD and NM did not reach statistical significance.

Conclusions: The use of the modified device can improve quality of CPR in a moving ambulance to a level similar to that in a non-moving condition without increasing the severity of back pain.

Background: The survival rate of patients with out-of-hospital cardiac arrest is low, and measures to improve the quality of cardiopulmonary resuscitation (CPR) during ambulance transportation are desirable. We designed a stabilization device, and in a randomized crossover trial we found performing CPR in a moving ambulance with the device (MD) could achieve better efficiency than that without the device (MND), but the efficiency was lower than that in a non-moving ambulance (NM).

Purpose: To evaluate whether a modified version of the stabilization device, can promote further the quality of CPR during ambulance transportation.

Methods: Participants of the previous study were recruited, and they performed CPR for 10 minutes in a moving ambulance with the modified version of the stabilization device (MVSD). The primary outcomes were effective chest compressions and no-flow fraction recorded by a skill-reporter manikin. The secondary outcomes included back pain, physiological parameters, and the participants' rating about the device after performing CPR.

Original languageEnglish
Article numbere107960
JournalPloS one
Volume9
Issue number10
DOIs
Publication statusPublished - 2014 Oct 15

All Science Journal Classification (ASJC) codes

  • General

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