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轻便的救援人员能否根据 2010 年复苏指南的要求充分进行心肺复苏术?

Can lightweight rescuers adequately perform CPR according to 2010 resuscitation guideline requirements?

机构信息

Crises Research Centre, Department of Emergency and Disaster Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Emerg Med J. 2013 Feb;30(2):159-60. doi: 10.1136/emermed-2011-200634. Epub 2012 Feb 19.

Abstract

AIM

To evaluate associations between rescuers' anthropometric characteristics and chest compressions (CC) depth according to 2010 resuscitation guidelines.

METHODS

186 medical and pharmacy students, never trained in basic life support (BLS) before, underwent video self-instruction training. The participants were asked to perform a BLS test on a manikin connected to a PC for 6 min immediately after training, and the quality of the cardiopulmonary resuscitation (CPR) skills was evaluated.

RESULTS

Women with body weights less than 56 kg were 6.29 times more likely to produce insufficient CCs than women weighing 56-62.7 kg, and 4.72 times more likely to produce insufficient CCs compared with women weighing more than 62.7 kg.

CONCLUSIONS

Lightweight rescuers may have difficulty achieving the full compression depth of 5-6 cm required by new resuscitation guidelines. These rescuers require special attention during CPR training, with an emphasis on correct body positioning and use of body weight for CCs.

摘要

目的

根据 2010 年复苏指南,评估救援人员的人体测量特征与胸外按压(CC)深度之间的关系。

方法

186 名医学生和药剂学生,在此之前从未接受过基本生命支持(BLS)培训,他们接受了视频自我指导培训。参与者在培训后立即在连接到 PC 的模型上进行 BLS 测试 6 分钟,并评估心肺复苏(CPR)技能的质量。

结果

体重不足 56 公斤的女性与体重为 56-62.7 公斤的女性相比,产生不足 CC 的可能性高 6.29 倍,与体重超过 62.7 公斤的女性相比,产生不足 CC 的可能性高 4.72 倍。

结论

体重较轻的救援人员可能难以达到新复苏指南要求的 5-6 厘米的完全按压深度。这些救援人员在 CPR 培训中需要特别注意,重点是正确的身体定位和使用体重进行 CC。

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