Health Sciences, Aultman College of Nursing and Health Sciences, Canton, Ohio, USA.
Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Arch Dis Child. 2019 Jun;104(6):530-534. doi: 10.1136/archdischild-2018-314893. Epub 2018 Jul 14.
Paediatric health providers and educators influence infant mortality through advocacy and training within families and communities. This research sought to establish the efficacy and training of two-finger versus two-thumb-encircling techniques for lone responder infant chest compressions with ventilations in initially trained infant caregivers.
This is a randomised, cross-over educational intervention assessed on instrumented manikins using the 2015 guideline measures of quality infant cardiopulmonary resuscitation (CPR). Additional subjective data on the experience were collected through self-reporting.
Non-healthcare community organisations and secondary school classrooms.
Fourteen years or older, fluent in English and had not taken infant CPR in the last 5 years.
Groups of eight participants were randomised to learn one technique, practised and then tested for 8 min. After a 30 min rest, the group repeated the process using the other technique.
Mean chest compression depth and rate, compression fraction, and correct hand position; tiredness and pain as reported by the caregiver.
The two-thumb-encircling technique achieved a deeper mean compression depth over the 8 min period (2.0 mm, p<0.01), closer to the minimum recommendation of 40 mm; the two-finger technique achieved higher percentages of compression fraction and complete recoil. Caregivers preferred the two-thumb technique (64%), and of these 70% had long fingernails.
The two-thumb-encircling technique improved compression depth, over an 8 min scenario, and was preferred by caregivers. This adds to the existing literature on the advantages of two-thumb-encircling as a technique for lone and team infant CPR, which counters current guidelines.
儿科保健提供者和教育工作者通过在家庭和社区中进行宣传和培训，对婴儿死亡率产生影响。本研究旨在确定在最初接受培训的婴儿照护者中，单手进行婴儿胸外按压和通气时，使用两指法与两拇指环绕法的效果和培训情况。
这是一项随机交叉教育干预研究，在使用 2015 年指南衡量标准的仪器化模拟人身上评估心肺复苏（CPR）的质量。通过自我报告收集了关于经验的额外主观数据。
非医疗保健社区组织和中学教室。
14 岁或以上，英语流利，且在过去 5 年内未接受过婴儿心肺复苏培训。
8 名参与者一组，随机学习一种技术，练习 8 分钟，然后进行测试。30 分钟休息后，该组使用另一种技术重复该过程。
平均胸外按压深度和频率、按压分数和正确的手位；照护者报告的疲劳和疼痛。
两拇指环绕技术在 8 分钟内实现了更深的平均按压深度（2.0mm，p<0.01），更接近 40mm 的最低推荐值；两指法技术实现了更高的按压分数和完全回弹百分比。照护者更喜欢两拇指技术（64%），其中 70%的人指甲较长。
两拇指环绕技术在 8 分钟的场景中提高了按压深度，并得到了照护者的青睐。这增加了现有的关于两拇指环绕作为单人及团队婴儿心肺复苏技术优势的文献，与当前指南相矛盾。
