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随机模拟试验发现,在儿科复苏过程中,救援人员的身高和体重与胸外按压质量之间存在关联。

Randomised simulation trial found an association between rescuers' height and weight and chest compression quality during paediatric resuscitation.

作者信息

Bibl Katharina, Gröpel Peter, Berger Angelika, Schmölzer Georg M, Olischar Monika, Wagner Michael

机构信息

Division of Neonatology, Paediatric Intensive Care and Neuropaediatrics, Department of Paediatrics, Comprehensive Center for Paediatrics, Medical University of Vienna, Vienna, Austria.

Department of Applied Psychology: Work, Education and Economy, University of Vienna, Vienna, Austria.

出版信息

Acta Paediatr. 2020 Sep;109(9):1831-1837. doi: 10.1111/apa.15229. Epub 2020 Mar 3.

Abstract

AIM

Our aim was to examine the relationship between rescuers' anthropometric data and chest compression quality during paediatric resuscitation training.

METHODS

This study focused on 224 medical students (53% women) who performed 2 minutes of paediatric resuscitation at the Medical University of Vienna, Austria: 116 on a baby manikin and 108 on an adolescent manikin. Skill Reporter software measured chest compression quality by recording compression depth, frequency, hand position and complete recoil. The participants' height, weight and body mass index (BMI) were recorded.

RESULTS

Participants with a lower BMI achieved higher total chest compression scores on both the baby and adolescent manikins than participants with a higher BMI. The latter were more likely to exceed the correct compression depth and not achieve complete chest recoil in the adolescent manikin. When it came to the baby manikin, the female participants achieved better chest recoil and the males achieved a higher number of compressions at the correct rate. Males also achieved better chest recoil with the adolescent manikins. Being tall only correlated with incomplete recoil in the adolescent manikin.

CONCLUSION

The results indicate that anthropometric variables were associated with chest compression quality in paediatric patients and should be considered by future education programmes.

摘要

目的

我们的目的是研究儿科复苏培训期间救援人员的人体测量数据与胸外按压质量之间的关系。

方法

本研究聚焦于224名医科学生(53%为女性),他们在奥地利维也纳医科大学进行了2分钟的儿科复苏操作:116人对婴儿模型进行操作,108人对青少年模型进行操作。技能报告软件通过记录按压深度、频率、手部位置和完全回弹来测量胸外按压质量。记录参与者的身高、体重和体重指数(BMI)。

结果

BMI较低的参与者在婴儿和青少年模型上的胸外按压总得分均高于BMI较高的参与者。后者在青少年模型上更有可能超过正确的按压深度且无法实现完全胸壁回弹。对于婴儿模型,女性参与者的胸壁回弹更好,男性参与者以正确频率进行的按压次数更多。男性在青少年模型上的胸壁回弹也更好。身材高大仅与青少年模型中的不完全回弹相关。

结论

结果表明人体测量变量与儿科患者的胸外按压质量相关,未来的教育项目应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/7496260/ac9824ce7740/APA-109-1831-g001.jpg

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