REMOSS Research Group, Faculty of Education and Sports Sciences, University of Vigo, Pontevedra, Spain.
CLINURSID Network Group, Department of Psychiatry, Radiology and Public Health. University of Santiago de Compostela, Santiago de Compostela, Spain.
Prehosp Disaster Med. 2021 Apr;36(2):163-169. doi: 10.1017/S1049023X2100011X. Epub 2021 Jan 27.
On-boat resuscitation can be applied by lifeguards in an inflatable rescue boat (IRB). Due to Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2) and recommendations for the use of personal protective equipment (PPE), prehospital care procedures need to be re-evaluated. The objective of this study was to determine how the use of PPE influences the amount of preparation time needed before beginning actual resuscitation and the quality of cardiopulmonary resuscitation (CPR; QCPR) on an IRB.
Three CPR tests were performed by 14 lifeguards, in teams of two, wearing different PPE: (1) Basic PPE (B-PPE): gloves, a mask, and protective glasses; (2) Full PPE (F-PPE): B-PPE + a waterproof apron; and (3) Basic PPE + plastic blanket (B+PPE). On-boat resuscitation using a bag-valve-mask (BVM) and high efficiency particulate air (HEPA) filter was performed sailing at 20km/hour.
Using B-PPE takes less time and is significantly faster than F-PPE (B-PPE 17 [SD = 2] seconds versus F-PPE 69 [SD = 17] seconds; P = .001), and the use of B+PPE is slightly higher (B-PPE 17 [SD = 2] seconds versus B+PPE 34 [SD = 6] seconds; P = .002). The QCPR remained similar in all three scenarios (P >.05), reaching values over 79%.
The use of PPE during on-board resuscitation is feasible and does not interfere with quality when performed by trained lifeguards. The use of a plastic blanket could be a quick and easy alternative to offer extra protection to lifeguards during CPR on an IRB.
救生员可以在充气救生艇（IRB）上进行船上复苏。由于严重急性呼吸系统综合症冠状病毒 2 型（SARS-COV-2）和个人防护设备（PPE）的使用建议，需要重新评估院前护理程序。本研究的目的是确定使用 PPE 如何影响开始实际复苏前所需的准备时间，并确定在 IRB 上进行心肺复苏术（CPR）的质量。
14 名救生员两人一组，穿着不同的 PPE 进行了 3 次 CPR 测试：（1）基本 PPE（B-PPE）：手套、口罩和防护眼镜；（2）全套 PPE（F-PPE）：B-PPE+防水围裙；（3）基本 PPE+塑料布（B+PPE）。使用袋阀面罩（BVM）和高效微粒空气（HEPA）过滤器在以 20 公里/小时的速度航行时进行船上复苏。
使用 B-PPE 所需的时间更少，明显快于 F-PPE（B-PPE 17[SD=2]秒比 F-PPE 69[SD=17]秒；P=.001），而使用 B+PPE 略高（B-PPE 17[SD=2]秒比 B+PPE 34[SD=6]秒；P=.002）。在所有三种情况下，CPR 的质量都相似（P>.05），达到 79%以上。
在受过训练的救生员进行船上复苏时使用 PPE 是可行的，并且不会干扰质量。在 IRB 上进行 CPR 时，使用塑料布可能是一种快速简便的替代方法，可以为救生员提供额外的保护。
