Santos-Folgar Myriam, Rodriguez-Nunez Antonio, Barcala-Furelos Roberto, Otero-Agra Martín, Martínez-Isasi Santiago, Fernández-Méndez Felipe
REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain.
School of Nursing, Universidade de Vigo, 36004 Pontevedra, Spain.
Children (Basel). 2023 Aug 4;10(8):1348. doi: 10.3390/children10081348.
The aim of this study was to compare the quality of standard infant CPR with CPR in motion (i.e., walking and running) via performing maneuvers and evacuating the infant from a beach. Thirteen trained lifeguards participated in a randomized crossover study. Each rescuer individually performed three tests of 2 min each. Five rescue breaths and cycles of 30 chest compressions followed by two breaths were performed. Mouth-to-mouth-and-nose ventilation was carried out, and chest compressions were performed using the two-fingers technique. The manikin was carried on the rescuer's forearm with the head in the distal position. The analysis variables included compression, ventilation, and CPR quality variables, as well as physiological and effort parameters. Significantly lower compression quality values were obtained in running CPR versus standard CPR (53% ± 14% versus 63% ± 15%; = 0.045). No significant differences were observed in ventilation or CPR quality. In conclusion, lifeguards in good physical condition can perform simulated infant CPR of a similar quality to that of CPR carried out on a victim who is lying down in a fixed position.
本研究的目的是通过实施操作并将婴儿从海滩撤离，比较标准婴儿心肺复苏术（CPR）与动态CPR（即行走和跑步时）的质量。13名训练有素的救生员参与了一项随机交叉研究。每位救援人员分别进行了三次每次2分钟的测试。进行了5次救援呼吸，并进行30次胸外按压后接2次呼吸的循环操作。实施口对口鼻通气，并使用双指法进行胸外按压。人体模型放在救援人员的前臂上，头部位于远端位置。分析变量包括按压、通气和CPR质量变量，以及生理和用力参数。与标准CPR相比，跑步CPR获得的按压质量值显著更低（53%±14%对63%±15%；P = 0.045）。在通气或CPR质量方面未观察到显著差异。总之，身体状况良好的救生员能够实施质量与对固定体位躺卧的受害者进行的CPR相似的模拟婴儿CPR。
