Jurnal internasional Afrika vol.11 issue 4 2021
African Journal of Emergency Medicine
The effect of personal protective equipment on cardiac compression quality
Dublin Core
Title
Jurnal internasional Afrika vol.11 issue 4 2021
African Journal of Emergency Medicine
The effect of personal protective equipment on cardiac compression quality
African Journal of Emergency Medicine
The effect of personal protective equipment on cardiac compression quality
Subject
Cardiac compression
Fatigue
Mechanic compression device
Prehospital cardiac arrest
Prehospital healthcare professionals
Fatigue
Mechanic compression device
Prehospital cardiac arrest
Prehospital healthcare professionals
Description
Introduction: Cardiac compression is a cumbersome procedure. The American Heart Association suggests
switching of cardiopulmonary resuscitation (CPR) provider every 2 min to prevent any decrease in resuscitation
quality. High quality CPR is associated with improved outcomes. Previous studies have highlighted the diffi-
culties in providing high quality CPR particularly while wearing personal protective equipment (PPE). This study
aimed to evaluate the impact of personal protective equipment (PPE) use on CPR quality in prehospital cardiac
arrest situations.
Methods: In this prospective simulation study, we compared the cardiac compression qualities and fatigue rates
among prehospital health care professionals (HCPs) who were or were not using PPE.
Results: A total of 76 prehospital HCPs comprising 38 compression teams participated in this study. The mean
compression rate was 117.71 ± 8.27/min without PPE and 115.58 ± 9.02/min with PPE (p = 0.191). Overall
compression score was 86.95 ± 4.39 without PPE and 61.89 ± 14.43 with PPE (p < 0.001). Post-cardiac
compression fatigue score was 4.42 ± 0.5 among HCPs who used their standard uniform and 7.74 ± 0.92
among those who used PPE (p < 0.001). The overall compression score difference between the two conditions
was 25.05 ± 11.74 and the fatigue score difference was 3.31 ± 0.98.
Discussion: PPE use is associated with decreased cardiac compression quality and significantly higher fatigue rates
than those associated with the use of standard uniforms. Routine use of mechanical compression devices should
be considered when PPE is required for out-of-cardiac arrests.
switching of cardiopulmonary resuscitation (CPR) provider every 2 min to prevent any decrease in resuscitation
quality. High quality CPR is associated with improved outcomes. Previous studies have highlighted the diffi-
culties in providing high quality CPR particularly while wearing personal protective equipment (PPE). This study
aimed to evaluate the impact of personal protective equipment (PPE) use on CPR quality in prehospital cardiac
arrest situations.
Methods: In this prospective simulation study, we compared the cardiac compression qualities and fatigue rates
among prehospital health care professionals (HCPs) who were or were not using PPE.
Results: A total of 76 prehospital HCPs comprising 38 compression teams participated in this study. The mean
compression rate was 117.71 ± 8.27/min without PPE and 115.58 ± 9.02/min with PPE (p = 0.191). Overall
compression score was 86.95 ± 4.39 without PPE and 61.89 ± 14.43 with PPE (p < 0.001). Post-cardiac
compression fatigue score was 4.42 ± 0.5 among HCPs who used their standard uniform and 7.74 ± 0.92
among those who used PPE (p < 0.001). The overall compression score difference between the two conditions
was 25.05 ± 11.74 and the fatigue score difference was 3.31 ± 0.98.
Discussion: PPE use is associated with decreased cardiac compression quality and significantly higher fatigue rates
than those associated with the use of standard uniforms. Routine use of mechanical compression devices should
be considered when PPE is required for out-of-cardiac arrests.
Creator
Muhammet Hacımustafaoglu , Ahmet Çaglar, ̆ Berkant Oztürk,Ilker Kaçer, Kemal Oztürk
Source
https://doi.org/10.1016/j.afjem.2021.07.004
Date
18 July 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Muhammet Hacımustafaoglu , Ahmet Çaglar, ̆ Berkant Oztürk,Ilker Kaçer, Kemal Oztürk, “Jurnal internasional Afrika vol.11 issue 4 2021
African Journal of Emergency Medicine
The effect of personal protective equipment on cardiac compression quality,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1859.
African Journal of Emergency Medicine
The effect of personal protective equipment on cardiac compression quality,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1859.