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Poor chest compress...
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Blomberg, HansUppsala universitet,Anestesiologi och intensivvård
(author)
Poor chest compression quality with mechanical compressions in simulated cardiopulmonary resuscitation : A randomized, cross-over manikin study
- Article/chapterEnglish2011
Publisher, publication year, extent ...
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Elsevier BV,2011
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-161559
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-161559URI
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https://doi.org/10.1016/j.resuscitation.2011.06.002DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Introduction: Mechanical chest compression devices are being implemented as an aid in cardiopulmonary resuscitation (CPR), despite lack of evidence of improved outcome. This manikin study evaluates the CPR-performance of ambulance crews, who had a mechanical chest compression device implemented in their routine clinical practice 8 months previously. The objectives were to evaluate time to first defibrillation, no-flow time, and estimate the quality of compressions. Methods: The performance of 21 ambulance crews (ambulance nurse and emergency medical technician) with the authorization to perform advanced life support was studied in an experimental, randomized cross-over study in a manikin setup. Each crew performed two identical CPR scenarios, with and without the aid of the mechanical compression device LUCAS. A computerized manikin was used for data sampling. Results: There were no substantial differences in time to first defibrillation or no-flow time until first defibrillation. However, the fraction of adequate compressions in relation to total compressions was remarkably low in LUCAS-CPR (58%) compared to manual CPR (88%) (95% confidence interval for the difference: 13-50%). Only 12 out of the 21 ambulance crews (57%) applied the mandatory stabilization strap on the LUCAS device. Conclusions: The use of a mechanical compression aid was not associated with substantial differences in time to first defibrillation or no-flow time in the early phase of CPR. However, constant but poor chest compressions due to failure in recognizing and correcting a malposition of the device may counteract a potential benefit of mechanical chest compressions.
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Gedeborg, RolfUppsala universitet,Anestesiologi och intensivvård,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)rolfgede
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Berglund, LarsUppsala universitet,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)larsbelu
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Karlsten, RolfUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)rolfkarl
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Johansson, JakobUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)jakojoha
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Uppsala universitetAnestesiologi och intensivvård
(creator_code:org_t)
Related titles
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In:Resuscitation: Elsevier BV82:10, s. 1332-13370300-95721873-1570
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