Trethewey, Samuel P, Vyas, Hrushikesh, Evans, Sarah, Hall, Michelle, Melody, Teresa, Perkins, Gavin D and Couper, Keith (2019) The impact of resuscitation guideline terminology on quality of dispatcher-assisted cardiopulmonary resuscitation: aA randomised controlled manikin study. Resuscitation. ISSN 1873-1570. This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/
Full text not available from this repository.Abstract
BACKGROUND
Cardiopulmonary resuscitation (CPR) guidelines vary in the terminology used to describe target chest compression depth, which may impact CPR quality. We investigated the impact of using different chest compression depth instruction terminologies on CPR quality.
METHODS
We conducted a parallel group, three-arm, randomised controlled manikin trial in which individuals without recent CPR training were instructed to deliver compression-only CPR for 2-minutes based on a standardised dispatcher-assisted CPR script. Participants were randomised in a 1:1:1 ratio to receive CPR delivery instructions that instructed them to deliver chest compressions based on the following terminologies: 'press at least 5cm', 'press approximately 5cm' or 'press hard and fast.' The primary outcome was compression depth, measured in millimetres.
RESULTS
Between October 2017 and June 2018, 330 participants were randomised to 'at least 5cm' (nn=109), 'approximately 5cm' (nn=110) and 'hard and fast' (nn=111), in which mean chest compression depth was 40.9mm (SD 13.8), 35.4mm (SD 14.1), and 46.8mm (SD 15.0) respectively. Mean difference in chest compression depth between 'at least 5cm' and 'approximately 5cm' was 5.45 (95% confidence interval (95%CI) 0.78 to CI) 0.78-10.12), between 'hard and fast' and 'approximately 5cm' was 11.32 (95% CI 6.65 to -15.99), and between 'hard and fast' and 'at least 5cm' was 5.87 (95% CI 1.21 to -10.53). Chest compression rate and count were both highest in the 'hard and fast' group.
CONCLUSIONS
The use of 'hard and fast' terminology was superior to both 'at least 5cm' and 'approximately 5cm' terminologies.
TRIAL REGISTRATION
ISRCTN15128211.
Item Type: | Article |
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Additional Information: | This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/ |
Subjects: | WB Practice of medicine > WB400 Intensive care |
Divisions: | Clinical Support > Critical Care |
Related URLs: | |
Depositing User: | Mr Philip O'Reilly |
Date Deposited: | 29 Jul 2019 14:37 |
Last Modified: | 05 May 2022 07:24 |
URI: | http://www.repository.uhblibrary.co.uk/id/eprint/2261 |
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