open access

Vol 1, No 1 (2016)
ORIGINAL ARTICLE
Published online: 2016-11-22
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PERFORMANCE OF CHEST COMPRESSIONS WITH THE USE OF THE NEW MECHANICAL CHEST COMPRESSION MACHINE LIFELINE ARM: A RANDOMIZED CROSSOVER MANIKIN STUDY IN NOVICE PHYSICIANS

Sebastian Aleksandrowicz, Marcin Madziala, Lukasz Iskrzycki, Zenon Truszewski, Pawel Gawlowski
DOI: 10.5603/DEMJ.2016.0005
·
Disaster Emerg Med J 2016;1(1):30-36.

open access

Vol 1, No 1 (2016)
ORIGINAL ARTICLE
Published online: 2016-11-22

Abstract

BACKGROUND: The Lifeline ARM (ARM; De btech, Guilford, USA) is a new mechanical chest compression device. The aim of the current study was to compare the quality of single rescuer cardiopulmonary resuscitation (CPR) with and without ARM device.

METHODS: In this randomized crossover manikin trial forty-four novice physicians participated. Thirty minutes of training was allotted for manual CPR and then for the ARM. The following day, every participant performed a 2-min CPR single rescuer scenario, once with manual CPR and once with the ARM. The primary outcome measure of the study is effective compression; de ned as compressions performed with the correct of depth of 50–60 mm, complete decompressions, and the correct pressure point of CC.

RESULTS: The ARM, compared with manual CPR, carried out more effective compressions (96 [interquartile range, IQR; 94–98] vs. 36 [IQR; 33–41]%, p < 0.001). The compressions preformed with the use of the ARM, furthermore, were with a correct CC rate (100 [IQR; 99–101] vs. 130 [IQR; 124–140] min-1; p<0.001) and a correct depth (97 [IQR; 96–98] vs. 37 [IQR; 31–39]%; p<0.001). The result of resuscitation with ARM was signi cantly better than manual CPR (p<0.05) for all of the analyzed chest compression parameters (percentage of CC too deep, percentage of CC too shallow, percentage of correct pressure points and percentage of correct pressure releases), as well as for the ventilation parameters (tidal volume, ventilation rate, minute-volume, gastric in ations).

CONCLUSION: During this simulated trial, when CPR was performed by novice physicians, the ARM signi cantly improved the quality of CPR. Further clinical trials should provide motivation to con rm the potential bene ts of ARM use during CPR.

Abstract

BACKGROUND: The Lifeline ARM (ARM; De btech, Guilford, USA) is a new mechanical chest compression device. The aim of the current study was to compare the quality of single rescuer cardiopulmonary resuscitation (CPR) with and without ARM device.

METHODS: In this randomized crossover manikin trial forty-four novice physicians participated. Thirty minutes of training was allotted for manual CPR and then for the ARM. The following day, every participant performed a 2-min CPR single rescuer scenario, once with manual CPR and once with the ARM. The primary outcome measure of the study is effective compression; de ned as compressions performed with the correct of depth of 50–60 mm, complete decompressions, and the correct pressure point of CC.

RESULTS: The ARM, compared with manual CPR, carried out more effective compressions (96 [interquartile range, IQR; 94–98] vs. 36 [IQR; 33–41]%, p < 0.001). The compressions preformed with the use of the ARM, furthermore, were with a correct CC rate (100 [IQR; 99–101] vs. 130 [IQR; 124–140] min-1; p<0.001) and a correct depth (97 [IQR; 96–98] vs. 37 [IQR; 31–39]%; p<0.001). The result of resuscitation with ARM was signi cantly better than manual CPR (p<0.05) for all of the analyzed chest compression parameters (percentage of CC too deep, percentage of CC too shallow, percentage of correct pressure points and percentage of correct pressure releases), as well as for the ventilation parameters (tidal volume, ventilation rate, minute-volume, gastric in ations).

CONCLUSION: During this simulated trial, when CPR was performed by novice physicians, the ARM signi cantly improved the quality of CPR. Further clinical trials should provide motivation to con rm the potential bene ts of ARM use during CPR.

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Keywords

cardiopulmonary resuscitation, chest compression, quality, physician, simulation

About this article
Title

PERFORMANCE OF CHEST COMPRESSIONS WITH THE USE OF THE NEW MECHANICAL CHEST COMPRESSION MACHINE LIFELINE ARM: A RANDOMIZED CROSSOVER MANIKIN STUDY IN NOVICE PHYSICIANS

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 1, No 1 (2016)

Pages

30-36

Published online

2016-11-22

DOI

10.5603/DEMJ.2016.0005

Bibliographic record

Disaster Emerg Med J 2016;1(1):30-36.

Keywords

cardiopulmonary resuscitation
chest compression
quality
physician
simulation

Authors

Sebastian Aleksandrowicz
Marcin Madziala
Lukasz Iskrzycki
Zenon Truszewski
Pawel Gawlowski

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