Impact of a corpuls CPR Mechanical Chest Compression Device on chest compression quality during extended pediatric manikin resuscitation: a randomized crossover pilot study
Abstract
INTRODUCTION: The quality of chest compression delivered during paediatric cardiopulmonary resuscitation is identified as the most important factor to achieve the increase of the survival rate without a major neurological deficit to the patients. The aim of this study was to compare chest compression quality with and without the CORPULS CPR mechanical chest compression device during simulated paediatric cardiopulmonary resuscitation.
METHODS: A randomized crossover simulation trial was designed. 24 experienced paramedics participated in this trial. They performed paediatric chest compression with and without the CORPULS CPR chest compression device on a HAL® S3005 five year old paediatric simulator. They performed single-rescuer continuous chest compression in a 2-min scenario. The primary endpoint was compression depth.
RESULTS: The mean compression depth without CORPULS CPR was 4.7 ± 0.2 cm and was statistically significant lower than when CORPULS CPR was used 7 ± 0.3 cm. The mean compression rate with and without CORPULS CPR was differentiated: 94 ± 1 vs. 100 ± 5.
CONCLUSIONS: This simulated scenario study showed that manual chest compression allows one to adjust the compression depth more precisely in comparison to CORPULS CPR device. The system compressed the simulator chest too deeply.
Keywords: chest compressionqualityparamediccardiac arrestpaediatric
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