Comparison of standard and alternative methods for chest compressions in a single rescuer infant CPR: A prospective simulation study

摘要: Objective The aims of this study were to develop a novel three-finger chest compression technique (pinch technique; PT) and an assistive device (plate-assisted PAT) compare these techniques with conventional techniques. Design Prospective, crossover manikin Setting Pediatric emergency department at tertiary care academic center Subjects Fifty medical doctors students Interventions Using manikin, fifty participants performed five different techniques—two 2-finger (TFT1 TFT2), two PTs (PT1 PT2), the PAT—for 2 minutes rest in randomized sequence. Measurements main results depth (CD), rate, recoil, finger position recorded. At conclusion, each participant completed 5-point Likert scale-based questionnaire on fatigue, satisfaction difficulty performing technique. mean CDs 32.9 mm (TFT1), 30.3 (TFT2), 37.3 (PT1), 35.0 (PT2) 40.1 (PAT) (p<0.001). TFT2 achieved highest frequency complete followed by PT1 TFT1 (88.9%, 86.9%, 81.4%, respectively, p = 0.003). percentage correct was PAT, PT2 (93.4%, 83.1%, 80.1%, 0.016). PAT use resulted higher satisfaction, less than other four Conclusion Our new methods using three fingers plates showed better CD