作者: Shota Tanaka , Wayne Rodrigues , Susan Sotir , Ryo Sagisaka , Hideharu Tanaka
DOI: 10.1136/BMJSEM-2016-000208
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摘要: Objective The initiation of cardiopulmonary resuscitation (CPR) can be complicated by the use protective equipment in contact sports, and rate success resuscitating patient depends on time from incident to start CPR. aim our study was see if (1) previous training, (2) presence audiovisual feedback (3) football shoulder pads (FSP) affected quality chest compressions. Methods Six basic life support certified athletic training students (BLS-ATS), six emergency medical service personnel (BLS-EMS) advanced cardiac (ACLS-EMS) participated a crossover manikin study. A quasi-experimental repeated measures design used measure compression depth (cm), (cpm), accuracy (%) four different conditions using and/or FSP. Real CPR Help manufactured ZOLL (Chelmsford, Massachusetts, USA) for feedback. Three participants each group performed 2 min compressions at baseline first, followed with FSP, both FSP (FSP+feedback). other three FSP+feedback, Results performance did not differ between groups (median (IQR), BLS-ATS: 5.0 (4.4–6.1) cm, 114(96–131) cpm; BLS-EMS: 5.4 (4.1–6.4) cm, 112(99–131) ACLS-EMS: 6.4 (5.7–6.7) cm, 138(113–140) p=0.10, p=0.37). statistically significant difference percentage found 13.8 (0.9–49.2)% vs 69.6 (32.3–85.8)%; p=0.0002). changed 17.1 (0–80.7)% without 59.2 (17.3–74.3)% (p=0.50). effective accuracy, especially BLS-ATS group, regardless 22.0 (7.3–36.2)% 71.3 (35.4–86.5)%; Conclusions positively affects Both do alter measurements. Medically trained are able deliver desired even though shallower seen device must introduced into settings.