A vertical two-thumb technique is superior to the two-thumb encircling technique for infant cardiopulmonary resuscitation

Crossover study
DOI: 10.1111/apa.12857 Publication Date: 2014-11-08T07:45:05Z
ABSTRACT
The two-thumb encircling (TTE) technique often results in suboptimal cardiac compression and does not meet the requirements of current resuscitation guidelines. We compared this with vertical (VTT) technique, our novel modification TTE technique.This was a prospective randomised crossover simulation study out-of-hospital infant cardiopulmonary (CPR). Participants who had completed basic life support course performed 10 cycles compressions on manikin for each technique.We enrolled 36 medical doctors applied hospital internship study. VTT generated significantly higher pressure than difference ranged from 26.8 to 62.9 mmHg cycle, mean 43.5 (95% CI, 37.8-49.2). showed tendency increase increasing compressions. participants' heart respiratory rate VTT, but they said that it easier perform technique.The more simulated model CPR. It can provide an alternative effective CPR, especially rescuers small hands or weak grip.
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