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Assessment of the Quality of Manual Chest Compressions and Rescuer Fatigue in Different Cardiopulmonary Resuscitation Positions

Published online by Cambridge University Press:  12 February 2025

Beibei Li ,
Pan Zhang ,
Shuang Xu ,
Qian Liu ,
Yannan Ma ,
Siyi Zhou ,
Li Xu  and
Peng Sun Open the ORCID record for Peng Sun [Opens in a new window]
Beibei Li
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Pan Zhang
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Shuang Xu
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Qian Liu
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Yannan Ma
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Siyi Zhou
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Li Xu
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
Peng Sun*
Affiliation:
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, Wuhan, Hubei Province 430022, China
*
Peng Sun Department of Emergency Medicine Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan, Hubei, 430022, China Key Laboratory of Anesthesiology and Resuscitation Huazhong University of Science and Technology Ministry of Education Wuhan, Hubei Province 430022, China E-mail: [email protected]
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Abstract

Objective:

Following the 2020 cardiopulmonary resuscitation (CPR) guidelines, this study compared participant’s fatigue with the quality of manual chest compressions performed in the head-up CPR (HUP-CPR) and supine CPR (SUP-CPR) positions for two minutes on a manikin.

Methods:

Both HUP-CPR and SUP-CPR were performed in a randomized order determined by a lottery-style draw. Manual chest compressions were then performed continuously on a realistic manikin for two minutes in each position, with a 30-minute break between each condition. Data were collected on heart rate, blood pressure, and Borg rating of perceived exertion (RPE) scale scores from the participants before and after the compressions.

Results:

Mean chest compression depth (MCCD), mean chest compression rate (MCCR), accurate chest compression depth ratio (ACCDR), and correct hand position ratio were significantly lower in the HUP group than that in the SUP group. However, there were no significant differences in accurate chest compression rate ratio (ACCRR), correct recoil ratio, or mean arterial pressure (MAP) before and after chest compressions between the two groups. Changes in heart rate and RPE scores were greater in the HUP group.

Conclusion:

High-quality manual chest compressions can still be performed when the CPR manikin is placed in the HUP position. However, the quality of chest compressions in the HUP position was poorer than those in the SUP position, and rescuer fatigue was increased.

Keywords

head-up cardiopulmonary resuscitationmanikinmanual chest compressionssupine cardiopulmonary resuscitation
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 39 , Issue 6 , December 2024 , pp. 415 - 420
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine

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Footnotes

Note: Authors Li and Zhang contributed equally.

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