Wenyan Xiao, n/a
MD,Physician
1Department of Intensive Care Unit, Laboratory of Cardiopulmonary Resuscitation and Critical Care Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, Anhui, China;
Hefei,Anhui, United States
Disclosure information not submitted.
Title: The effect of Pit-Crew CPR on the quality of chest compression
Introduction: To investigate the effect of Pit-Crew CPR on improving the quality of chest compression by training resuscitation team members and performing CPR on a manikin Under the monitoring of real-time feedback technology.
Methods: A randomized control method was conducted in this study. 64 medical staffs in ICU and Emergency that those all received BSL qualifications were randomly divided into experimental and control group according to the ratio of doctors to nurses, with 8 teams in each group and 4 people in each team. A team leader was appointed in each team of experimental group to organize and coordinate the whole CPR process. Each team performed chest compression for 8 minutes according to the recommendations of the 2020AHA CPR Guidelines under the monitoring of the CPR quality tracking system using a resuscitation manikin. CPR time (s), CCF (%), times of pressing interruption (Times), times of pressing exceeding standard interruption ( >10s), pressing frequency (times/min), pressing depth (cm), chest full recoil rate (%) and other parameters were observed and recorded. The computer system records the above parameters for statistical analysis.
Results: After training, the experimental group could achieve higher CCF(69.13±1.55)% vs. (59.13 ± 6.08)% (P< 0.05), and the total time and times of overshoot interruptions in the experimental group were significantly less (79.88±28.76)s vs. (135.25±32.99)s; (1.75±0.71) vs. (4.00±1.31) (P< 0.01)compared with the control group. There were no statistical differences in the total time of CPR, interruption numbers(P>0.05). In addition, there were also no statistically significant differences in the pressing total numbers, correct times, effective rates, frequency, depth, and the full rebound rate of compression, as well as the substandard indicators of compression such as pressing too fast, too slow, too deep and insufficient rebound rate of compression(P>0.05).
Conclusion: Pit-Crew CPR mode with designated team leader contributed to the implementation of high quality CPR, and the monitoring of CPR quality parameters and the applying of real-time feedback system can effectively improve the quality of chest compression.