Rescuer fatigue in the elderly: Standard vs. Hands-only CPR

Joseph W. Heidenreich, Aleta Bonner, Arthur B Sanders

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Hands-only cardiopulmonary resuscitation (HO-CPR) is recommended as an alternative to standard CPR (STD-CPR). Studies have shown a degradation of adequate compressions with HO-CPR after 2 min when performed by young, healthy medical students. Elderly rescuers' ability to maintain an adequate compression rate and depth until emergency medical services (EMS) arrives is unknown. Objectives: The specific aim of this study was to compare elderly rescuers' ability to maintain adequate compression rate and depth during HO-CPR and STD-CPR in a manikin model. Methods: In this prospective, randomized crossover study, 17 elderly volunteers performed both HO-CPR and STD-CPR, separated by at least 2 days, on a manikin model for 9 min each. The primary endpoint was the number of adequate chest compressions (> 38 mm) delivered per minute. Secondary endpoints were total compressions, compression rate, and the number of breaks taken for rest. Results: There was no difference in the number of adequate compressions between groups in the first minute; however, the STD-CPR group delivered significantly more adequate chest compressions in minutes 29 (p < 0.05). The total number of compressions delivered was significantly greater in the HO-CPR than STD-CPR group when considering the entire resuscitation period. A significantly greater number of rescuers took breaks for rest during HO-CPR than STD-CPR. Conclusions: Although HO-CPR resulted in a greater number of overall compressions than STD-CPR, STD-CPR resulted in a greater number of adequate compressions in all but the first minute of resuscitation.

Original languageEnglish (US)
Pages (from-to)88-92
Number of pages5
JournalJournal of Emergency Medicine
Volume42
Issue number1
DOIs
StatePublished - Jan 2012

Fingerprint

Cardiopulmonary Resuscitation
Fatigue
Hand
Manikins
Resuscitation
Thorax
Emergency Medical Services
Medical Students
Cross-Over Studies
Volunteers

Keywords

  • basic life support
  • cardiac arrest
  • cardiopulmonary resuscitation (CPR)
  • resuscitation

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Rescuer fatigue in the elderly : Standard vs. Hands-only CPR. / Heidenreich, Joseph W.; Bonner, Aleta; Sanders, Arthur B.

In: Journal of Emergency Medicine, Vol. 42, No. 1, 01.2012, p. 88-92.

Research output: Contribution to journalArticle

Heidenreich, Joseph W. ; Bonner, Aleta ; Sanders, Arthur B. / Rescuer fatigue in the elderly : Standard vs. Hands-only CPR. In: Journal of Emergency Medicine. 2012 ; Vol. 42, No. 1. pp. 88-92.
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