The use of automatic compression device on the cardiopulmonary resuscitation by lifeguards

  1. Abelairas Gómez, Cristian
  2. Barcala Furelos, Roberto J.
  3. García Soidán, José Luis
  4. López García, Sergio
  5. Romo Pérez, Vicente
Revista:
European Journal of Human Movement

ISSN: 0214-0071 2386-4095

Año de publicación: 2012

Número: 29

Páginas: 17-28

Tipo: Artículo

Otras publicaciones en: European Journal of Human Movement

Resumen

El objetivo de este estudio fue analizar la influencia del material auxiliar de rescate y del uso de mecanismos automáticos de compresión en la reanimación cardiopulmonar (RCP). La muestra estuvo compuesta por 78 socorristas (50 hombres y 28 mujeres). Se realizó un primer test que consistió en 5 min de RCP. Posteriormente la muestra se dividió en dos grupos. Cada grupo llevó a cabo un segundo test; un rescate acuático y a continuación 5 min de RCP. Un grupo realizó el rescate sin material y la RCP de forma manual. El otro grupo, realizó el rescate acuático con aletas y tubo de rescate y la RCP con un cardiocompresor. El uso del cardiocompresor aumentó el número de compresiones correctas (p < 0.001). No hay diferencias significativas en las ventilaciones correctas (p = 0.56). Respecto al rescate, los hombres fueron más rápidos que las mujeres (p < 0.001). Cuando los socorristas hacen uso de material de rescate, no existen diferencias de tiempo en cuanto al género (p = 0.26). El material de rescate es clave para reducir el tiempo del salvamento, y el uso de mecanismos automáticos de compresión para mejorar la calidad de la RCP.

Referencias bibliográficas

  • Adelborg, K., Dalgas, C., Grove, E. L., Jørgensen, C., Al-Mashhadi, R. H. & Løfgren, B. (2011). Mouth-to-mouth ventilation is superior to mouth-to-pocket mask and bag-valve-mask ventilation during lifeguard CPR: A randomized study. Resuscitation, 82(5), 618-622.
  • Centers for Disease Control and Prevention - National Center for Injury Prevention and Control (2012). k. CDC-NCIPC, Atlanta.
  • Claesson, A., Svensson, L., Silfverstolpe, J. & Herlitz, J. (2008). Characteristics and outcome among patients suffering out-of-hospital cardiac arrest due to drowning. Resuscitation, 76(3), 381-387.
  • Claesson, A., Karlsson, T., Thorén, A. & Herlitz, J. (2011). Delay and performance of cardiopulmonary resuscitation in surf lifeguards after simulated cardiac arrest due to drowning. American Journal of Emergency Medicine, 29(9), 1044-1050.
  • Gulbin J.P., Fell, J.W. & Gaffney, P.T. (1996). A physiological profile of elite surf ironmen, full time lifeguards and patrolling surf life savers. Australian Journal of Science and Medicine in Sport, 28, 86-90.
  • Halperin, H., & Carver, D.J. (2010). Mechanical CPR devices. Signa Vitae, 5(1), 69-73
  • Heidenreich, J. W., Bonner, A. & Sanders, A. B. (2012). Rescuer fatigue in the elderly: Standard vs. hands-only CPR. Journal of Emergency Medicine, 42(1), 88-92.
  • Herlitz, J., Svensson, L., Engdahl, J., Ängquist, K., Silfverstolpe, J., & Holmberg, S. (2006). Association between interval between call for ambulance and return of spontaneous circulation and survival in out-of-hospital cardiac arrest. Resuscitation, 71(1), 40-46.
  • International Life Saving Federation (2010). Appendix 10: International surf lifeguard. Minimum recommended competencies. ILS, Leuven. (Accessed 29 May 2012, at http://www.ilsf.org/sites/ilsf.org/files/filefield/APP%2010%20ILS%20Lifeguard%20Surf.pdf).
  • Josep, O., Rimbau, P., Bertran, C., Juvinya, D., & Carreras, V. (2010). Is it possible to carry out high-quality cardiopulmonary resuscitation (CPR) for a period of 10 minutes? Resuscitation, 81(2), S52.
  • Koster, R.W., Baubin, M.A., Bossaert, L.L., Caballero, A., Cassan, P., Castrén, M., et al. (2010). European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation, 81, 1277-1292.
  • Laffite, L.P., Vilas-Boas, J.P., Demarle, A., Silva, J., Fernandes, R. & Billat V.L. (2004). Changes in physiological and stroke parameters during a maximal 400-m free swimming test in elite swimmers. Canadian Journal of Applied Physiology, 29, S17-S31.
  • Lyon, R.M., Cobbe, S.M., Bradley, J.M. & Grubb, N.R. (2004). Surviving out of hospital cardiac arrest at home: A postcode lottery? Emergency Medicine Journal, 21(5), 619-624.
  • MacKay, M. and Vincenten , J. (2009). Child safety report card 2009: Europe Summary for 24 Countries. European Child Safety Alliance-Eurosafe, Amsterdam.
  • Neset, A., Birkenes, T.S., Furunes, T., Myklebust, H., Mykletun, R. J., Odegaard, S. et al. (2012). A randomized trial on elderly laypersons’ CPR performance in a realistic cardiac arrest simulation. Acta Anaesthesiologica Scandinavica, 56(1), 124-131.
  • Nolan, J.P., Soar, J., Zideman, D.A., Biarent, D., Bossaert, L.L., Deakin, C. et al. (2010). European resuscitation council guidelines for resuscitation 2010 section 1. executive summary. Resuscitation, 81, 1219-1276.
  • Ochoa, F.J., Ramalle-Gómara, E., Lisa, V. & Saralegui, I. (1998). The effect of rescuer fatigue on the quality of chest compressions. Resuscitation, 37(3), 149-152.
  • Ong, M.E., Mackey, K.E., Zhang, Z.C., Tanaka, H., Ma, M.H., Swor, R. et al. (2012). Mechanical CPR devices compared to manual CPR during out-of-hospital cardiac arrest and ambulance transport: a systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20, 39.
  • Prieto, J.A., del Valle, M., González, V., Montoliu, M.A., Nistal, P., Egocheaga, J. et al. (2010). Physiological response of beach lifeguards in a rescue simulation with surf. Ergonomics, 53(9), 1140-1150.
  • Perkins, G. D. (2005). In-water resuscitation: A pilot evaluation. Resuscitation, 65(3), 321-324.
  • Reilly, T., Wooler, A., & Tipton M. (2006). Occupational fitness standards for beach lifeguards. Phase 1: The physiological demands of beach lifeguarding. Occupational Medicine, 56,6-11.
  • Russo, S.G., Neumann, P., Reinhardt, S., Timmermann, A., Nikas, A., Quintel, M. et al. (2011). Impact of physical fitness and biometric data on the quality of external chest compression: A randomised, crossover trial. BMC Emergency Medicine, 11:20.
  • Smekal, D., Johansson, J., Huzevka, T., & Rubertsson, S. (2009). No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the LUCAS device - A pilot study. Resuscitation, 80, 1104-1107.
  • Soar, J., Perkins, G.D., Abbas, G., Alfonzo, A., Barelli, A., Bierens, J.J.L.M. et al. (2010). European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation, 81, 1400-1433.
  • Szpilman, D. and Soares, M. (2004). In-water resuscitation - Is it worthwhile? Resuscitation, 63, 25-31. Szpilman, D., Bierens, J.J.L.M., Handley, A.J. and Orlowski, J.P. (2012). Drowning. New England Journal of Medicine, 366, 2102-2110.
  • Towner, E. & Scott, I. (2008). Child injuries in context. In: World report on child injury prevention. Ed: Peden, M., Oyegbite, K., Ozanne, J., Hyder, A.A., Branche, C., Fazlur, A.K.M., et al. Geneva: UNICEF. 1-30.
  • Travers, A.H., Rea, T.D., Bobrow, B.J., Edelson, D.P., Berg, R.A., Sayre, M.R., et al. (2010). Part 4: CPR Overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitacion and Emergency Cardiovascular Care. Circulation, 122, s676-84.
  • The United States Lifeguard Standards Coalition (2011). United States Lifeguard Standars: An Evidence-Based Review and Report by the United States Lifeguard Standards Coalition. International Journal of Aquatic Research and Education, 5(1), 61-129.
  • Van Hoeyweghen, R.J., Bossaert, L.L., Mullie A., Calle, P. et al. (1993). Quality and efficiency of bystander CPR. Belgian Cerebral Resuscitation Study Group. Resuscitation, 26(1), 47-52.
  • Weisfeldt, M.L., Sitlani, C.M., Ornato, J.P., Rea, T., Aufderheide, T.P., Davis, D. et al. (2010). Survival after application of automatic external defibrillators before arrival of the emergency medical system. Evaluation in the resuscitation outcomes consortium population of 21 million. Journal of American College of Cardiololgy, 55, 1713-1720.