Are Chest Compressions Using the Truecprtm Feedback Device More Effective Than Manual Compressions During Pediatric Resuscitation? a Randomized Controlled Trial.
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 1
Abstract
Study objective: To determine the effectiveness of chest compressions with the TrueCPRTM feedback device (Physio-Control, Redmond, WA, USA) compared with manual compressions in pediatric cardiopulmonary resuscitation. Methods:Following training, 173 EMS-paramedics performed either standard BLS or used a TrueCPRTM for 8 min in random computer-generated sequence. The primary outcome measure was effective compressions, being defined as having the correct depth (40-50mm), complete decompression and correct hand position. Results. The use of the TrueCPR resulted in a significantly higher number of effective compressions compared with standard BLS (72.5±17.8% vs. 36.7±21.6%; p<0.001). Compared with standard BLS the TrueCPRTM more often performed correctly in terms of depth (42.5mm vs. 35.6mm; p<0.001) and compression rate (103.4min-1vs. 129.4min-1; p<0.001) and had fewer incorrect decompressions (3.1 vs. 9.5%; p<0.001). Hands-off time was shorter with the TrueCPR than standard BLS (48.5s. vs. 127.5s.; p<0.001). Conclusion:. We conclude that the TrueCPRTM can improve the effectiveness of pediatric chest compression. Further clinical studies are needed to test the TrueCPRTMdevice’s safety and efficacy in patients.
Authors and Affiliations
Łukasz SZARPAK, Piotr ZASKO, Andrzej KUROWSKI
Keywords
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