Physical strain on advanced life support providers in different out of hospital environments

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• 作者：Christof Havel ; Harald Herkner ; Moritz Haugk ; Nina Richling ; Eva Riedmuller ; Helmut Trimmel ; Reinhard Malzer ; Fritz Sterz ; Wolfgang Schreiber
• 关键词：Cardiopulmonary resuscitation (CPR) ; Transport ; Air ambulances ; Ambulance ; Emergency medical services ; Physical strain
• 刊名：Resuscitation
• 出版年：2008
• 出版时间：April 2008
• 年：2008
• 卷：77
• 期：1
• 页码：81-86
• 全文大小：204 K

文摘

Direct comparison of the quality of resuscitation at the scene, during a helicopter flight and in a moving ambulance.

Design

The study was performed in July 2005 as a randomised cross-over trial comparing different environments for resuscitation.

Setting

Medical University of Vienna.

Participants

Eleven European Resuscitation Council (ERC) approved health care professionals.

Interventions

Interventions during resuscitation: (a) in a moving ambulance, (b) in a flying helicopter, were compared to those staying at the (c) scene (control). Each participant performed resuscitation in all three environments.

Main outcome measures

Quality of chest compression during resuscitation.

Results

Compared to resuscitation at the scene, efficiency of chest compressions during a helicopter flight was 86 % and 95 % in the moving ambulance 95 % . There were no differences in secondary outcomes (time without chest compression, total number of incorrect hand position relative to total compressions, and total number of incorrect pressure release relative to total compressions).

Conclusions

Resuscitation during transport is feasible and relatively efficient. There is some difference between the environments, but there is no relevant difference between helicopters and ambulances regarding the effectiveness of CPR.