Relationship between rescue distance and the quality of simulated CPR: a pilot study with lifeguards

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Abstract

Objective: The aim of this research was to investigate if the distance travelled in a ‘rescue’ is associated with differences in the quality of the CPR provided. Methods: A group of 10 lifeguards performed simulated CPR for 2 minutes at rest. Next, they performed 2 rescues, one of 50 meters and the other of 100 meters. After each rescue, the lifeguards immediately performed simulated CPR. Results: The time invested in the rescue of 50 meters was significantly lower than in the 100 meters (P < 0.001). Simulated CPR at rest obtained high quality values in the compressions (94.8 ± 9.6%) but not in the ventilations (41.0 ± 22.8%). 50 and 100 meter rescues were associated with a significant decline in the overall quality of CPR (68.4 ± 11.0 vs. 51.0 ± 9.3 vs. 49.7 ± 7.2%, P = 0.002), correctness of hand position (100% vs. 91.0 ± 7.0 vs. 85.9 ± 12.3, P = 0.006), and in the quality of the ventilations (41.0 ± 22.8 vs. 12.0 ± 17.5 vs. 11.0 ± 12.8%, P = 0.001). The quality of the above measures was similar in 50 and 100 meter rescues. Conclusions: Rescues of 50 and 100 meters were similarly associated with a decrease in the quality of simulated CPR vs. at rest simulated CPR. Lifeguards should practice performing CPR following rescue activities with added focus on performing rescue ventilations correctly.

Publisher

MRE Press

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