Open AccessEffect of using a home‐bed mattress on bystander chest compression during out‐of‐hospital cardiac arrest
Author(s) -
Ahn Hong Joon,
Cho Yongchul,
You Yeon Ho,
Min Jin Hong,
Jeong Won Joon,
Ryu Seung,
Lee Jin Woong,
Cho Sung Uk,
Oh Se Kwang,
Park Jung Soo,
Choi Younhyuk
Publication year - 2021
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/1024907919856485
Subject(s) - medicine , cardiopulmonary resuscitation , compression (physics) , significant difference , resuscitation , data compression ratio , anesthesia , image compression , image (mathematics) , artificial intelligence , computer science , image processing , materials science , composite material
Background: Bystander cardiopulmonary resuscitation is a key component of life‐saving after an out‐of‐hospital cardiac arrest. In the pre‐arrival instructions for out‐of‐hospital cardiac arrest, it is recommended that the patient be laid on a flat floor. However, the most common reason for not performing cardiopulmonary resuscitation is that the bystander could not move the patient. Objectives: This study aim to investigate the effects of using a home‐bed mattress on the quality of chest compression. Methods: In this prospective, randomized study, chest compression without ventilation was performed for 4 min on a Resusci Anne manikin placed on a flat floor or on three types of home‐bed mattresses (hard, medium and soft). Chest compression depth, chest compression rate and chest recoil were measured from the manikin with the Laerdal PC Skill Reporting System, and changes in chest compression quality using the four different surfaces were compared. Results: Thirty participants were enrolled to perform chest compression. There was no significant difference in chest compression depth and depth accuracy between the four surfaces. The median chest compression rates were 108.1 ± 8.5, 107.0 ± 8.3, 103.3 ± 8.9 and 98.3 ± 7.9 compressions/min ( p < 0.001) for the flat floor, hard‐, medium‐, and soft‐firmness mattresses, respectively. Moreover, there was no a significant difference in chest recoil accuracy. Conclusion: Using a home‐bed mattress did not decrease the chest compression quality, except chest compression rate of soft‐firmness mattress. Thus, it may be effective to initiate chest compression on a home‐bed mattress if the bystander cannot move the patient to the floor.