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10.5603/CJ.a2020.0068

http://scihub22266oqcxt.onion/10.5603/CJ.a2020.0068
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32419128!8078983!32419128
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suck abstract from ncbi


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pmid32419128      Cardiol+J 2020 ; 27 (5): 497-506
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  • Resuscitation of the patient with suspected/confirmed COVID-19 when wearing personal protective equipment: A randomized multicenter crossover simulation trial #MMPMID32419128
  • Malysz M; Dabrowski M; Bottiger BW; Smereka J; Kulak K; Szarpak A; Jaguszewski M; Filipiak KJ; Ladny JR; Ruetzler K; Szarpak L
  • Cardiol J 2020[]; 27 (5): 497-506 PMID32419128show ga
  • BACKGROUND: The aim of the study was to evaluate various methods of chest compressions in patients with suspected/confirmed SARS-CoV-2 infection conducted by medical students wearing full personal protective equipment (PPE) for aerosol generating procedures (AGP). METHODS: This was prospective, randomized, multicenter, single-blinded, crossover simulation trial. Thirty-five medical students after an advanced cardiovascular life support course, which included performing 2-min continuous chest compression scenarios using three methods: (A) manual chest compression (CC), (B) compression with CPRMeter, (C) compression with LifeLine ARM device. During resuscitation they are wearing full personal protective equipment for aerosol generating procedures. RESULTS: The median chest compression depth using manual CC, CPRMeter and LifeLine ARM varied and amounted to 40 (38-45) vs. 45 (40-50) vs. 51 (50-52) mm, respectively (p = 0.002). The median chest compression rate was 109 (IQR; 102-131) compressions per minute (CPM) for manual CC, 107 (105-127) CPM for CPRMeter, and 102 (101-102) CPM for LifeLine ARM (p = 0.027). The percentage of correct chest recoil was the highest for LifeLine ARM - 100% (95-100), 80% (60-90) in CPRMeter group, and the lowest for manual CC - 29% (26-48). CONCLUSIONS: According to the results of this simulation trial, automated chest compression devices (ACCD) should be used for chest compression of patients with suspected/confirmed COVID-19. In the absence of ACCD, it seems reasonable to change the cardiopulmonary resuscitation algorithm (in the context of patients with suspected/confirmed COVID-19) by reducing the duration of the cardiopulmonary resuscitation cycle from the current 2-min to 1-min cycles due to a statistically significant reduction in the quality of chest compressions among rescuers wearing PPE AGP.
  • |*Betacoronavirus[MESH]
  • |*Personal Protective Equipment[MESH]
  • |Adult[MESH]
  • |Aerosols[MESH]
  • |COVID-19[MESH]
  • |Cardiopulmonary Resuscitation/*instrumentation/methods[MESH]
  • |Coronavirus Infections/diagnosis/*prevention & control/transmission[MESH]
  • |Cross-Over Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Male[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Patient Simulation[MESH]
  • |Pneumonia, Viral/diagnosis/*prevention & control/transmission[MESH]
  • |SARS-CoV-2[MESH]


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