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Impact of Personal Protective Equipment on the Quality of Chest Compressions in Prehospital Care: A Prospective Randomized Crossover Study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F44555601%3A13450%2F23%3A43897441" target="_blank" >RIV/44555601:13450/23:43897441 - isvavai.cz</a>

  • Alternative codes found

    RIV/68407700:21460/23:00362890 RIV/00216208:11120/23:43925148 RIV/00216208:11150/23:10456553

  • Result on the web

    <a href="https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/abs/impact-of-personal-protective-equipment-on-the-quality-of-chest-compressions-in-prehospital-care-a-prospective-randomized-crossover-study/11212F089CC34EAA6DCCA81ECEB36018" target="_blank" >https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/abs/impact-of-personal-protective-equipment-on-the-quality-of-chest-compressions-in-prehospital-care-a-prospective-randomized-crossover-study/11212F089CC34EAA6DCCA81ECEB36018</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1017/S1049023X2200245X" target="_blank" >10.1017/S1049023X2200245X</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Impact of Personal Protective Equipment on the Quality of Chest Compressions in Prehospital Care: A Prospective Randomized Crossover Study

  • Original language description

    Introduction: The use of personal protective equipment (PPE) in prehospital emergencycare has significantly increased since the onset of the coronavirus disease 2019 (COVID-19)pandemic. Several studies investigating the potential effects of PPE use by EmergencyMedical Service providers on the quality of chest compressions during resuscitation havebeen inconclusive.Study Objectives: This study aimed to determine whether the use of PPE affects the qualityof chest compressions or influences select physiological biomarkers that are associated withstress.Methods: This was a prospective randomized, quasi-experimental crossover study with 35Emergency Medical Service providers who performed 20 minutes of chest compressions ona manikin. Two iterations were completed in a randomized order: (1) without PPE and (2)with PPE consisting of Tyvek, goggles, KN95 mask, and nitrile gloves. The rate and depthof chest compressions were measured. Salivary cortisol, lactate, end-tidal carbon dioxide(EtCO2), and body temperature were measured before and after each set of chestcompressions.Results: There were no differences in the quality of chest compressions (rate and depth)between the two groups (P &gt;.05). After performing chest compressions, the group withPPE did not have elevated levels of cortisol, lactate, or EtCO2 when compared to the groupwithout PPE, but did have a higher body temperature (P &lt;.001).Conclusion: The use of PPE during resuscitation did not lower the quality of chest compressions, nor did it lead to higher stress-associated biomarker levels, with the exception ofbody temperature.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30221 - Critical care medicine and Emergency medicine

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Prehospital and Disaster Medicine

  • ISSN

    1049-023X

  • e-ISSN

    1945-1938

  • Volume of the periodical

    38

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    8

  • Pages from-to

    103-110

  • UT code for WoS article

    000923056300015

  • EID of the result in the Scopus database