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

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30221 - Critical care medicine and Emergency medicine

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

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

Název periodika

Prehospital and Disaster Medicine

ISSN

1049-023X

e-ISSN

1945-1938

Svazek periodika

38

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

8

Strana od-do

103-110

Kód UT WoS článku

000923056300015

EID výsledku v databázi Scopus

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