3-RESCUER CPR - THE METHOD OF CHOICE FOR FIREFIGHTER CPR

被引：12

作者：

HACKMAN, BB

KELLERMAN, AL

EVERITT, P

CARPENTER, L

机构：

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 26卷 / 01期

关键词：

D O I：

10.1016/S0196-0644(95)70233-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To compare the quality of CPR provided by firefighters performing three-rescuer CPR with that achieved by firefighters trained to provide standard two-rescuer CPR. Design: Eight months after training a large number of firefighters to perform three-rescuer CPR, we used a quasi-experimental design to compare the performance of a randomly selected subset of these companies to that achieved by a control group of engine companies that received refresher training in standard two-rescuer CPR. Both groups used bag-valve masks to provide rescue ventilations. Testing was conducted on a no-notice basis with a recording mannequin. Key actions were scored by an experienced observer using explicit pass-fail criteria. Mannequin-generated strip charts were used to calculate the rate and depth of chest compressions and the Ventilatory rate, volume, and minute ventilation in a blinded manner. Setting: Fire stations of the Memphis Fire Department. The department is the sole provider of first-responder emergency care to the citizens of Memphis, Tennessee (population, 610,000). Results: Three-rescuer teams delivered a mean minute ventilation substantially greater than that produced by two-rescuer teams (7.7+/-5.3 L versus 4.9+/-4.2 L, P<.001). Intergroup differences in the mean depth of chest compressions were less marked, but they were still significant (17.2+/-8.3 mm of recorder-needle deflection Versus 13.7+/-7.0 mm, P<.001). Conclusion: Three rescuers can produce better CPR than two when a bag-valve-mask device is used. The technique is easily learned and readily retained.

引用

页码：25 / 30

页数：6

共 30 条

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