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For a patient with Sudden Cardiac Arrest (SCA), good quality chest compressions and artificial ventilation increase their chances of survival. Fire service officers working as part of the National Rescue and Firefighting Service obtain the necessary qualification in performing cardiopulmonary resuscitation (CPR) from a certified first aid course. The CPR competence of the fire service officers is maintained through a programme of in-house training. Within this training programme there is an assessment of the quality of CPR performed by rescuers. Preliminary tests performed in the accredited Medical Rescue Laboratory of the Faculty of Health Sciences at the Bielsko-Biała University of Technology and Humanities showed that there were some disparities with the European Resuscitation Council (ERC) guidelines. This justified the need to analyse to what degree the CPR parameters achieved by the fire officers are compliant with the ERC guidelines. Objective of the work The aim of the study is to analyze the compliance of cardiopulmonary resuscitation parameters obtained by rescuers of the State Fire Service with the guidelines of the European Resuscitation Council. Materials and Methods The study group consisted of officers from the State Fire Service employed at the Town Headquarters of the National Fire Service in Bielsko-Biała. The object of the study was to cond ; uct simulated CPR using the standard method, with a ratio of 30 chest compressions to 2 rescue breaths over a period of 8 minutes. The participants’ results were compared to the reference values recommended by the 2015 ERC guidelines and compared to the standard performance of good quality CPR. Results The average interval time between chest compression cycles was 9.24s while the average percentage of correct intervals was 36.51%. In terms of depth of chest compressions, the average depth of all compressions was 53.05mm, while the average percentage of chest compressions with correct depth was 55.76%. In terms of the 96 correct frequency of chest compressions, the average of all series was 115 compressions per minute, however the ERC 2015 recommendations of an average 93% of correct compressions was only achieved in 54.37% of cases. The relaxation rate was 91.75%. Hand positioning during the simulated CPR performed was correct in all chest compressions. The mean percentage of correct compression and ventilation cycles conducted in a pattern of 30 compressions to 2 rescue breaths was 84%. In terms of performing breaths with the correct volume as recommended by the ERC, the average percentage was 16.51% of all inspirations performed. The percentage of breaths which resulted in gastric insufflation was 0.7%. Conclusions The compliance of the chest compression p ; arameters with the ERC guidelines for three parameters - correct hand positioning, chest relaxation and correct 30:2 scheme exceeded a rate of 70%, while for other parameters it exceeded 50%. This reveals the high quality of the actions performed by the fire service officers. The parameters obtained for ventilation performed with a self-inflating bag indicate the low effectiveness of the rescuers surveyed in terms of ventilation. Complications related to the performance of CPR occurred incidentally and concerned only gastric insufflation. The study indicates the need to analyse curricula and individualise CPR training, depending on the specifics and needs of the organisations supporting the State Emergency Medical Service.
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Rada Dyscypliny Nauki o zdrowiu
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Bobiński, Rafał ; Dutka, Mieczysław
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Data ostatniej modyfikacji:
24 lip 2024
Data dodania obiektu:
15 maj 2024
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http://dl.cm-uj.krakow.pl:8080/publication/5108
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| Nazwa wydania | Data |
|---|---|
| ZB-140020 | 24 lip 2024 |
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