title: Use of backboard and deflation improve quality of chest compression when cardiopulmonary resuscitation is performed on a typical air inflated mattress configuration.
abstract: No study has examined the effectiveness of backboards and air deflation for achieving adequate chest compression (CC) depth on air mattresses with the typical configurations seen in intensive care units. To determine this efficacy, we measured mattress compression depth (MCD, mm) on these surfaces using dual accelerometers. Eight cardiopulmonary resuscitation providers performed CCs on manikins lying on 4 different surfaces using a visual feedback system. The surfaces were as follows: A, a bed frame; B, a deflated air mattress placed on top of a foam mattress laid on a bed frame; C, a typical air mattress configuration with an inflated air mattress placed on a foam mattress laid on a bed frame; and D, C with a backboard. Deflation of the air mattress decreased MCD significantly (B; 14.74 ± 1.36 vs C; 30.16 ± 3.96, P < 0.001). The use of a backboard also decreased MCD (C; 30.16 ± 3.96 vs D; 25.46 ± 2.89, P = 0.002). However, deflation of the air mattress decreased MCD more than use of a backboard (B; 14.74 ± 1.36 vs D; 25.46 ± 2.89, P = 0.002). The use of a both a backboard and a deflated air mattress in this configuration reduces MCD and thus helps achieve accurate CC depth during cardiopulmonary resuscitation.
authors: Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors: Jaehoon
authors: J
authors: Oh
authors: Hyunggoo
authors: H
authors: Kang
authors: Youngjoon
authors: Y
authors: Chee
authors: Taeho
authors: T
authors: Lim
authors: Yeongtak
authors: Y
authors: Song
authors: Youngsuk
authors: Y
authors: Cho
authors: Sangmo
authors: S
authors: Je
mesh_terms: D001513:Beds; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation* / Q000379:methods; D019245:Compressive Strength; D004867:Equipment Design; D006336:Heart Massage / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007362:Intensive Care Units; D008348:Manikins; D011446:Prospective Studies
keywords: Backboard; Beds; Cardiopulmonary Resuscitation; Mattresses
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