title: One-handed chest compression technique for paediatric cardiopulmonary resuscitation: dominant versus non-dominant hand.
abstract: BACKGROUND
  Pediatric resuscitation guidelines do not specify which hand to use for one-handed cardiopulmonary resuscitation (CPR).
  
  
  OBJECTIVE
  To determine whether there is a difference in the quality of one-handed chest compressions (OHCCs) using the dominant versus non-dominant hand in simulated paediatric CPR.
  
  
  METHODS
  41 doctors took part in the study. Chest compressions were alternately performed with the dominant (test 1) and non-dominant hand (test 2) in a random order at 30 min intervals. Experiments were carried out with a 5-year-old paediatric manikin without ventilation for 2 min. Data on average compression rate (per min) and average compression depth (mm) were collected and compared.
  
  
  RESULTS
  No significant differences were found in the average compression rate (118.0±14.3/min vs 117.3±14.5/min, p=0.610) and average compression depth (41.3±5.6mm vs 41.9±4.1mm, p=0.327) between tests 1 and 2.
  
  
  CONCLUSIONS
  No significant difference was found in the quality of OHCCs using the dominant and non-dominant hand in simulated paediatric CPR. The study suggests there is no need for paediatric resuscitation guidelines to state a preferred hand for performing OHCC.
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Je Hyeok
authors.initials: JH
authors.lastname: Oh
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Chan Woong
authors.initials: CW
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Sung Eun
authors.initials: SE
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Dong Hoon
authors.initials: DH
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Sang Jin
authors.initials: SJ
authors.lastname: Lee
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002648:Child; D018592:Cross-Over Studies; D005260:Female; D007839:Functional Laterality; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008348:Manikins; D010372:Pediatrics / Q000379:methods / Q000592:standards; D011312:Pressure; D055815:Young Adult
keywords: paediatrics, paediatric resuscitation; resuscitation