title: Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial.
abstract: OBJECTIVE
  We aimed to compare rescuer fatigue and cardiopulmonary resuscitation (CPR) quality between standard 30:2 CPR (ST-CPR) and chest compression only CPR (CO-CPR) performed for 8 minutes on a realistic manikin by following the 2010 CPR guidelines.
  
  
  METHODS
  All 36 volunteers (laypersons; 18 men and 18 women) were randomized to ST-CPR or CO-CPR at first, and then each CPR technique was performed for 8 minutes with a 3-hour rest interval. We measured the mean blood pressure (MBP) of the volunteers before and after performing each CPR technique, and continuously monitored the heart rate (HR) of the volunteers during each CPR technique using the MRx monitor. CPR quality measures included the depth of chest compression (CC) and the number of adequate CCs per minute.
  
  
  RESULTS
  The adequate CC rate significantly differed between the 2 groups after 2 minutes, with it being higher in the ST-CPR group than in the CO-CPR group. Additionally, the adequate CC rate significantly differed between the 2 groups during 8 minutes for male volunteers (p =0.012). The number of adequate CCs was higher in the ST-CPR group than in the CO-CPR group after 3 minutes (p =0.001). The change in MBP before and after performing CPR did not differ between the 2 groups. However, the change in HR during 8 minutes of CPR was higher in the CO-CPR group than in the ST-CPR group (p =0.007).
  
  
  CONCLUSIONS
  The rate and number of adequate CCs were significantly lower with the CO-CPR than with the ST-CPR after 2 and 6 minutes, respectively, and performer fatigue was higher with the CO-CPR than with the ST-CPR during 8 minutes of CPR.
authors.affiliation: Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea. skyshiner@naver.com.
authors.forename: Jonghwan
authors.initials: J
authors.lastname: Shin
authors.affiliation: Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Samsung Changwon Hospital, Changwon, South Korea. 3syellow@naver.com.
authors.forename: Seong Youn
authors.initials: SY
authors.lastname: Hwang
authors.affiliation: Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea. emdrlee@gmail.com.
authors.forename: Hui Jai
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea. borambls@gmail.com.
authors.forename: Chang Je
authors.initials: CJ
authors.lastname: Park
authors.affiliation: Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea. brmeremt130@naver.com.
authors.forename: Yong Joon
authors.initials: YJ
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea. nlorlove@naver.com.
authors.forename: Yeong Ju
authors.initials: YJ
authors.lastname: Son
authors.affiliation: Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea. sos2623@hanmail.net.
authors.forename: Ji Seon
authors.initials: JS
authors.lastname: Seo
authors.affiliation: Department of Emergency Medicine, Gachon University Gill Hospital, Incheon, South Korea. empearl@gilhospital.com.
authors.forename: Jin Joo
authors.initials: JJ
authors.lastname: Kim
authors.affiliation: Depatment of Emergency Medical Technology, Dongnam Health University, Suwon, South Korea. lije@dongnam.ac.kr.
authors.forename: Jung Eun
authors.initials: JE
authors.lastname: Lee
authors.affiliation: Depatment of Emergency Medical Technology, Dongnam Health University, Suwon, South Korea. drlee@dongnam.ac.kr.
authors.forename: In Mo
authors.initials: IM
authors.lastname: Lee
authors.affiliation: Depatment of Emergency Medical Technology, Dongnam Health University, Suwon, South Korea. emtko@dongnam.ac.kr.
authors.forename: Bong Yeun
authors.initials: BY
authors.lastname: Koh
authors.affiliation: Depatment of Emergency Medical Technology, Dongnam Health University, Suwon, South Korea. emthong@dongnam.ac.kr.
authors.forename: Sung Gi
authors.initials: SG
authors.lastname: Hong
mesh_terms: D000293:Adolescent; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D018592:Cross-Over Studies; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006323:Heart Arrest / Q000628:therapy*; D006336:Heart Massage / Q000379:methods*; D006801:Humans; D008297:Male; D008348:Manikins; D011312:Pressure; D011446:Prospective Studies; D013997:Time Factors