The Impact of Backboard Placement on Chest Compression Quality: A Mannequin Study

Sanrı E., KARACABEY S.

PREHOSPITAL AND DISASTER MEDICINE, vol.34, no.2, pp.182-187, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 2
  • Publication Date: 2019
  • Doi Number: 10.1017/s1049023x19000153
  • Journal Name: PREHOSPITAL AND DISASTER MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.182-187
  • Keywords: backboard, chest compression, chest compression depth, chest compression rate, mannequin, CARDIOPULMONARY-RESUSCITATION, CARDIAC-ARREST, DEPTH, CPR, MATTRESS, BED, DEFLECTION, MECHANICS, FEEDBACK, SURFACES
  • Marmara University Affiliated: Yes

Abstract

Introduction: High-quality chest compressions (CCs) are associated with high survival rates and good neurological outcomes in cardiac arrest patients. The 2015 American Heart Association (AHA; Dallas, Texas USA) Guidelines for Resuscitation defined and recommended high-quality CCs during cardiopulmonary resuscitation (CPR). However, CPR providers struggle to achieve high-quality CCs. There is a debate about the use of backboards during CPR in literature. Some studies suggest backboards improve CC quality, whereas others suggest that backboards can cause delays. This is the first study to evaluate all three components of high-quality CCs: compression depth, recoil depth, and rate, at the same time with a high number of subjects. This study evaluated the impact of backboards on CC quality during CPR. The primary outcome was the difference in successful CC rates between two groups.