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May 2016Volume 34, Issue 5, Pages 913–915
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Comparison of two chest compression techniques when using CBRN-PPE: a randomized crossover manikin trial☆☆☆

Lukasz Szarpak
x
Lukasz Szarpak
, PhD, EMT-P, DPH
,
Zenon Truszewski
x
Zenon Truszewski
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Correspondence

  • Corresponding author at: Department of Emergency Medicine, Medical University of Warsaw, 4 Lindleya Str., 02-005 Warsaw, Poland. Tel.: +48 502258562.
, PhD, MDcorrespondence
x
Zenon Truszewski
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Correspondence

  • Corresponding author at: Department of Emergency Medicine, Medical University of Warsaw, 4 Lindleya Str., 02-005 Warsaw, Poland. Tel.: +48 502258562.
Department of Emergency Medicine, Medical University of Warsaw, Poland
Robert Gałązkowski
x
Robert Gałązkowski
, PhD, MSc
Department of Emergency Medical Service, Medical University of Warsaw, Warsaw, Poland
Lukasz Czyzewski
x
Lukasz Czyzewski
, PhD, RN
Department of Nephrologic Nursing, Medical University of Warsaw, Warsaw, Poland
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.029
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Figures

Fig. 1

Flow chart of design and recruitment of participants according to CONSORT statement.

Fig. 2

The quality of chest compressions over time, in the case of (A) manual and (B) mechanical chest compressions scenario.

Chest compression (CC) quality is decisive for survival and good neurologic outcome of patients in sudden cardiac arrest [1,2] . Both the 2015 European Resuscitation Council and American Heart Association guidelines advise the CC should be performed at recommended depth and rate [1,3] . According to Kurowski et al chest compressions are often too shallow, and hands-of time is to long [4] . This issue becomes even more complicated by the need of the rescuer to wear chemical, biological, radiations, nuclear, personal protective equipment (CBRN-PPE) which adversely affects fine motor skills [5] .

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☆Author's contributions: Conception and design: LS, LC, ZT, RG; Analysis and interpretation: LS, LC; drafting the manuscript for important intellectual content: LS, LC, ZT, RG.

☆☆Source of support: No sources of financial and material support to be declared.

© 2016 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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May 2016Volume 34, Issue 5, Pages 913–915