A comparison between over-the-head and standard cardiopulmonary resuscitation.

Full Abstract

BACKGROUND: Standard cardiopulmonary resuscitation (CPR) is performed by kneeling adjacent to the side of the casualty. In certain circumstances it may be difficult or impossible to perform CPR in this position, for example in confined spaces such as a narrow corridor, aircraft or train gangway. The aim of this study was to investigate the technique of over-the-head CPR (OTH CPR), where the CPR provider kneels above the casualty and performs chest compressions OTH of the casualty. METHODS: Twenty volunteers were randomised to a cross over trial where they performed standard and OTH CPR at a 7-day interval. Compression and ventilation variables were recorded on the Laerdal Resusci Annie VAM system. RESULTS: Chest compression depth and ventilation volume declined over time (0-3 min P < 0.001). There was no difference in compression rate, depth, duty cycle or ventilation rate, inflation rate and ventilation volume between techniques. Hand position was incorrect more frequently in the standard compared to the OTH group (incorrect compressions 300 versus 76, respectively, P < 0.001) due principally to a greater proportion of low positioned compressions in the standard CPR group. CONCLUSION: OTH CPR appears equally effective as standard CPR with some marginal advantages in correct hand placement. We suggest that in situations where it is not possible to perform standard CPR, OTH CPR may be considered as a suitable alternative.

Author information

Author/s: Perkins, Gavin D (GD); Stephenson, Barnaby T F (BT); Smith, Christopher M (CM); Gao, Fang (F);

Affiliation: Intensive Care Unit, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham, B9 5SS, UK. gavin.perkins(-atsign-)virgin.net

Journal and publication information

Publication Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: Resuscitation (Resuscitation), published in Ireland. (Language: eng)

Reference: 2004-May; vol 61 (issue 2) : pp 155-61

Dates: Created 2004/05/11; Completed 2004/09/09; Revised 2009/08/25;

PMID: 15135192, status: MEDLINE (last retrieval date: 8/25/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Resuscitation. 2004 Sep;62(3):315. (PMID: 15325452)

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