PMID- 20226582
OWN - NLM
STAT- MEDLINE
DCOM- 20100907
LR  - 20191210
IS  - 1873-1570 (Electronic)
IS  - 0300-9572 (Linking)
VI  - 81
IP  - 6
DP  - 2010 Jun
TI  - Quality of external closed-chest compressions in a tertiary pediatric setting: 
      missing the mark.
PG  - 718-23
LID - 10.1016/j.resuscitation.2010.01.029 [doi]
AB  - INTRODUCTION: Recent adult reports have demonstrated sub-optimal performance of 
      basic cardiopulmonary resuscitation (CPR) skills in advanced training scenarios 
      and real life arrest situations. We studied the adequacy of chest compressions 
      performed by advanced trained pediatric providers in code scenarios. METHODS: We 
      designed a prospective observational study of pediatric providers performing 
      external closed-chest compressions on a child mannequin that is designed to 
      assess adequacy based on depth and rate of chest compressions. The study was 
      conducted from 2008 to 2009 in which 42 subjects were screened and enrolled for 
      participation. Each subject underwent a basic life support scenario that included 
      two minutes of uninterrupted external closed-chest compressions that were 
      assessed for adequacy based on depth and rate. RESULTS: For 42 subjects, 168 
      total 30-s time segments were available for analysis. Chest compressions were 
      performed at a median rate of 110 (interquartile range (IQR) of 75-145) 
      compressions per minute (cpm). No significant decay in rate of chest compressions 
      was noted over the two-minute evaluation. Chest compression depth was adequate in 
      9.4% of total delivered chest compressions. No statistical significance was found 
      on the job exposure to CPR and delivery of effective chest compressions. 
      CONCLUSION: Advanced training of pediatric providers does not ensure adequate 
      delivery of chest compressions. Rate standards and adequate depth of chest 
      compressions are infrequently achieved and both may need more emphasis in CPR 
      training and attention during resuscitations.
CI  - Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
FAU - Hamrick, Justin T
AU  - Hamrick JT
AD  - University of California San Diego (UCSD), Rady's Children's Hospital, San Diego, 
      CA 92123-4282, USA. justinthamrick@yahoo.com
FAU - Fisher, Brock
AU  - Fisher B
FAU - Quinto, Kenneth B
AU  - Quinto KB
FAU - Foley, Jennifer
AU  - Foley J
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20100311
PL  - Ireland
TA  - Resuscitation
JT  - Resuscitation
JID - 0332173
SB  - IM
MH  - Cardiopulmonary Resuscitation/education/*methods/*standards
MH  - Child
MH  - Clinical Competence
MH  - Heart Arrest/*therapy
MH  - Heart Massage/*standards
MH  - Humans
MH  - Manikins
MH  - Pediatrics/education/*methods
MH  - Prospective Studies
MH  - *Quality of Health Care
EDAT- 2010/03/17 06:00
MHDA- 2010/09/08 06:00
CRDT- 2010/03/16 06:00
PHST- 2009/06/06 00:00 [received]
PHST- 2010/01/10 00:00 [revised]
PHST- 2010/01/18 00:00 [accepted]
PHST- 2010/03/16 06:00 [entrez]
PHST- 2010/03/17 06:00 [pubmed]
PHST- 2010/09/08 06:00 [medline]
AID - S0300-9572(10)00080-8 [pii]
AID - 10.1016/j.resuscitation.2010.01.029 [doi]
PST - ppublish
SO  - Resuscitation. 2010 Jun;81(6):718-23. doi: 10.1016/j.resuscitation.2010.01.029. 
      Epub 2010 Mar 11.