{"pk":40234,"title":"Comparison of Cardiopulmonary Resuscitation Quality in a Simulated Model: At Incident Scene vs During EMS Transport","subtitle":null,"abstract":"

Introduction: Out-of-hospital cardiac arrest remains a leading cause of death and significantly impacts global health outcomes. International guidelines emphasize the importance of high-quality CPR (cardiopulmonary resuscitation).

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Objectives: Our goal was to compare CPR efficiency using the criteria recommended by international guidelines between two out-of-hospital cardiac arrest intervention scenarios: CPR at the incident site; and CPR during patient transport to the hospital by emergency medical services.

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Methods: In each of the two scenarios, five full two-minute cycles of cardiac compression were applied to a manikin according to international guidelines. The CPR quality parameters were chest compression rate, chest compression depth recorded by the manikin, and investigator-evaluated correct hand placement on the manikin.

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Results: We analyzed data from 240 CPR cycles provided by 24 healthcare professionals. The mean chest compression rate was higher (120.5±10.9/minutes vs 125.3±14.7/min, P = .001) and the mean chest compression depth was shallower (43.9±6.6 millimeters [mm] vs 37.9±7.2 mm, P = .001) in the on-the-move group. The two groups’ appropriate hand placement rates were similar (92.1±5.4% vs 92.2±4.5%, P = .48).

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Conclusion: In this study, the moving ambulance simulation demonstrated that chest compressions were administered at a rate exceeding recommended guidelines and at a shallower depth than recommended, while the frequency of correct hand placement remained comparable. If the patient requires transportation from the scene of the incident, the healthcare team must be aware of the potential adverse effects on the chest compression quality.

","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Out-of-hospital Cardiac Arrest"},{"word":"cardiopulmonary resuscitation"},{"word":"CPR quality"},{"word":"moving ambulance"}],"section":"Cardiology","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3vh9p1jr","frozenauthors":[{"first_name":"Murat","middle_name":"","last_name":"Çetin","name_suffix":"","institution":"Department of Emergency Medicine, Izmir Dr. Behçet Uz Children’s Disease and Surgery Education and Research Hospital, Izmir, Türkiye","department":""},{"first_name":"Gökhan","middle_name":"","last_name":"Yilmaz","name_suffix":"","institution":"Department of Emergency Medicine, Konya Meram Public Hospital, Konya, Türkiye","department":""},{"first_name":"İlhan","middle_name":"","last_name":"Uz","name_suffix":"","institution":"Department of Emergency Medicine, Faculty of Medicine, Ege University, Izmir, Türkiye","department":""},{"first_name":"Turgay Yılmaz","middle_name":"","last_name":"Kılıç","name_suffix":"","institution":"Department of Emergency Medicine, Izmir Faculty of Medicine, University of Health Sciences, Izmir Bayraklı City Hospital, İzmir, Türkiye","department":""},{"first_name":"Erkan","middle_name":"","last_name":"Guvenç","name_suffix":"","institution":"Department of Emergency Health Services, Izmir Provincial Directorate of Health, Izmir, Türkiye","department":""},{"first_name":"Volkan","middle_name":"","last_name":"Ergun","name_suffix":"","institution":"Department of Emergency Health Services Training Unit, Izmir Provincial Directorate of Health, Izmir, Türkiye","department":""},{"first_name":"Ebru","middle_name":"","last_name":"Şener Araz","name_suffix":"","institution":"Department of Emergency Health Services Training Unit, Izmir Provincial Directorate of Health, Izmir, Türkiye","department":""},{"first_name":"Başak","middle_name":"","last_name":"Bayram","name_suffix":"","institution":"Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Türkiye","department":""},{"first_name":"Brit","middle_name":"Jeffrey","last_name":"Long","name_suffix":"","institution":"Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA","department":""},{"first_name":"Michael","middle_name":"","last_name":"Gottlieb","name_suffix":"","institution":"Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, USA","department":""},{"first_name":"William J.","middle_name":"","last_name":"Brady","name_suffix":"","institution":"Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA","department":""}],"date_submitted":"2024-12-05T09:58:02.506000Z","date_accepted":"2025-06-07T22:57:08.128000Z","date_published":"2025-09-25T21:07:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/40234/galley/40008/download/"}]}