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Title: Delay and performance of cardiopulmonary resuscitation in surf lifeguards after simulated cardiac arrest due to drowning.
Authors: Claesson, Andreas
Karlsson, Tomas
Thorén, Ann-Britt
Herlitz, Johan
Department: University of Borås. School of Health Sciences
Issue Date: Nov-2011
Journal Title: American journal of emergency medicine
ISSN: 1532-8171
Volume: 29
Issue: 9
Pages: 1044-1050
Publisher: W.B. Saunders Co.
Media type: text
Publication type: article, peer reviewed scientific
Keywords: Lifeguards
Subject Category: Subject categories::Medical and Health Sciences::Public Health, Global Health, Social Medicine and Epidemiology::Public Health, Global Health, Social Medicine and Epidemiology::Public Health, Global Health, Social Medicine and Epidemiology
Area of Research: Cardiac arrest due to drowning
Strategic Research Area: Integrated nursing science
Abstract: Abstract PURPOSE: To describe time delay during surf rescue and compare the quality of cardiopulmonary resuscitation (CPR) before and after exertion in surf lifeguards. METHODS: A total of 40 surf lifeguards at the Tylösand Surf Lifesaving Club in Sweden (65% men; age, 19-43 years) performed single-rescuer CPR for 10 minutes on a Laerdal SkillmeteÔ Resusci Anne manikin. The test was repeated with an initial simulated surf rescue on an unconscious 80-kg victim 100 m from the shore. The time to victim, to first ventilation, and to the start of CPR was documented. RESULTS: The mean time in seconds to the start of ventilations in the water was 155 ± 31 (mean ± SD) and to the start of CPR, 258 ± 44. Men were significantly faster during rescue (mean difference, 43 seconds) than women (P = .002). The mean compression depth (millimeters) at rest decreased significantly from 0-2 minutes (42.6 ± 7.8) to 8-10 minutes (40.8 ± 9.3; P = .02). The mean compression depth after exertion decreased significantly (44.2 ± 8.7 at 0-2 minutes to 41.5 ± 9.1 at 8-10 minutes; P = .0008). The compression rate per minute decreased after rescue from 117.2 ±14.3 at 0 to 2 minutes to 114.1 ± 16.1 after 8 to 10 minutes (P = .002). The percentage of correct compressions at 8 to 10 minutes was identical before and after rescue (62%). CONCLUSION: In a simulated drowning, 100 m from shore, it took twice as long to bring the patient back to shore as to reach him; and men were significantly faster. Half the participants delivered continuous chest compressions of more than 38 mm during 10 minutes of single-rescuer CPR. The quality was identical before and after surf rescue. Copyright © 2011 Elsevier Inc. All rights reserved.
DOI: 10.1016/j.ajem.2010.06.026,
Sustainable development: sustainable development
Appears in Collections:Artiklar och rapporter / Articles and reports (VHB)

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