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Comparison of manual and mechanical cardiopulmonary resuscitation on the move using a manikin:a service evaluation

Blair, Laura, Kendal, Simon Peter, Shaw, Gary Richard, Byers, Sonia, Dew, Rosie, Norton, Michael, Wilkes, Scott and Wright, John (2017) Comparison of manual and mechanical cardiopulmonary resuscitation on the move using a manikin:a service evaluation. Comparison of manual and mechanical cardiopulmonary resuscitation on the move using a manikin: a service evaluation, 2 (3). pp. 6-15. ISSN 1478-4726

Item Type: Article


Aim: The aim of this study was to assess the effect that transporting a patient has on the quality
of cardiopulmonary resuscitation (CPR) provided during pre-hospital resuscitation. Utilising the
2010 European Resuscitation Council (ERC) guidelines as a framework, one- and two-person
manual CPR (SCPR) and mechanical CPR (MCPR) were directly compared in a simulated prehospital
transport setting.
Methods: Ten practising paramedics each volunteered to participate in four pre-hospital CPR
scenarios. The MCPR device used for this study was the LUCASTM2. Data were captured electronically
using QCPRTM wireless technology (Resusci Anne® Wireless SkillReporterTM manikin and software
by Laerdal Medical©).
Results: A reduction in the rate, depth and percentage of correct compressions was noted when
the paramedics were moving the patient. In relation to the 2010 ERC guidelines, the SCPR did not
meet current guidelines and was of more variable quality than MCPR. MCPR was consistent and
conformed to the guidelines. However, the application of the LUCASTM2 when only one paramedic
was present resulted in a significant delay in commencing chest compressions.
Conclusion: In the pre-hospital setting, transporting a patient during a cardiac arrest can have
a deleterious effect on the quality of chest compressions being provided. When provided by a
mechanical device rather than manually, the quality of chest compressions produced is closer to
that currently recommended, but two persons would be required for timely deployment of the
device and to maximise the chest compression fraction. This could suggest a potential use for
pre-hospital MCPR even in the absence of recommendation for routine use.
CPR; mechanical CPR; transport

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Depositing User: Rosie Dew


Item ID: 9290
Identification Number:
ISSN: 1478-4726
Official URL:

Users with ORCIDS

ORCID for Scott Wilkes: ORCID iD

Catalogue record

Date Deposited: 09 May 2018 10:17
Last Modified: 20 May 2019 11:34


Author: Scott Wilkes ORCID iD
Author: Laura Blair
Author: Simon Peter Kendal
Author: Gary Richard Shaw
Author: Sonia Byers
Author: Rosie Dew
Author: Michael Norton
Author: John Wright

University Divisions

Faculty of Health Sciences and Wellbeing


Sciences > Health Sciences

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