Effects of resuscitation guideline terminology on pediatric cardiopulmonary resuscitation

Abstract

This study aimed to investigate the effect of resuscitation guideline terminology on pediatric cardiopulmonary resuscitation (CPR) performance. This was a prospective randomised crossover simulation trial. A total of 32 medical doctors conducted 2-min single-rescuer CPR using the one-handed chest compression technique (OHCC) or two-handed chest compression technique (THCC) on a pediatric manikin. The participants conducted chest compressions according to the chest compression depth (CCD) target of '5 cm (Test 1)' or 'at least one third of the anterior-posterior dimension of the chest (Test 2)' in a random order. In both techniques (OHCC or THCC), the average CCD of Test 1 were significantly lower than those of Test 2 (OHCC: 50.0 mm [46.0-52.0 mm] in Test 1 vs. 52.0 mm [50.3-55.0 mm] in Test 2, P = 0.001; THCC: 52.0 mm [50.3-55.0 mm] in Test 1 vs. 58.0 mm [54.0-62.0 mm] in Test 2, P < 0.001). The adequacy of the chest compressions was also superior in Test 2 (OHCC: 63.0% [7.5-95.8%] in Test 1 vs. 96.5% [78.8-99.9%] in Test 2, P < 0.001; THCC: 96.5% [78.8-99.9%] in Test 1 vs. 100.0% [100.0-100.0%] in Test 2, P < 0.001). Ventilation parameters were not significantly different between Tests 1 and 2. Average CCD during simulated pediatric CPR according to the CCD target of '5 cm' was significantly lower than those according to the CCD target of 'at least one third of the anterior-posterior dimension of the chest'.