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Aranda-García S, Otero-Agra M, Berlanga-Macías C, Rodríguez-Núñez A, Barcala-Furelos R, Domingo J, Seijas-Vijande A, Fernández-Méndez F. New communication tool for basic life support training: smart glasses. A quasi-experimental study. Med Intensiva 2024; 48:77-84. [PMID: 37923607 DOI: 10.1016/j.medine.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 09/07/2023] [Accepted: 09/09/2023] [Indexed: 11/07/2023]
Abstract
AIM To analyze the effectiveness of a teaching-learning methodology for teletraining in basic life support (BLS) based on communication through smart glasses. DESIGN Pilot quasi-experimental non-inferiority study. PARTICIPANTS Sixty college students. INTERVENTIONS Randomization of the participants in: tele-training through smart glasses (SG) and traditional training (C) groups. Both training sessions were very brief (less than 8 min) and included the same BLS content. In SG, the instructor trained through a video call with smart glasses. MAIN VARIABLES OF INTEREST The BLS protocol, the use of AED, the quality of resuscitation and the response times were evaluated. RESULTS In most of the BLS protocol variables, the resuscitation quality and performance times, there were no statistically significant differences between groups. There were significant differences (in favor of the SG) in the assessment of breathing (SG: 100%, C: 81%; p = 0.013), the not-to-touch warning before applying the shock (SG: 79%, C: 52%; p = 0.025) and compressions with correct recoil (SG: 85%, C: 32%; p = 0.008). CONCLUSIONS Laypeople BLS-AED brief tele-training through smart glasses could potentially be, at least, as effective as traditional training methods. In addition, smart glasses could be more advantageous than traditional teaching for certain points of the BLS protocol and chest compressions quality, probably due to the capability of real-time visualization of images which supports the BLS sequence. Augmented reality supported teaching should be considered for BLS training, although caution is required in extrapolating findings, and further in-depth studies are needed to confirm its potential role depending on concrete target populations and environments.
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Affiliation(s)
- Silvia Aranda-García
- Grupo de Investigación GRAFAIS, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain; Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - Martín Otero-Agra
- Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain; Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Carlos Berlanga-Macías
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, Cuenca, Spain; Facultad de Enfermería, Universidad de Castilla-La Mancha, Albacete, Spain.
| | - Antonio Rodríguez-Núñez
- Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain; Grupo de Investigación en Simulación, Soporte Vital y Cuidados Intensivos (SICRUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain; Sección de Pediatría Crítica, Cuidados Intermedios y Paliativos Pediátricos. Hospital Clínico Universitario de Santiago, Santiago de Compostela España, Spain; RICORS de Intervenciones en Atención Primaria para prevenir las enfermedades maternas e infantiles crónicas de origen perinatal y del desarrollo, RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
| | - Roberto Barcala-Furelos
- Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain
| | - Júlia Domingo
- Grupo de Investigación GRAFAIS, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | | | - Felipe Fernández-Méndez
- Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain; Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain; Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain; Grupo de Investigación en Simulación, Soporte Vital y Cuidados Intensivos (SICRUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain
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Barcala Furelos R, Schmidt A, Manteiga Urbón J, Aranda García S, Otero-Agra M, di Tullio N, de Oliveira J, Martínez Isasi S, Fernández-Méndez F. Aquatic Feasibility of Limbs Application of Tourniquets (AFLAT) during a Lifeguard Water Rescue: A Simulation Pilot Study. Prehosp Disaster Med 2024; 39:52-58. [PMID: 38328881 DOI: 10.1017/s1049023x24000050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
INTRODUCTION Control of massive hemorrhage (MH) is a life-saving intervention. The use of tourniquets has been studied in prehospital and battlefield settings but not in aquatic environments. OBJECTIVE The aim of this research is to assess the control of MH in an aquatic environment by analyzing the usability of two tourniquet models with different adjustment mechanisms: windlass rod versus ratchet. METHODOLOGY A pilot simulation study was conducted using a randomized crossover design to assess the control of MH resulting from an upper extremity arterial perforation in an aquatic setting. A sample of 24 trained lifeguards performed two randomized tests: one using a windlass-based Combat Application Tourniquet 7 Gen (T-CAT) and the other using a ratchet-based OMNA Marine Tourniquet (T-OMNA) specifically designed for aquatic use on a training arm for hemorrhage control. The tests were conducted after swimming an approximate distance of 100 meters and the tourniquets were applied while in the water. The following parameters were recorded: time of rescue (rescue phases and tourniquet application), perceived fatigue, and technical actions related to tourniquet skills. RESULTS With the T-OMNA, 46% of the lifeguards successfully stopped the MH compared to 21% with the T-CAT (P = .015). The approach swim time was 135 seconds with the T-OMNA and 131 seconds with the T-CAT (P = .42). The total time (swim time plus tourniquet placement) was 174 seconds with the T-OMNA and 177 seconds with the T-CAT (P = .55). The adjustment time (from securing the Velcro to completing the manipulation of the windlass or ratchet) for the T-OMNA was faster than with the T-CAT (six seconds versus 19 seconds; P < .001; effect size [ES] = 0.83). The perceived fatigue was high, with a score of seven out of ten in both tests (P = .46). CONCLUSIONS Lifeguards in this study demonstrated the ability to use both tourniquets during aquatic rescues under conditions of fatigue. The tourniquet with the ratcheting-fixation system controlled hemorrhage in less time than the windlass rod-based tourniquet, although achieving complete bleeding control had a low success rate.
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Affiliation(s)
- Roberto Barcala Furelos
- REMOSS Research Group, Facultade de CC. da Educación e do Deporte, Universidade de Vigo, Pontevedra, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain
| | - Andrew Schmidt
- Department of Emergency Medicine, University of Florida-Jacksonville, Jacksonville, FloridaUSA
| | - José Manteiga Urbón
- REMOSS Research Group, Facultade de CC. da Educación e do Deporte, Universidade de Vigo, Pontevedra, Spain
| | - Silvia Aranda García
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), University of Barcelona, Barcelona, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Facultade de CC. da Educación e do Deporte, Universidade de Vigo, Pontevedra, Spain
- School of Nursing, Universidade de Vigo, Pontevedra, Spain
| | - Nicolò di Tullio
- Sant'Anna School of Advanced Studies, Institute of Management, Piazza Martiri della Libertà, Pisa, Italy
| | - Joel de Oliveira
- REMOSS Research Group, Facultade de CC. da Educación e do Deporte, Universidade de Vigo, Pontevedra, Spain
- Surfing Medicine International, the Netherlands
| | - Santiago Martínez Isasi
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain, University of Santiago de Compostela, Santiago de Compostela, Spain
- Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Felipe Fernández-Méndez
- REMOSS Research Group, Facultade de CC. da Educación e do Deporte, Universidade de Vigo, Pontevedra, Spain
- School of Nursing, Universidade de Vigo, Pontevedra, Spain
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Martínez-Isasi S, Carballo-Fazanes A, Jorge-Soto C, Otero-Agra M, Fernández-Méndez F, Barcala-Furelos R, Izquierdo V, García-Martínez M, Rodríguez-Núñez A. School children brief training to save foreign body airway obstruction. Eur J Pediatr 2023; 182:5483-5491. [PMID: 37777603 PMCID: PMC10746610 DOI: 10.1007/s00431-023-05202-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 08/31/2023] [Accepted: 09/09/2023] [Indexed: 10/02/2023]
Abstract
Foreign body airway obstruction (FBAO) is a relatively common emergency and a potential cause of sudden death both in children and older people; bystander immediate action will determine the victim's outcome. Although many school children's basic life support (BLS) training programs have been implemented in recent years, references to specific training on FBAO are lacking. Therefore, the aim was to assess FBAO-solving knowledge acquisition in 10-13-year-old school children. A quasi-experimental non-controlled simulation study was carried out on 564 ten-to-thirteen-year-old children from 5 schools in Galicia (Spain). Participants received a 60-min training led by their physical education teachers (5 min theory, 15 min demonstration by the teacher, and 30 min hands-on training) on how to help to solve an FBAO event. After the training session, the school children's skills were assessed in a standardized adult's progressive FBAO simulation scenario. The assessment was carried out by proficient researchers utilizing a comprehensive checklist specifically designed to address the variables involved in resolving a FBAO event according with current international guidelines. The assessment of school children's acquired knowledge during the simulated mild FBAO revealed that 62.2% of participants successfully identified the event and promptly encouraged the simulated patient to cough actively. When the obstruction progressed, its severity was recognized by 86.2% and back blows were administered, followed by abdominal thrusts by 90.4%. When the simulated victim became unconscious, 77.1% of children identified the situation and immediately called the emergency medical service and 81.1% initiated chest compressions. No significant differences in performance were detected according to participants' age. Conclusion: A brief focused training contributes to prepare 10-13-year-old school children to perform the recommended FBAO steps in a standardized simulated patient. We consider that FBAO should be included in BLS training programs for school children. What is Known: • Kids Save Lives strategy states that school children should learn basic life support (BLS) skills because of their potential role as first responders. • This BLS training does not include content for resolving a foreign body airway obstruction (FBAO). What is New: • Following a 60-min theoretical-practical training led by physical education teachers, 10-13-year-old school children are able to solve a simulated FBAO situation. • The inclusion of FBAO content in BLS training in schools should be considered.
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Affiliation(s)
- Santiago Martínez-Isasi
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Simulation, Life Support, and Intensive Care Research Unit, (SICRUS) of the Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Av/Xoan XXIII, S/N, 15782, Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), Instituto de Salud Carlos III, RD21/0012/0025, Madrid, Spain
| | - Aida Carballo-Fazanes
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
- Simulation, Life Support, and Intensive Care Research Unit, (SICRUS) of the Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain.
- Faculty of Nursing, Universidade de Santiago de Compostela, Av/Xoan XXIII, S/N, 15782, Santiago de Compostela, Spain.
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), Instituto de Salud Carlos III, RD21/0012/0025, Madrid, Spain.
| | - Cristina Jorge-Soto
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Simulation, Life Support, and Intensive Care Research Unit, (SICRUS) of the Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Av/Xoan XXIII, S/N, 15782, Santiago de Compostela, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Roberto Barcala-Furelos
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
| | - Verónica Izquierdo
- Simulation, Life Support, and Intensive Care Research Unit, (SICRUS) of the Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), Instituto de Salud Carlos III, RD21/0012/0025, Madrid, Spain
| | | | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Simulation, Life Support, and Intensive Care Research Unit, (SICRUS) of the Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Av/Xoan XXIII, S/N, 15782, Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), Instituto de Salud Carlos III, RD21/0012/0025, Madrid, Spain
- Pediatric Critical, Intermediate and Palliative Care Section, Pediatric Area, Santiago de Compostela's University Clinic Hospital, Santiago de Compostela, Spain
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Aranda-García S, Barrio-Cortes J, Fernández-Méndez F, Otero-Agra M, Darné M, Herrera-Pedroviejo E, Barcala-Furelos R, Rodríguez-Núñez A. Dispatcher-assisted BLS for lay bystanders: A pilot study comparing video streaming via smart glasses and telephone instructions. Am J Emerg Med 2023; 71:163-168. [PMID: 37418840 DOI: 10.1016/j.ajem.2023.06.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 06/16/2023] [Accepted: 06/17/2023] [Indexed: 07/09/2023] Open
Abstract
OBJECTIVE To determine whether dispatcher assistance via smart glasses improves bystander basic life support (BLS) performance compared with standard telephone assistance in a simulated out-of-hospital cardiac arrest (OHCA) scenario. METHODS Pilot study in which 28 lay people randomly assigned to a smart glasses-video assistance (SG-VA) intervention group or a smartphone-audio assistance (SP-AA) control group received dispatcher guidance from a dispatcher to provide BLS in an OHCA simulation. SG-VA rescuers received assistance via a video call with smart glasses (Vuzix, Blade) connected to a wireless network, while SP-AA rescuers received instructions over a smartphone with the speaker function activated. BLS protocol steps, quality of chest compressions, and performance times were compared. RESULTS Nine of the 14 SG-VA rescuers correctly completed the BLS protocol compared with none of the SP-AA rescuers (p = 0.01). A significantly higher number of SG-VA rescuers successfully opened the airway (13 vs. 5, p = 0.002), checked breathing (13 vs. 8, p = 0.03), correctly positioned the automatic external defibrillator pads (14 vs.6, p = 0.001), and warned bystanders to stay clear before delivering the shock (12 vs. 0, p < 0.001). No significant differences were observed for performance times or chest compression quality. The mean compression rate was 104 compressions per minute in the SG-VA group and 98 compressions per minute in the SP-AA group (p = 0.46); mean depth of compression was 4.5 cm and 4.4 cm (p = 0.49), respectively. CONCLUSIONS Smart glasses could significantly improve dispatcher-assisted bystander performance in an OHCA event. Their potential in real-life situations should be evaluated.
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Affiliation(s)
- Silvia Aranda-García
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain; CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Health, University Camilo José Cela, Madrid, Spain
| | - Jaime Barrio-Cortes
- Faculty of Health, University Camilo José Cela, Madrid, Spain; Foundation for Biosanitary Research and Innovation in Primary Care, Madrid, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain; Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain.
| | - Marc Darné
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | | | - Roberto Barcala-Furelos
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain; Paediatric Critical, Intermediate and Palliative Care Section, Santiago de Compostela's University Hospital, Santiago de Compostela, Spain; Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
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Santos-Folgar M, Rodriguez-Nunez A, Barcala-Furelos R, Otero-Agra M, Martínez-Isasi S, Fernández-Méndez F. Trained Lifeguards Performing Pediatric Cardiopulmonary Resuscitation While Running: A Pilot Simulation Study. Children (Basel) 2023; 10:1348. [PMID: 37628347 PMCID: PMC10453907 DOI: 10.3390/children10081348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 07/26/2023] [Accepted: 08/02/2023] [Indexed: 08/27/2023]
Abstract
The aim of this study was to compare the quality of standard infant CPR with CPR in motion (i.e., walking and running) via performing maneuvers and evacuating the infant from a beach. Thirteen trained lifeguards participated in a randomized crossover study. Each rescuer individually performed three tests of 2 min each. Five rescue breaths and cycles of 30 chest compressions followed by two breaths were performed. Mouth-to-mouth-and-nose ventilation was carried out, and chest compressions were performed using the two-fingers technique. The manikin was carried on the rescuer's forearm with the head in the distal position. The analysis variables included compression, ventilation, and CPR quality variables, as well as physiological and effort parameters. Significantly lower compression quality values were obtained in running CPR versus standard CPR (53% ± 14% versus 63% ± 15%; p = 0.045). No significant differences were observed in ventilation or CPR quality. In conclusion, lifeguards in good physical condition can perform simulated infant CPR of a similar quality to that of CPR carried out on a victim who is lying down in a fixed position.
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Affiliation(s)
- Myriam Santos-Folgar
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain; (M.S.-F.); (R.B.-F.); (F.F.-M.)
- School of Nursing, Universidade de Vigo, 36004 Pontevedra, Spain
- Department of Obstetrics, Complexo Hospitalario of Pontevedra, 36001 Pontevedra, Spain
| | - Antonio Rodriguez-Nunez
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, 15706 A Coruña, Spain;
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela (CHUS), 15706 A Coruña, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, 15782 A Coruña, Spain
- Paediatric Critical, Intermediate and Palliative Care Section, Hospital Clínico Universitario de Santiago de Compostela, 15706 A Coruña, Spain
- Collaborative Research Network Orientated to Health Results (RICORS): Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin, RD21/0012/0025, Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Roberto Barcala-Furelos
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain; (M.S.-F.); (R.B.-F.); (F.F.-M.)
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, 15706 A Coruña, Spain;
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela (CHUS), 15706 A Coruña, Spain
- Collaborative Research Network Orientated to Health Results (RICORS): Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin, RD21/0012/0025, Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain; (M.S.-F.); (R.B.-F.); (F.F.-M.)
- School of Nursing, Universidade de Vigo, 36004 Pontevedra, Spain
| | - Santiago Martínez-Isasi
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, 15706 A Coruña, Spain;
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela (CHUS), 15706 A Coruña, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, 15782 A Coruña, Spain
- Collaborative Research Network Orientated to Health Results (RICORS): Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin, RD21/0012/0025, Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Felipe Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain; (M.S.-F.); (R.B.-F.); (F.F.-M.)
- School of Nursing, Universidade de Vigo, 36004 Pontevedra, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, 15706 A Coruña, Spain;
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Barcala-Furelos R, Aranda-García S, Otero-Agra M, Fernández-Méndez F, Alonso-Calvete A, Martínez-Isasi S, Greif R, Rodríguez-Núñez A. Are smart glasses feasible for dispatch prehospital assistance during on-boat cardiac arrest? A pilot simulation study with fishermen. Intern Emerg Med 2023; 18:1551-1559. [PMID: 37014496 PMCID: PMC10412669 DOI: 10.1007/s11739-023-03251-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 03/02/2023] [Indexed: 04/05/2023]
Abstract
The aim of the study was to explore feasibility of basic life support (BLS) guided through smart glasses (SGs) when assisting fishermen bystanders. Twelve participants assisted a simulated out-of-hospital cardiac arrest on a fishing boat assisted by the dispatcher through the SGs. The SGs were connected to make video calls. Feasibility was assessed whether or not they needed help from the dispatcher. BLS-AED steps, time to first shock/compression, and CPR's quality (hands-only) during 2 consecutive minutes (1st minute without dispatcher feedback, 2nd with dispatcher feedback) were analyzed. Reliability was analyzed by comparing the assessment of variables performed by the dispatcher through SGs with those registered by an on-scene instructor. Assistance through SGs was needed in 72% of the BLS steps, which enabled all participants to perform the ABC approach and use AED correctly. Feasibility was proven that dispatcher's feedback through SGs helped to improve bystanders' performance, as after dispatcher gave feedback via SGs, only 3% of skills were incorrect. Comparison of on-scene instructor vs. SGs assessment by dispatcher differ in 8% of the analyzed skills: greatest difference in the "incorrect hand position during CPR" (on-scene: 33% vs. dispatcher: 0%). When comparing the 1st minute with 2nd minute, there were only significant differences in the percentage of compressions with correct depth (1st:48 ± 42%, 2nd:70 ± 31, p = 0.02). Using SGs in aquatic settings is feasible and improves BLS. CPR quality markers were similar with and without SG. These devices have great potential for communication between dispatchers and laypersons but need more development to be used in real emergencies.
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Affiliation(s)
- Roberto Barcala-Furelos
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Silvia Aranda-García
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona, Av. De l'Estadi 22, 08038, Barcelona, Spain.
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Felipe Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Alejandra Alonso-Calvete
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
- Faculty of Physiotherapy, Universidade de Vigo, Pontevedra, Spain
| | - Santiago Martínez-Isasi
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Robert Greif
- University of Bern, Bern, Switzerland
- School of Medicine, Sigmund Freud University Vienna, Vienna, Austria
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Paediatric Critical, Intermediate and Palliative Care Section, Santiago de Compostela's University Hospital, Santiago de Compostela, Spain
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7
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Aranda-García S, Otero-Agra M, Fernández-Méndez F, Herrera-Pedroviejo E, Darné M, Barcala-Furelos R, Rodríguez-Núñez A. Augmented reality training in basic life support with the help of smart glasses. A pilot study. Resusc Plus 2023; 14:100391. [PMID: 37128627 PMCID: PMC10148024 DOI: 10.1016/j.resplu.2023.100391] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023] Open
Abstract
Introduction Laypeople should be trained in basic life support and traditional and innovative methodologies may help to obtain this goal. However, there is a knowledge gap about the ideal basic life support training methods. Smart glasses could have a role facilitating laypeople learning of basic life support. Aim To analyze the potential impact on basic life support learning of a very brief training supported by smart glasses video communication. Methods Twelve laypeople were basic life support tele-trained by means of smart glasses by an instructor in this pilot study. During training (assisted trough smart glasses) and after the training (unassisted) participants' performance and quality of basic life support and automated external defibrillation procedure were assessed on a standardized simulated scenario. Results After the training all participants were able to deliver good quality basic life support, with results comparable to those obtained when real time remotely guided by the instructor through the smart glasses. Mean chest compression rate was significantly higher when not guided (113 /min vs. 103 /min, p = 0.001). When not assisted, the participants spent less time delivering the sequential basic life support steps than when assisted while training. Conclusions A very brief remote training supported by instructor and smart glasses seems to be an effective educational method that could facilitate basic life support learning by laypeople. This technology could be considered in cases where instructors are not locally available or in general in remote areas, providing basic internet connection is available. Smart glasses could also be useful for laypeople rolling-refreshers.
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Affiliation(s)
- Silvia Aranda-García
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), University of Barcelona, Barcelona, Spain
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- Corresponding author at: Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Av de l’Estadi 22, 08038, Barcelona, Spain.
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Physical Activity and Educational Science, University of Vigo, Pontevedra, Spain
- Pontevedra School of Nursing, University of Vigo, Pontevedra, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Physical Activity and Educational Science, University of Vigo, Pontevedra, Spain
- Pontevedra School of Nursing, University of Vigo, Pontevedra, Spain
| | | | - Marc Darné
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), University of Barcelona, Barcelona, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Physical Activity and Educational Science, University of Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- Pediatric Critical, Intermediate and Palliative Care Section, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
- SICRUS Research Group, Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
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8
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Manteiga-Urbón JL, Fernández-Méndez F, Otero-Agra M, Fernández-Méndez M, Santos-Folgar M, Insa-Calderon E, Sobrido-Prieto M, Barcala-Furelos R, Martínez-Isasi S. Brief Training of Technical Bleeding Control Skills-A Pilot Study with Security Forces. Int J Environ Res Public Health 2023; 20:2494. [PMID: 36767862 PMCID: PMC9915853 DOI: 10.3390/ijerph20032494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/17/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
Uncontrolled external bleeding is a common cause of preventable death, and due to the environment in which these events often occur, e.g., in hostile environments, the state security forces are usually the first responders, and in many cases, if they are injured their partners provide the initial assistance. The tourniquet is a fast, effective, and easy-to-learn intervention, although there is a knowledge gap concerning training techniques. The objective is to evaluate the effectiveness of a bleeding control training program on a high-fidelity mannequin in a simulated critical situation in a law enforcement training environment. A quasi-experimental study was carried out with 27 members of the state security forces. They underwent brief theoretical-practical training and were evaluated via a scenario involving a critically ill patient in a hostile environment. The results showed that no member of the state security forces completed all the tourniquet placement steps, 26 (96%) prepared the tourniquet correctly, 21 (77.8%) placed it on the leg, and all the participants adjusted the band to the thickness of the injured limb and secured the windlass to the triangular flange of the device. However, only 23 (85.2%) of the participants placed it effectively. The participants, who were members of the state security forces, were able to effectively resolve a critical situation with active bleeding in a simulation scenario with a high-fidelity mannequin after completing theoretical-practical training.
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Affiliation(s)
| | - Felipe Fernández-Méndez
- REMOSS Research Group, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36005 Pontevedra, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36005 Pontevedra, Spain
| | - María Fernández-Méndez
- REMOSS Research Group, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36005 Pontevedra, Spain
| | - Myriam Santos-Folgar
- REMOSS Research Group, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36005 Pontevedra, Spain
| | - Esther Insa-Calderon
- ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra Affiliated, 08003 Barcelona, Spain
- SDHEd (Social Determinants and Health Education Research Group), IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain
| | - María Sobrido-Prieto
- Departamento de Ciencias da Saúde, Universidade de A Coruña (UDC), Campus de Esteiro, 15403 Ferrol, Spain
| | - Roberto Barcala-Furelos
- REMOSS Research Group, University of Vigo, 36005 Pontevedra, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, 15706 Santiago Compostela, Spain
- Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
| | - Santiago Martínez-Isasi
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, 15706 Santiago Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, 15782 Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela, 15782 Santiago de Compostela, Spain
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9
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Aranda-García S, Santos-Folgar M, Fernández-Méndez F, Barcala-Furelos R, Pardo Ríos M, Hernández Sánchez E, Varela-Varela L, San Román-Mata S, Rodríguez-Núñez A. "Dispatcher, Can You Help Me? A Woman Is Giving Birth". A Pilot Study of Remote Video Assistance with Smart Glasses. Sensors (Basel) 2022; 23:s23010409. [PMID: 36617008 PMCID: PMC9824362 DOI: 10.3390/s23010409] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 12/22/2022] [Accepted: 12/27/2022] [Indexed: 05/20/2023]
Abstract
Smart glasses (SG) could be a breakthrough in emergency situations, so the aim of this work was to assess the potential benefits of teleassistance with smart glasses (SG) from a midwife to a lifeguard in a simulated, unplanned, out-of-hospital birth (OHB). Thirty-eight lifeguards were randomized into SG and control (CG) groups. All participants were required to act in a simulated imminent childbirth with a maternal−fetal simulator (PROMPT Flex, Laerdal, Norway). The CG acted autonomously, while the SG group was video-assisted by a midwife through SG (Vuzix Blade, New York, NY, USA). The video assistance was based on the OHB protocol, speaking and receiving images on the SG. The performance time, compliance with the protocol steps, and perceived performance with the SG were evaluated. The midwife’s video assistance with SG allowed 35% of the SG participants to perform the complete OHB protocol. No CG participant was able to perform it (p = 0.005). All OHB protocol variables were significantly better in the SG group than in the CG (p < 0.05). Telemedicine through video assistance with SG is feasible so that a lifeguard with no knowledge of childbirth care can act according to the recommendations in a simulated, unplanned, uncomplicated OHB. Communication with the midwife by speaking and sending images to the SG is perceived as an important benefit to the performance.
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Affiliation(s)
- Silvia Aranda-García
- GRAFAIS Research Group, Institut Nacional d’Educació Física de Catalunya (INEFC), Universitat de Barcelona, 08840 Barcelona, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Faculty of Nursing, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
| | - Myriam Santos-Folgar
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36310 Pontevedra, Spain
- School of Nursing from Pontevedra, Universidade de Vigo, 36004 Pontevedra, Spain
- Department of Obstetrics, Complexo Hospitalario Universitario de Pontevedra, SERGAS, 36002 Pontevedra, Spain
- Correspondence: (M.S.-F.); (S.S.R.-M.); Tel.: +00-(34)-886-211-900 (M.S.-F.); +00-(34)-630-120-241 (S.S.R.-M.)
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Faculty of Nursing, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36310 Pontevedra, Spain
- School of Nursing from Pontevedra, Universidade de Vigo, 36004 Pontevedra, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Faculty of Nursing, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36310 Pontevedra, Spain
| | - Manuel Pardo Ríos
- Faculty of Nursing, Catholic University of Murcia (UCAM), 061 Emergency Services (112) of Murcia, 30107 Murcia, Spain
| | - Encarna Hernández Sánchez
- Faculty of Nursing, Catholic University of Murcia (UCAM), 061 Emergency Services (112) of Murcia, 30107 Murcia, Spain
| | - Lucía Varela-Varela
- Department of Obstetrics, Complexo Hospitalario Universitario de Pontevedra, SERGAS, 36002 Pontevedra, Spain
| | - Silvia San Román-Mata
- Faculty of Health Sciences of Melilla, University of Granada, 52005 Melilla, Spain
- Correspondence: (M.S.-F.); (S.S.R.-M.); Tel.: +00-(34)-886-211-900 (M.S.-F.); +00-(34)-630-120-241 (S.S.R.-M.)
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Faculty of Nursing, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
- Pediatric Critical, Intermediate and Palliative Care Section, University Clinical Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, 28220 Madrid, Spain
- SICRUS Research Group, Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain
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10
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Santos-Folgar M, Lafuente-Filgueira P, Otero-Agra M, Fernández-Méndez F, Barcala-Furelos R, Trastoy-Quintela J, Aranda-García S, Fernández-Méndez M, Rodríguez-Núñez A. Quality of Ventilations during Infant Resuscitation: A Simulation Study Comparing Endotracheal Tube with Face Mask. Children (Basel) 2022; 9:children9111757. [PMID: 36421206 PMCID: PMC9689187 DOI: 10.3390/children9111757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/12/2022] [Accepted: 11/14/2022] [Indexed: 11/18/2022]
Abstract
Background: There are few studies that analyze ventilation volume and pressure during CPR carried out on infants. The aim of this study was to evaluate the quality of the ventilations administered using a self-inflating bag with an endotracheal tube and a face mask in manikins. Methods: a quasi-experimental simulation study with a randomized case crossover design [endotracheal tube (ET) vs. face mask (FM)] was performed. Sixty participants who were previously trained nursing students participated in the study. The estimated air volumes breathed, and the pressure generated during each ventilation were assessed and the quality of the chest compressions was recorded. Results: the ET test presented a higher percentage of ventilations that reached the lungs (100% vs. 86%; p < 0.001), with adequate volume (60% vs. 28%; p < 0.001) in comparison to FM. Both tests presented peak pressures generated in the airway greater than 30 cm H2O (ET: 22% vs. FM: 31%; p = 0.03). Conclusions: performing quality CPR ventilations on an infant model is not an easy skill for trained nursing students. Both tests presented a significant incidence of excessive peak pressure during ventilations. Specific training, focused on quality of ventilations guided by a manometer attached to the self-inflating bag, must be considered in life support training for pediatric providers.
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Affiliation(s)
- Myriam Santos-Folgar
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36001 Pontevedra, Spain
- Department of Obstetrics, Complexo Hospitalario of Pontevedra, Sergas, 36002 Pontevedra, Spain
| | | | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36001 Pontevedra, Spain
- Correspondence: (M.O.-A.); (F.F.-M.)
| | - Felipe Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36001 Pontevedra, Spain
- Life Support and Simulation, Institute of Research of Santiago, CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, 15706 A Coruña, Spain
- Correspondence: (M.O.-A.); (F.F.-M.)
| | - Roberto Barcala-Furelos
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
- Life Support and Simulation, Institute of Research of Santiago, CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, 15706 A Coruña, Spain
- Faculty of Education and Sports Sciences, University of Vigo, 36005 Pontevedra, Spain
| | - Javier Trastoy-Quintela
- Paediatric Critical, Intermediate and Palliative Care Section, Hospital Clínico Universitario de Santiago de Compostela, 15706 A Coruña, Spain
| | - Silvia Aranda-García
- GRAFIS Research Group, Institut Nacional d’Educació Física de Catalunya (INEFC), Universitat de Barcelona, 08007 Barcelona, Spain
| | - María Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
- School of Nursing, University of Vigo, 36001 Pontevedra, Spain
- Life Support and Simulation, Institute of Research of Santiago, CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, 15706 A Coruña, Spain
| | - Antonio Rodríguez-Núñez
- Life Support and Simulation, Institute of Research of Santiago, CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, 15706 A Coruña, Spain
- Paediatric Critical, Intermediate and Palliative Care Section, Hospital Clínico Universitario de Santiago de Compostela, 15706 A Coruña, Spain
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11
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Santos-Folgar M, Fernández-Méndez F, Otero-Agra M, Abelairas-Gómez C, Murciano M, Rodríguez-Núñez A, Barcala-Furelos R. Infant Cardiopulmonary Resuscitation Quality While Walking Fast: A Simulation Study. Pediatr Emerg Care 2022; 38:e973-e977. [PMID: 35100785 DOI: 10.1097/pec.0000000000002505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study focuses on the characteristics (feasibility, resuscitation quality, and physical demands) of infant cardiopulmonary resuscitation (CPR) on the forearm during fast walking, performed by a trained lay rescuer. METHODS Twenty-one university students from the infant education degree participated in a randomized crossover simulation study to compare a standard pediatric CPR versus a walking pediatric CPR with a manikin on the rescue forearm. Each rescuer performed 2 resuscitation tests of 2 minutes on the infant manikin. Cardiopulmonary resuscitation, physiological, and perceived effort variables were measured. RESULTS The quality of chest compressions was higher in standard pediatric CPR than in walking pediatric CPR (72% vs 51%; P < 0.001) and overall CPR quality (59% vs 49%; P = 0.02). There were no differences between ventilation quality (47% vs 46%). Walking pediatric CPR presented a higher percentage of maximum heart rate (52% vs 69%; P < 0.001) and perceived exertion rate (2 vs 5; P < 0.001). Participants walked an average of 197 m during the test. CONCLUSIONS In conclusion, pediatric walking CPR is feasible although it represents a slight quality decrease in a simulation infant CPR setting. The option "CPR while walking fast to a safe place" seems to be suitable in terms of safety both for the victim and the rescuer, as well as CPR quality in special circumstances.
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Affiliation(s)
| | | | | | | | - Manuel Murciano
- Emergency Pediatric Department, Institute for Research and Health Care (IRCCS), Bambino Gesù Children's Hospital, Rome, Italy
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12
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Fernández-Méndez M, Otero-Agra M, Fernández-Méndez F, Martínez-Isasi S, Santos-Folgar M, Barcala-Furelos R, Rodríguez-Núñez A. Analysis of Physiological Response during Cardiopulmonary Resuscitation with Personal Protective Equipment: A Randomized Crossover Study. Int J Environ Res Public Health 2021; 18:ijerph18137093. [PMID: 34281042 PMCID: PMC8296930 DOI: 10.3390/ijerph18137093] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 04/18/2021] [Accepted: 06/29/2021] [Indexed: 12/12/2022]
Abstract
The use of personal protective equipment (PPE) is required for the self-protection of healthcare workers during cardiopulmonary resuscitation (CPR) in patients at risk of aerosol transmission of infectious agents. The aim of this study was to analyze the impact of personal protective equipment on physiological parameters during CPR. A randomized, quasi-experimental, crossover design was used. The study was carried out in a training and simulation emergency box and the total sample consisted of 20 healthcare professionals. Two CPR tests were compared with the recommended sequence of 30 chest compressions and 2 ventilations. The duration of each test was 20 min. One of the CPR tests was carried out without using any PPE (CPR_control), i.e., performed with the usual clothing of each rescuer. The other test was carried out using a CPR test with PPE (i.e., CPR_PPE). The main variables of interest were: CPR quality, compressions, ventilations, maximum heart rate, body fluid loss, body temperature, perceived exertion index, comfort, thermal sensation and sweating. The quality of the CPR was similar in both tests. The maximum heart rate was higher in the active intervals (compressions + bag-valve-mask) of the test with PPE. CPR_PPE meant an increase in the perceived effort, temperature at the start of the thermal sensation test, thermal comfort and sweating, as opposed to CPR performed with usual clothing. Performing prolonged resuscitation with PPE did not influence CPR quality, but caused significant physiological demands. Rescuers were more fatigued, sweated more and their thermal comfort was worse. These results suggest that physical preparation should be taken into account when using PPE and protocols for physiological recovery after use should also be established.
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Affiliation(s)
- María Fernández-Méndez
- CLINURSID Research Group, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (M.F.-M.); (S.M.-I.); (R.B.-F.); (A.R.-N.)
- REMOSS Research Group, Faculty of Education and Sports Science, University of Vigo, 36005 Pontevedra, Spain; (M.O.-A.); (M.S.-F.)
- Pontevedra School of Nursing, University of Vigo, 36004 Pontevedra, Spain
- Santiago de Compostela’s Health Research Institute (IDIS), 15706 Santiago de Compostela, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sports Science, University of Vigo, 36005 Pontevedra, Spain; (M.O.-A.); (M.S.-F.)
- Pontevedra School of Nursing, University of Vigo, 36004 Pontevedra, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (M.F.-M.); (S.M.-I.); (R.B.-F.); (A.R.-N.)
- REMOSS Research Group, Faculty of Education and Sports Science, University of Vigo, 36005 Pontevedra, Spain; (M.O.-A.); (M.S.-F.)
- Pontevedra School of Nursing, University of Vigo, 36004 Pontevedra, Spain
- Santiago de Compostela’s Health Research Institute (IDIS), 15706 Santiago de Compostela, Spain
- Correspondence:
| | - Santiago Martínez-Isasi
- CLINURSID Research Group, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (M.F.-M.); (S.M.-I.); (R.B.-F.); (A.R.-N.)
- Santiago de Compostela’s Health Research Institute (IDIS), 15706 Santiago de Compostela, Spain
- Faculty of Nursing, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
| | - Myriam Santos-Folgar
- REMOSS Research Group, Faculty of Education and Sports Science, University of Vigo, 36005 Pontevedra, Spain; (M.O.-A.); (M.S.-F.)
- Pontevedra School of Nursing, University of Vigo, 36004 Pontevedra, Spain
- Department of Obstetrics, Complexo Hospitalario of Pontevedra, Sergas, 36001 Pontevedra, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (M.F.-M.); (S.M.-I.); (R.B.-F.); (A.R.-N.)
- REMOSS Research Group, Faculty of Education and Sports Science, University of Vigo, 36005 Pontevedra, Spain; (M.O.-A.); (M.S.-F.)
- Santiago de Compostela’s Health Research Institute (IDIS), 15706 Santiago de Compostela, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (M.F.-M.); (S.M.-I.); (R.B.-F.); (A.R.-N.)
- Santiago de Compostela’s Health Research Institute (IDIS), 15706 Santiago de Compostela, Spain
- Faculty of Nursing, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
- Pediatric Intensive Care Unit, University Clinical Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain
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13
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Santos-Folgar M, Otero-Agra M, Prada-Pérez A, Barcala-Furelos R, Rodríguez-Núñez A, Fernández-Méndez F. Fatigue During Infant Cardiopulmonary Resuscitation: Is It Really a Problem for Quality Performance? Pediatr Emerg Care 2021; 37:e278-e279. [PMID: 33903293 DOI: 10.1097/pec.0000000000002366] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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Otero-Agra M, Santiago-Urgal N, Hermo-Gonzalo MT, Fernández-Méndez M, Fernández-Méndez F. CPR by foot. An alternative in special circumstances? A randomized simulation study. Am J Emerg Med 2021; 43:1-6. [PMID: 33453467 DOI: 10.1016/j.ajem.2020.12.086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 12/01/2020] [Accepted: 12/30/2020] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE To assess the differences in the quality and self-perception of CPR performed with foot technique compared to the standard technique with the hands in nursing students. METHODS 65 university nursing students participated in a randomized simulation crossover design study. The participants randomly performed two CPR tests: CPR by foot and CPR by hands techniques. The compression-only protocol with a 2-min test was used with the Resusci Anne QCPR® manikin and Wireless Skill Reporter® software, both from Laerdal. RESULTS Participants had lower quality when doing CPR by foot (72%) than when doing standard CPR (91%) (p = 0.006). 95% of the participants indicated standard CPR as the technique of choice, while 92% indicated that they would use CPR by foot if it was not possible to perform standard technique. CONCLUSIONS CPR quality was lower when performing foot technique, although with positive results. It would be advisable for people with acquired CPR skills to know that they can do foot compressions in situations where they cannot use their hands.
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Affiliation(s)
- Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sports Sciences of Pontevedra, University of Vigo, Spain.
| | | | - María Teresa Hermo-Gonzalo
- REMOSS Research Group, Faculty of Education and Sports Sciences of Pontevedra, University of Vigo, Spain; Pontevedra University School of Nursisng, University of Vigo, Spain
| | - María Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sports Sciences of Pontevedra, University of Vigo, Spain; Pontevedra University School of Nursisng, University of Vigo, Spain
| | - Felipe Fernández-Méndez
- REMOSS Research Group, Faculty of Education and Sports Sciences of Pontevedra, University of Vigo, Spain; Pontevedra University School of Nursisng, University of Vigo, Spain
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Fernández-Méndez F, Barcala-Furelos R, Otero-Agra M, Fernández-Méndez M, Santos-Folgar M, Rodríguez-Núñez A. Evaluación sobre la técnica de compresiones torácicas usando APP. ¿Ayudan o entorpecen la reanimación cardiopulmonar? Med Intensiva 2020; 44:72-79. [DOI: 10.1016/j.medin.2018.07.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 06/01/2018] [Accepted: 07/16/2018] [Indexed: 11/25/2022]
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Carballo-Fazanes A, Barcala-Furelos R, Eiroa-Bermúdez J, Fernández-Méndez M, Abelairas-Gómez C, Martínez-Isasi S, Murciano M, Fernández-Méndez F, Rodríguez-Núñez A. Physiological demands of quality cardiopulmonary resuscitation performed at simulated 3250 meters high. Am J Emerg Med 2019; 38:2580-2585. [PMID: 31911060 DOI: 10.1016/j.ajem.2019.12.048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Revised: 12/19/2019] [Accepted: 12/23/2019] [Indexed: 01/03/2023] Open
Abstract
AIM To analyse the effect of oxygen fraction reduction (O2 14%, equivalent to 3250 m) on Q-CPR and rescuers' physiological demands. METHODOLOGY A quasi-experimental study was carried out in a sample of 9 Q-CPR proficient health care professionals. Participants, in teams of 2 people, performed 10 min CPR on a Laerdal ResusciAnne mannequin (30:2 compression/ventilation ratio and alternating roles between rescuers every 2 min) in two simulated settings: T21-CPR at sea level (FiO2 of 21%) and T14 - CPR at 3250 m altitude (FiO2 of 14%). Effort self-perception was rated from 0 (no effort) to 10 (maximum demand) points. RESULTS Quality of chest compressions was good and similar in both conditions (T21 vs T14). However, the percentage of ventilations with adequate tidal volume was lower in altitude than at sea level conditions (35.9 ± 25.2% vs. 54.7 ± 23.2%, p = 0.035). The subjective perception of effort was significantly higher at simulated altitude (5 ± 2) than at sea level (3 ± 2) (p = 0.038). Maximum heart rate during the tests was similar in both conditions; however, mean oxygen saturation was significantly lower in altitude conditions (90.5 ± 2.5% vs. 99.3 ± 0.5%, p < 0.001). CONCLUSION Although performing CPR under simulated hypoxic altitude conditions significantly increases the physiological demands and subjective feeling of tiredness compared to sea level CPR, trained rescuers are able to deliver good Q-CPR in such conditions, at least in the first 10 min of resuscitation.
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Affiliation(s)
- Aida Carballo-Fazanes
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Santiago de Compostela's Health Research Institute (IDIS), Santiago de Compostela, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Santiago de Compostela's Health Research Institute (IDIS), Santiago de Compostela, Spain; Faculty of Education and Sport Sciences, REMOSS Network Research, Universidade de Vigo, Pontevedra, Spain
| | | | - María Fernández-Méndez
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; School of Nursing, REMOSS Network Research, Universidade de Vigo, Pontevedra, Spain
| | - Cristian Abelairas-Gómez
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Santiago de Compostela's Health Research Institute (IDIS), Santiago de Compostela, Spain; Faculty of Education and Sport Sciences, REMOSS Network Research, Universidade de Vigo, Pontevedra, Spain; Faculty of Education Sciences, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
| | - Santiago Martínez-Isasi
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Manuel Murciano
- Pediatric Department, Hospital Universitario Policlinico Humberto I, Universidad de Roma "Sapienza", Roma, Italy
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; School of Nursing, REMOSS Network Research, Universidade de Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Santiago de Compostela's Health Research Institute (IDIS), Santiago de Compostela, Spain; Faculty of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Pediatric Intensive Care Unit, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain
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Carballo-Fazanes A, Jorge-Soto C, Abelairas-Gómez C, Bello-Rodríguez J, Fernández-Méndez F, Rodríguez-Núñez A. Could mobile apps improve laypeople AED use? Resuscitation 2019; 140:159-160. [PMID: 31153946 DOI: 10.1016/j.resuscitation.2019.05.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Accepted: 05/21/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Aida Carballo-Fazanes
- Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Cristina Jorge-Soto
- Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain.
| | - Cristian Abelairas-Gómez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Education, University Santiago de Compostela, Santiago de Compostela, Spain; Institute of Research of Santiago (IDIS) and SAMID-II Network, Spain
| | | | - Felipe Fernández-Méndez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Nursing, University of Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain; Paediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Santiago de Compostela, Spain; Institute of Research of Santiago (IDIS) and SAMID-II Network, Spain
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Fernández-Méndez F, Otero-Agra M, Abelairas-Gómez C, Sáez-Gallego NM, Rodríguez-Núñez A, Barcala-Furelos R. ABCDE approach to victims by lifeguards: How do they manage a critical patient? A cross sectional simulation study. PLoS One 2019; 14:e0212080. [PMID: 31039154 PMCID: PMC6490899 DOI: 10.1371/journal.pone.0212080] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 04/12/2019] [Indexed: 11/21/2022] Open
Abstract
Introduction Decision-making in emergencies is a multifactorial process based on the rescuer, patient, setting and resources. The eye-tracking system is a proven method for assessing decision-making processes that have been used in different fields of science. Our aim was to evaluate the lifeguards’ capacity to perform the ABCDE (Airway-Breathing-Circulation-Disability-Exposure) approach when facing a simulated critically ill-drowned victim. Methods A cross-sectional simulation study was designed to assess the skills and sequence of the ABCDE approach by 20 professional lifeguards. They had to assess a victim and act according to his/her clinical status by following the ABCDE primary assessment approach. The two kinds of variables were recorder: those related to the quality of each step of the ABCDE approach and the visual behaviour using a portable eye-movement system. The eye-tracking system was the Mobile Eye system (Bedford, USA). Results None of the study participants were able to complete correctly the ABCDE approach. Lifeguards spent more time in the Circulation step: Airway (15.5±11.1 s), Breathing (25.1±21.1 s), Circulation (44.6±29.5 s), Disability (38.5±0.7 s). Participants spent more time in viewpoints considered as important (65.5±17.4 s) compared with secondary ones (34.6±17.4 s, p = 0.008). This was also represented in the percentage of visual fixations (fixations in important viewpoints: 63.36±15.06; fixation in secondary viewpoints: 36.64±15.06; p = 0.008). Conclusion Professional lifeguards failed to fully perform the ABCDE sequence. Evaluation by experts with the help of eye-tracking technology detected the lifeguards’ limitations in the assessment and treatment of an eventual critically ill victim. Such deficits should be considered in the design and implementation of lifeguards’ training programmes.
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Affiliation(s)
- Felipe Fernández-Méndez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- University College of Nursing, University of Vigo, Pontevedra, Spain
| | - Martín Otero-Agra
- Faculty of Education and Sport Sciences, REMOSS Network Research, University of Vigo, Pontevedra, Spain
| | - Cristian Abelairas-Gómez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- Faculty of Education Sciences, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Institute of Health Research of Santiago (IDIS), Santiago de Compostela, Spain
- * E-mail:
| | | | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
- Institute of Health Research of Santiago (IDIS), Santiago de Compostela, Spain
- Pediatric Area, Pediatric Emergency and Critical Care Division, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
- Mother-Child Health and Development Network (Red SAMID), Carlos III Health Institute, Madrid, Spain
| | - Roberto Barcala-Furelos
- Faculty of Education and Sport Sciences, REMOSS Network Research, University of Vigo, Pontevedra, Spain
- Institute of Health Research of Santiago (IDIS), Santiago de Compostela, Spain
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Martínez-Isasi S, Abelairas-Gómez C, Fernández-Méndez F, Barcala-Furelos R, Jorge-Soto C, Gómez-Gónzalez C, Rodríguez-Nuñez A. Is it necessary to see to save a life? Pilot study of basic CPR training for blind people. Resuscitation 2018; 134:165-166. [PMID: 30496839 DOI: 10.1016/j.resuscitation.2018.11.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Accepted: 11/24/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Santiago Martínez-Isasi
- Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Campus de Esteiro, Ferrol, Spain.
| | - Cristian Abelairas-Gómez
- Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Spain; Faculty of Educational Sciences, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
| | - Felipe Fernández-Méndez
- University School of Nursing, University of Vigo, Pontevedra, Spain; REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain
| | - Roberto Barcala-Furelos
- REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain; Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
| | - Cristina Jorge-Soto
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Candela Gómez-Gónzalez
- Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña, SERGAS, Universidade da Coruña, A Coruña, Spain
| | - Antonio Rodríguez-Nuñez
- CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Paediatric Emergency and Critical Care Division, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Institute of Health Research of Santiago (IDIS), Spain
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Santos-Folgar M, Otero-Agra M, Fernández-Méndez F, Hermo-Gonzalo MT, Barcala-Furelos R, Rodríguez-Núñez A. Ventilation during cardiopulmonary resuscitation in the infant. Mouth to mouth and nose, or bag-valve-mask? A quasi-experimental study. An Pediatr (Barc) 2018. [DOI: 10.1016/j.anpede.2017.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Pichel López M, Martínez-Isasi S, Barcala-Furelos R, Fernández-Méndez F, Vázquez Santamariña D, Sánchez-Santos L, Rodríguez-Nuñez A. Un primer paso en la enseñanza del soporte vital básico en las escuelas: la formación de los profesores. An Pediatr (Barc) 2018; 89:265-271. [DOI: 10.1016/j.anpedi.2017.11.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 11/02/2017] [Accepted: 11/09/2017] [Indexed: 12/11/2022] Open
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Pichel López M, Martínez-Isasi S, Barcala-Furelos R, Fernández-Méndez F, Vázquez Santamariña D, Sánchez-Santos L, Rodríguez-Nuñez A. A first step to teaching basic life support in schools: Training the teachers. An Pediatr (Barc) 2018. [DOI: 10.1016/j.anpede.2018.06.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Santos-Folgar M, Otero-Agra M, Fernández-Méndez F, Hermo-Gonzalo MT, Barcala-Furelos R, Rodríguez-Núñez A. [Ventilation during cardiopulmonary resuscitation in the infant. Mouth to mouth and nose, or bag-valve-mask? A quasi-experimental study]. An Pediatr (Barc) 2018; 89:272-278. [PMID: 29429863 DOI: 10.1016/j.anpedi.2017.12.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 12/26/2017] [Accepted: 12/30/2017] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION It has been observed that health professionals have difficulty performing quality cardiopulmonary resuscitation (CPR). The aim of this study was to compare the quality of ventilations performed by Nursing students on an infant model using different methods (mouth-to-mouth-and-nose or bag-valve-mask). MATERIAL AND METHODS A quasi-experimental cross-sectional study was performed that included 46 second-year Nursing students. Two quantitative 4-minute tests of paediatric CPR were performed: a) mouth-to-mouth-and-nose ventilations, and b) ventilations with bag-valve-mask. A Resusci Baby QCPR Wireless SkillReporter® mannequin from Laerdal was used. The proportion of ventilations with adequate, excessive, and insufficient volume was recorded and analysed, as well as the overall quality of the CPR (ventilations and chest compressions). RESULTS The students were able to give a higher number of ventilations with adequate volume using the mouth-to-mouth-and-nose method (55±22%) than with the bag-valve-mask (28±16%, P<.001). The overall quality of the CPR was also significantly higher when using the mouth-to-mouth-and-nose method (60±19 vs. 48±16%, P<.001). CONCLUSIONS Mouth-to-mouth-and-nose ventilation method is more efficient than bag-valve-mask ventilations in CPR performed by nursing students with a simulated infant model.
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Affiliation(s)
- Myriam Santos-Folgar
- Facultad de Ciencias de la Educación y el Deporte, Universidad de Vigo, Pontevedra, España; Grupo de Investigación en Rendimiento y Motricidad del Salvamento y Socorrismo (REMOSS), Universidad de Vigo, Pontevedra, España
| | - Martín Otero-Agra
- Facultad de Ciencias de la Educación y el Deporte, Universidad de Vigo, Pontevedra, España; Grupo de Investigación en Rendimiento y Motricidad del Salvamento y Socorrismo (REMOSS), Universidad de Vigo, Pontevedra, España
| | - Felipe Fernández-Méndez
- Grupo de Investigación en Rendimiento y Motricidad del Salvamento y Socorrismo (REMOSS), Universidad de Vigo, Pontevedra, España; CLINURSID, Grupo de Investigación, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, España; Escuela de Enfermería de Pontevedra, Universidad de Vigo, Pontevedra, España.
| | - María Teresa Hermo-Gonzalo
- Grupo de Investigación en Rendimiento y Motricidad del Salvamento y Socorrismo (REMOSS), Universidad de Vigo, Pontevedra, España; Escuela de Enfermería de Pontevedra, Universidad de Vigo, Pontevedra, España
| | - Roberto Barcala-Furelos
- Facultad de Ciencias de la Educación y el Deporte, Universidad de Vigo, Pontevedra, España; Grupo de Investigación en Rendimiento y Motricidad del Salvamento y Socorrismo (REMOSS), Universidad de Vigo, Pontevedra, España; CLINURSID, Grupo de Investigación, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, España
| | - Antonio Rodríguez-Núñez
- CLINURSID, Grupo de Investigación, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, España
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Jorge-Soto C, Gómez-González C, Fernández-Méndez F, Otero-Agra M, Abelairas-Gómez C, Rodríguez-Núñez A. Could mobile apps improve laypeople AED use? Resuscitation 2017. [DOI: 10.1016/j.resuscitation.2017.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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González-Salvado V, Fernández-Méndez F, Barcala-Furelos R, Peña-Gil C, González-Juanatey JR, Rodríguez-Núñez A. Very brief training for laypeople in hands-only cardiopulmonary resuscitation. Effect of real-time feedback. Am J Emerg Med 2016; 34:993-8. [PMID: 26964823 DOI: 10.1016/j.ajem.2016.02.047] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2016] [Revised: 02/14/2016] [Accepted: 02/15/2016] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Bystander cardiopulmonary resuscitation (CPR) improves survival from out-of-hospital cardiac arrest, but rates and performance quality remain low. Although training laypeople is a primary educational goal, the optimal strategy is not well defined. This study aimed to determine whether a short training with real-time feedback was able to improve hands-only CPR among untrained citizens. METHODS On the occasion of the 2015 World Heart Day and the European Restart a Heart Day, a pilot study involving 155 participants (81 laypeople, 74 health care professionals) was conducted. Participants were invited to briefly practice hands-only CPR on a manikin and were after evaluated during a 2-minute chest compression (CC) test. During training brief instructions regarding hand position, compression rate and depth according to the current guidelines were given and real-time feedback was provided by a Laerdal SkillReporting System. RESULTS Mean CC rate was significantly higher among health care professionals than among laypeople (119.07 ± 12.85 vs 113.02 ± 13.90 min(-1); P = .006), although both met the 100-120 CC min(-1) criterion. Laypeople achieved noninferior results regarding % of CC at adequate rate (51.46% ± 35.32% vs health care staff (55.97% ± 36.36%; P = .43) and depth (49.88% ± 38.58% vs 50.46% ± 37.17%; P = .92), % of CC with full-chest recoil (92.77% ± 17.17% vs 0.91% ± 18.84; P = .52), and adequate hand position (96.94% ± 14.78% vs 99.74 ± 1.98%; P = .11). The overall quality performance was greater than 70%, noninferior for citizens (81.23% ± 20.10%) vs health care staff (85.95% ± 14.78%; P = .10). CONCLUSION With a very brief training supported by hands-on instructor-led advice and visual feedback, naïve laypeople are able to perform good-quality CC-CPR. Simple instructions, feedback, and motivation were the key elements of this strategy, which could make feasible to train big numbers of citizens.
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Affiliation(s)
- Violeta González-Salvado
- Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.
| | - Felipe Fernández-Méndez
- University School of Nursing, Universidade de Vigo, Pontevedra, Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain; REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain
| | - Carlos Peña-Gil
- Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Institute of Health Research of Santiago (IDIS), A Coruña, Spain
| | - José Ramón González-Juanatey
- Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Institute of Health Research of Santiago (IDIS), A Coruña, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Institute of Health Research of Santiago (IDIS), A Coruña, Spain; Paediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
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