ABSTRACTS
Observational Study on the Quality of Cardiopulmonary Resuscitation During Ground TransferAuthor: Andrés Cairol Baquero | | Associate Authors: Wendy Morún Vargas, Luis Felipe Loaiza Sáenz, Doctor, Edward Segura Peréz, Doctor, Vinicio Quesada Segura, EMT, Mario Hernández Ramírez, EMT, Jennifer Peñaranda Obregón, Miguel Berrocal Patiño, EMT, Osvaldo Hernández Loaiza, EMT, Carlos Mora Sánchez, Engineer
Introduction Prehospital care in Costa Rica is mainly carried out with basic support ambulances from the Costa Rican Red Cross and ambulances from private companies. Objective: Methods The research protocol included data collection in two simulated environments with the same group of eight prehospital medicine professionals. HeartiSense® Premium Kit and an advanced cardiac support manikin were used to collect CPR quality data. Life/form® brand CPARLENE® full size. Data analysis was performed using Excel and Jamovi. Results The average chest compression fraction during the scenario without movement was 77% (SD 1.41), the value obtained during transfer was 66% (SD 19.97). The percentage of chest compressions with adequate frequency, depth, and re-expansion, in the scenario without movement was 53.5% (SD 3.53). The average during transfer was 14.66% (SD 9.29). The depth of chest compressions showed statistically significant differences according to the simulated scenario, with lower chest depth in the scenario during transfer (Mean 4.62, SD 0.89) compared to the scenario without movement (Mean 5.5, SD 0.49) with p < 0. Conclusion Regarding the quality of CPR, ventilation per minute and compression frequency did not show statistically significant differences. In relation to compression depth, chest compression fraction, and percentage of adequate compressions, there was a statistically significant difference in favor of the scenario without movement, demonstrating in this sample that movement during transport affects the quality of cardiopulmonary resuscitation.
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