2022 Volume 25 Issue 3 Pages 514-521
Background: In order to improve the daily life return rate of out-of-hospital cardiac arrest (OHCA), the Japanese resuscitation guidelines recommend, aiming for a chest compression rate (CCF) of 80% or higher.
Objective and Methods: We compare manual CPR and mechanical CPR in the area where CPR is difficult during transport and evaluate their quality. The OHCA hypothetical training was conducted for students of a firefighting school.
Results: The percentage of CCF of 80% or higher in narrow passages and stairs reached 40% (11/28) in the mechanical CPR group because of the standardization of the sequence of activities, while it was 14% (4/28) in the manual CPR group. On-site activity time was also shorter in the mechanical CPR group than in the manual CPR group (p<0.05).
Conclusion: In places where CPR during transport is difficult, mechanical CPR increases the chance of meeting CCF guideline targets while shorting field activity time.
