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Leg-heel chest compression as an alternative for medical professionals in times of COVID-19.
Ott, Matthias; Krohn, Alexander; Bilfield, Laurence H; Dengler, Florian; Jaki, Christina; Echterdiek, Fabian; Schilling, Tobias; Heymer, Johannes.
  • Ott M; Department of Interdisciplinary Emergency and Intensive Care Medicine, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany. Electronic address: ma.ott@klinikum-stuttgart.de.
  • Krohn A; Department of Interdisciplinary Emergency and Intensive Care Medicine, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany.
  • Bilfield LH; Fellow of the American Academy of Orthopaedic Surgeons, Fellow of the American Board of Independent Medical Examiners, 4450 Belden Village St NW, Canton, OH, USA.
  • Dengler F; Department of Interdisciplinary Emergency and Intensive Care Medicine, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany.
  • Jaki C; Simulation Center STUPS, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany.
  • Echterdiek F; Department of Nephrology, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany.
  • Schilling T; Department of Interdisciplinary Emergency and Intensive Care Medicine, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany.
  • Heymer J; Department of Interdisciplinary Emergency and Intensive Care Medicine, Klinikum Stuttgart, Kriegsbergstr. 60, 70174 Stuttgart, Germany.
Am J Emerg Med ; 50: 575-581, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1437367
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ABSTRACT

OBJECTIVE:

To evaluate leg-heel chest compression without previous training as an alternative for medical professionals and its effects on distance to potential aerosol spread during chest compression.

METHODS:

20 medical professionals performed standard manual chest compression followed by leg-heel chest compression after a brief instruction on a manikin. We compared percentage of correct chest compression position, percentage of full chest recoil, percentage of correct compression depth, average compression depth, percentage of correct compression rate and average compression rate between both methods. In a second approach, potential aerosol spread during chest compression was visualized.

RESULTS:

Our data indicate no credible difference between manual and leg-heel compression. The distance to potential aerosol spread could have been increased by leg-heel method.

CONCLUSION:

Under special circumstances like COVID-19-pandemic, leg-heel chest compression may be an effective alternative without previous training compared to manual chest compression while markedly increasing the distance to the patient.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Infectious Disease Transmission, Patient-to-Professional / COVID-19 / Heart Massage Type of study: Experimental Studies Limits: Humans Language: English Journal: Am J Emerg Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Infectious Disease Transmission, Patient-to-Professional / COVID-19 / Heart Massage Type of study: Experimental Studies Limits: Humans Language: English Journal: Am J Emerg Med Year: 2021 Document Type: Article