Abstract 281: Two Thumbs versus Two Fingers Compression in Infant Resuscitation
Compression Technique Comparison 2010 Standards. We’ve noticed a marked lack of ability in all levels of students performing infant CPR to adequately achieve an adequaterate & depth using two fingers. The groups were tested in three ways: 1. 2010 standard with no variation2. 2010 Standard allowing students to “stack” two fingers onto the two fingers doing compressions.3.Two thumb encircling hands technique allowed for single rescuer. All groups were tested blindly without allowing them to know they were in the study. Group 1: These students were not allowed to vary their finger position from the course video examples and followed the demonstrations completely. Results from this group: All students in this group complained of finger pain and requested to do the two thumbs encircling hands techniques for skills check off. In keeping with AHA standards, all groups used the two finger technique for skills check off. Group 2: Test Results from this group using an additional two fingers stacked atop the two fingers allowed for compressions were: Students in this group improved compression efficiency in depth by over 40% when compared to the first group. Compressions were slightly faster and the hands off time was improved by .2 seconds. Group 3: Test Results from this group using the two thumbs encircling hands technique were: This group showed a 48.9% improvement of depth of compression, 10.5% improvement in complete releases, an almost .4 second decrease in compression time and a .26 second improvement in hands off time. An additional 8 students were tested in this technique to validate the data. All these students were female and all were renewal students. After their initial testing was completed, we allowed them to use the two thumbs encircling hands technique with the following
Results: An additional group of 9 Heartsaver students were tested at random. Their test results back up the results from the BLS groups in that all had trouble performing sets of 30 compressions with two fingers for a prolonged period of time, in this case 2 minutes. 33% ( 1 of 3) could keep up a passing depth of compressions for two minutes.
- © 2013 by American Heart Association, Inc.