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Related Experiment Videos

CPR for children: one hand or two?

Alastair G M Stevenson1, John McGowan, Aled L Evans

  • 1Department of Emergency Medicine, Southern General Hospital, Glasgow G514TF, UK. alastairstevenson@ntlworld.com

Resuscitation
|February 1, 2005
PubMed
Summary
This summary is machine-generated.

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The two-handed chest compression technique generated significantly higher mean and peak pressures compared to the one-handed technique in a pediatric manikin study. This suggests the two-handed method may be more effective for cardiopulmonary resuscitation (CPR).

Area of Science:

  • Emergency Medicine
  • Cardiopulmonary Resuscitation (CPR)
  • Pediatric Resuscitation

Background:

  • Current CPR guidelines recommend one-handed compressions for children (1-8 years) and two-handed for adults (>8 years).
  • Previous research has not compared the intrathoracic compression pressures generated by these two techniques.

Purpose of the Study:

  • To assess the difference in intrathoracic compression pressures between one-handed and two-handed chest compression techniques in a pediatric manikin.
  • To evaluate the ease of performance for each technique on a pediatric manikin.

Main Methods:

  • A randomized crossover design was employed.
  • Thirty volunteer subjects performed both one-handed and two-handed chest compressions on an adapted pediatric resuscitation manikin.

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  • Compression pressures were recorded using a pressure transducer connected to a personal computer.

    • Main Results:

    • The two-handed technique yielded a significantly higher mean compression pressure (86.6 mmHg) than the one-handed technique (75.1 mmHg) (P < 0.001).
    • Average peak compression pressure was also significantly higher with the two-handed technique (133.5 mmHg) versus the one-handed technique (116.8 mmHg) (P = 0.001).
    • Twenty-nine out of thirty participants found the two-handed technique easier to perform.

    Conclusions:

    • The two-handed chest compression technique appears easier to perform and generates higher pressures on a pediatric resuscitation manikin.
    • Further research is necessary to determine the clinical effectiveness of each technique in actual pediatric patients and their impact on outcomes.