Comparison of Cardiopulmonary Resuscitation Quality in a Simulated Model: At Incident Scene vs During EMS Transport

We analyzed data from 240 CPR cycles provided by 24 healthcare professionals. The mean chest compression rate was higher (120.5±10.9/minutes vs 125.3±14.7/min, P = .001) and the mean chest compression depth was shallower (43.9±6.6 millimeters [mm] vs 37.9±7.2 mm, P = .001) in the on-the-move group. The two groups' appropriate hand placement rates were similar (92.1±5.4% vs 92.2±4.5%, P = .48) CONCLUSION: In this study, the moving ambulance simulation demonstrated that chest compressions were administered at a rate exceeding recommended guidelines and at a shallower depth than recommended, while the frequency of correct hand placement remained comparable. If the patient requires transportation from the scene of the incident, the healthcare team must be aware of the potential adverse effects on the chest compression quality.

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Publication Details

Journal
Western Journal of Emergency Medicine
Published
2025-09-25
DOI
https://doi.org/10.5811/westjem.40234
Primary Topic
Cardiac Arrest and Resuscitation
Type
article
Field-Weighted Citation Impact
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article

Comparison of Cardiopulmonary Resuscitation Quality in a Simulated Model: At Incident Scene vs During EMS Transport

İlhan Uz, Michael A. Gottlieb, Turgay Yılmaz Kılıç, Brit Long et al.
Western Journal of Emergency Medicine
Cardiac Arrest and Resuscitation
article

Comparison of Cardiopulmonary Resuscitation Quality in a Simulated Model: At Incident Scene vs During EMS Transport

İlhan Uz, Michael A. Gottlieb, Turgay Yılmaz Kılıç, Brit Long, Erkan Güvenç, Başak Bayram, William J. Brady, Ebru Şener Araz, Murat Çetin, Volkan Ergun, Gökhan Yılmaz
article en

Abstract

We analyzed data from 240 CPR cycles provided by 24 healthcare professionals. The mean chest compression rate was higher (120.5±10.9/minutes vs 125.3±14.7/min, P = .001) and the mean chest compression depth was shallower (43.9±6.6 millimeters [mm] vs 37.9±7.2 mm, P = .001) in the on-the-move group. The two groups' appropriate hand placement rates were similar (92.1±5.4% vs 92.2±4.5%, P = .48) CONCLUSION: In this study, the moving ambulance simulation demonstrated that chest compressions were administered at a rate exceeding recommended guidelines and at a shallower depth than recommended, while the frequency of correct hand placement remained comparable. If the patient requires transportation from the scene of the incident, the healthcare team must be aware of the potential adverse effects on the chest compression quality.

Western Journal of Emergency MedicineVol. 0(0)
Brooke Army Medical Center (US), Izmir University (TR), Ege University (TR), Konya Numune Hastanesi (TR), Dr. Behçet Uz Çocuk Hastalıkları Hastanesi (TR), Istanbul Metropolitan Municipality (TR), Konya Eğitim ve Araştırma Hastanesi (TR), Sağlık Bilimleri Üniversitesi (TR), Joint Base San Antonio (US)
Openalex Percentile: Top 61%
Cardiac Arrest and Resuscitation
DOIOpen Access PDFOpenAlex
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