Juria Tsutsui
Pronouns: She/her
Research Mentor(s): Amanda Missel
Co-Presenter:
Research Mentor School/College/Department: DLHS / Medicine
Presentation Date: April 20
Presentation Type: Poster
Session: Session 2 – 11am – 11:50am
Room: League Ballroom
Authors: Julia Tsutsui, James M. Cooke, Amanda L. Missel
Presenter: 95
Abstract
Introduction: According to the 2020 National Cardiac Arrest Registry to Enhance Survival (CARES) data only 6% of people who suffer an Out of Hospital Cardiac Arrest (OHCA) at home survive with good neurologic function. A common barrier to the prompt initiation of CPR is repositioning patients to a firm surface. Methods: We conducted a prospective, randomized, cross-over trial performed at the University of Michigan Clinical Simulation Center. Subjects were instructed to perform chest compressions on a CPR Simon manikin (Gaumard) at 100-120 beats per minute and two inches deep for two minutes. Following a five-minute break, the scenario was completed on the alternate surface. The entire process was video recorded for analysis. Main outcomes included compression depth (cm) and rate (compressions per minute). Paired t-tests were used to test if compression depth and rate were significantly different with the simulated patient located on the mattress or the floor. Preliminary Results: Our sample included 64 adults with a mean age of 50 years and was 64% female. Compression depth had a statistically significant difference of 0.78 cm (t = 4.43, p<.001). Compression rate was similar between surfaces, with a mean difference of 4.79 compressions per minute (t = -1.56, p=0.12). Conclusions: Reducing the time to first compression is an important metric to improve survival as early CPR can increase the chance of survival two to threefold. Transferring a patient to the floor may not be the best course in all situations. Additional research is needed to help 911 telecommunicators provide evidence-based directions on whether or not to move the patient to the floor for CPR. Presentation link
Biomedical Sciences, Interdisciplinary
