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Quality of Chest Compressions on A Dental Chair -- A Randomized Simulation Trial as Observation in Support of A Procedure Proposal
1Department of Medical Rescue, Poznan University of Medical Sciences, Poznan, Poland
2Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland
3Chair and Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
4Department of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland
5Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan, Poland
6Medical Faculty, Poznan University of Medical Sciences, Poznań, Poland
7Chair and Department of Biomaterials and Experimental Dentistry, Poznań, Poland
*Corresponding Author(s): Tomasz Kłosiewicz E-mail: klosiewicz.tomek@gmail.com
Background: Although medical emergencies among dental patients are not frequent, several factors may provoke sudden cardiac arrests. Early initiation of high-quality chest compressions (CC) is of crucial importance for the safety and effectiveness of cardiopulmonary resuscitation (CPR). Aims: We aimed to evaluate the quality of chest compressions performed on a dental chair for the proposed procedure in case of cardiac arrest in a dental office. Methods: We designed a prospective, randomized, crossover simulation study. Sixty paramedic students were randomly assigned to the control group, in which resuscitation was performed on the floor (n = 30) or to the experimental group, in which compressions were performed on a dental unit (n = 30). We used a simulator that recorded number of compressions, rate, depth of compressions and chest recoil. Results: There were no significant differences in numbers, rate, depth of chest compressions or in chest recoil between groups. Conclusions: We proved that performing chest compressions on a dental chair might be as effective as on the floor. On this basis, we propose a procedure for safe and efficient performance of CPR in a dental office.
Chest compressions, Dental equipment, Patient safety, Resuscitation, Simulation training
Tomasz Kłosiewicz,Mateusz Puślecki,Radosław Zalewski,Michał Mandecki,Ilona Skitek-Adamczak,Maciej Sip,Marek Dąbrowski,Martyna Ratajczak,Przemysław Rachubiński,Bogusz Szczepański,Marek Dorożyński,Beata Czarnecka,Bartłomiej Perek. Quality of Chest Compressions on A Dental Chair -- A Randomized Simulation Trial as Observation in Support of A Procedure Proposal. Signa Vitae. 2020. 16(2);175-181.
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