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Original Research

Open Access

A backboard makes manual chest compressions more effective on bed mattresses

  • Aki Otsuka1,†
  • Yoshifumi Kawakubo2
  • Tomoyuki Tanaka2
  • Masanobu Tsurumoto3,4
  • Keisuke Hayashi3
  • Takunori Shimazaki2
  • Mana Kawakubo5
  • Takashi Hitosugi4,*,†,
  • Takesh Yokoyama4

1Hemodialysis Center, Sugi Hospital, 837-0916 Fukuoka, Japan

2Department of Clinical Engineering, Faculty of Health Care Sciences, Jikei University of Health Care Sciences, 532-0003 Osaka, Japan

3Department of Clinical Engineering, Faculty of Health and Welfare, Tokushima Bunri University, 769-2193 Kagawa, Japan

4Section of Dental Anesthesiology, Division of Maxillofacial Diagnostic & Surgical Sciences, Faculty of Dental Science, Kyushu University, 812-8582 Fukuoka, Japan

5Department of Childhood, Faculty of Human Life Sciences, Shikoku University, 771-1151 Tokushima, Japan

DOI: 10.22514/sv.2024.108 Vol.20,Issue 9,September 2024 pp.31-38

Submitted: 20 December 2023 Accepted: 24 April 2024

Published: 08 September 2024

*Corresponding Author(s): Takashi Hitosugi E-mail: hitosugi.takashi.724@m.kyushu-u.ac.jp

† These authors contributed equally.

Abstract

When performing cardiopulmonary resuscitation (CPR) on a patient with cardiopul-monary arrest in bed, it has often been recommended that a backboard be placed behind the patient. However, the effectiveness of the use of a backboard has not yet been adequately studied. As a result, there are differences in the criteria for the use of the backboard in the latest global guidelines. This study tested the usefulness of backboards on five different mattresses and the floor. The depth of manual chest compressions (MCC), the recoil of MCC, MCC success rate, and participant’s fatigue were evaluated with and without backboards. The MCC depth was maximum on the floor. On the bed, MCC depths were significantly deeper with backboards inserted than without backboards on all five mattress types. Similarly, MCC recoil depth and success rate, were more effective with the backboard inserted. It is recommended that MCC be performed on the floor only when manpower, environment, time and patient condition permit. However, if MCC must be performed on the bed, it is more effective with backboards placed behind a patient’s back on various types of mattresses.


Keywords

Manual chest compressions; Medical mattresses; Cardiopulmonary resuscitation; Backboards


Cite and Share

Aki Otsuka,Yoshifumi Kawakubo,Tomoyuki Tanaka,Masanobu Tsurumoto,Keisuke Hayashi,Takunori Shimazaki,Mana Kawakubo,Takashi Hitosugi,Takesh Yokoyama. A backboard makes manual chest compressions more effective on bed mattresses. Signa Vitae. 2024. 20(9);31-38.

References

[1] Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: adult basic and advanced life support: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2020; 142: S366–S468.

[2] Olasveengen TM, Mancini ME, Perkins GD, Avis S, Brooks S, Castrén M, et al. Adult basic life support: international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2020; 156: 35–79.

[3] Paganini M, Mormando G, Carfagna F, Ingrassia PL. Use of backboards in cardiopulmonary resuscitation: a systematic review and meta-analysis. European Journal of Emergency Medicine. 2021; 28: 180–188.

[4] Andersen LØ, Isbye DL, Rasmussen LS. Increasing compression depth during manikin CPR using a simple backboard. Acta Anaesthesiologica Scandinavica. 2007; 51: 747–750.

[5] Oh J, Chee Y, Song Y, Lim T, Kang H, Cho Y. A novel method to decrease mattress compression during CPR using a mattress compression cover and a vacuum pump. Resuscitation. 2013; 84: 987–991.

[6] Missel AL, Donnelly JP, Tsutsui J, Wilson N, Friedman C, Rooney DM, et al. Effectiveness of lay bystander hands-only cardiopulmonary resuscitation on a mattress versus the floor: a randomized cross-over trial. Annals of Emergency Medicine. 2023; 81: 691–698.

[7] Perkins GD, Gräsner JT, Semeraro F, Olasveengen T, Soar J, Lott C, et al. European resuscitation council guidelines 2021: executive summary. Resuscitation. 2021; 161: 1–60.

[8] Ryan D. Emphasizing full recoil in CPR instruction is essential to saving lives. 2010. Available at: https://inpulsecpr.com/full-recoil-cpr-essential-saving-lives.html (Accessed: 02 January 2024).

[9] Kikuchi M, Tahara Y, Yamaguchi J, Nakashima T, Nomura O, Tanaka A, et al. Executive summary—acute coronary syndrome in the Japan resuscitation council guidelines for resuscitation 2020. Circulation Journal. 2023; 87: 866–878.

[10] Berg KM, Bray JE, Ng KC, Liley HG, Greif R, Carlson JN, et al. 2023 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations: summary from the basic life support; advanced life support; pediatric life support; neonatal life support; education, implementation, and teams; and first aid task forces. Circulation 2023; 148: e187–e280.

[11] Cuvelier Z, Houthoofdt R, Serraes B, Haentjens C, Mpotos N, Blot S. Backboard use during cardiopulmonary resuscitation and chest compression quality. European Journal of Emergency Medicine. 2022; 29: 386–387.

[12] Nishisaki A, Nysaether J, Sutton R, Maltese M, Niles D, Donoghue A, et al. Effect of mattress deflection on CPR quality assessment for older children and adolescents. Resuscitation. 2009; 80: 540–545.

[13] Perkins GD, Smith CM, Augre C, Allan M, Rogers H, Stephenson B, et al. Effects of a backboard, bed height, and operator position on compression depth during simulated resuscitation. Intensive Care Medicine. 2006; 32: 1632–1635.

[14] Sato H, Komasawa N, Ueki R, Yamamoto N, Fujii A, Nishi S, et al. Backboard insertion in the operating table increases chest compression depth: a manikin study. Journal of Anesthesia. 2011; 25: 770–772.

[15] Perkins GD, Kocierz L, Smith SCL, McCulloch RA, Davies RP. Compression feedback devices over estimate chest compression depth when performed on a bed. Resuscitation. 2009; 80: 79–82.

[16] Cloete G, Dellimore K, Scheffer C. The impact of various backboard configurations on compression stiffness in a manikin study of CPR. 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 2011; 2011: 2484–2487.

[17] Nishisaki A, Maltese MR, Niles DE, Sutton RM, Urbano J, Berg RA, et al. Backboards are important when chest compressions are provided on a soft mattress. Resuscitation. 2012; 83: 1013–1020.

[18] Noordergraaf GJ, Paulussen IWF, Venema A, van Berkom PFJ, Woerlee PH, Scheffer GJ, et al. The impact of compliant surfaces on in-hospital chest compressions: effects of common mattresses and a backboard. Resuscitation. 2009; 80: 546–552.

[19] Cloete G, Dellimore KH, Scheffer C, Smuts MS, Wallis LA. The impact of backboard size and orientation on sternum-to-spine compression depth and compression stiffness in a manikin study of CPR using two mattress types. Resuscitation. 2011; 82: 1064–1070.


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