Impact of Step Stool in the Delivery of CPR by Healthcare Providers: a Simulation-Based Study.

IF 1.5 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2026-09-28 DOI:10.1007/s13312-026-00429-x

Mihir Sarkar, Moumita Samanta, Sandipan Sen, Nandini Sinharay, Mahammad Ali, Abhijeet Roy, Geethanjali Ramachandra

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引用次数: 0

Abstract

Objectives: To assess the impact of using a standard height step stool on the quality of pediatric cardiopulmonary resuscitation (CPR) for health care providers (HCP) of different heights in a simulated environment.

Methods: A simulation-based prospective cross-sectional study was conducted in a tertiary care referral hospital in Eastern India using a quantitative CPR (QCPR) training manikin (Little Junior QCPR, Laerdal Medical, Norway). A total of 8 min of CPR session was conducted, where 2 compressors performed alternatively in every 2-min segment without a step stool. After a 15-min rest, the session was repeated using a standard step stool (21.5 cm). The quality of chest compression was assessed using Q-CPR Review software v2.0 in three defined height tertiles (short, medium and tall). Compression rate, depth, good release percentage, and app-derived total scores were assessed as the primary outcome. Every compressor provided feedback regarding the level of their comfort, fatigue, and bodyache, graded on a Likert scale.

Results: Out of 80 healthcare providers (HCPs) who were screened, 72 participated in 36 CPR sessions; each CPR session had two cycles of CPR, one without and one with step stool. The mean (SD) participant height was 167 (6.5) cm. Overall, mean compression depth increased by 4.5 mm, adequate compression depth improved by 20%, and adequate recoil improved by 13%. In the shortest height tertile, compression depth increased by 10 mm. Additionally, 83.3% of participants reported greater comfort while performing CPR with the step stool.

Conclusion: Step stool improved the compression depth, reduced incomplete recoils, and improved CPR quality among HCPs in simulation setting, with a greater advantage among the shorter HCPs.

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台阶凳对医疗服务提供者实施CPR的影响：一项基于模拟的研究。

目的：评估在模拟环境中使用标准高度台阶凳对不同高度医护人员小儿心肺复苏（CPR）质量的影响。方法：在印度东部的一家三级转诊医院进行了一项基于模拟的前瞻性横断面研究，使用定量心肺复苏术（QCPR）训练假人（Little Junior QCPR，挪威Laerdal Medical）。总共进行了8分钟的心肺复苏术，其中2个压缩机在每2分钟的时间段交替进行，没有阶梯凳。休息15分钟后，使用标准阶梯凳（21.5 cm）重复该阶段。采用Q-CPR Review软件v2.0对胸外按压质量进行评估，分为三个定义的高度（短、中、高）。压缩率、深度、良好释放百分比和应用程序衍生的总分被评估为主要结果。每个压缩机都提供了关于他们的舒适程度、疲劳程度和身体疼痛程度的反馈，并按照李克特量表进行评分。结果：在筛选的80名医疗保健提供者（HCPs）中，72人参加了36次心肺复苏术；每次心肺复苏术有两个周期，一个没有，一个有阶梯凳。参与者平均身高（SD）为167 (6.5)cm。总的来说，平均压缩深度增加了4.5 mm，适当的压缩深度提高了20%，适当的后坐力提高了13%。在最矮的土层中，压缩深度增加了10 mm。此外，83.3%的参与者报告使用阶梯凳进行心肺复苏术时更舒适。结论：在模拟情境下，台阶凳可改善HCPs的压缩深度，减少不完全后坐力，提高心肺复苏术质量，且在较矮的HCPs中优势更大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.