- Email: [email protected]
Emergency telephone calls and response actions at an german emergency base
Abstracts
FORCE MSTltIBUTU3N DURING SIMULATED
AClWSS THE HEEL OF THE BAND MANUAL CHR!W COMPRESSION
Bauhm M’. Kolhnitur
“SAVE A LIFE” NATiONAL TV COVE&%X OF itWWSTATfON OTIiJSlt FMFJtGENCY RIWLTRMESA~,
AND
J”. Gilly tl’
“Dep. 01 An-a,
It&. for Bmcrgmcy and Dims& Medic&, Univ. of of physical Medicine and Rehabilitation and ’ 1.. Boltzmanu Inst. for Experimental Anae&mia, Univ. of Vienna, Austria Innsbruck;
Tktp.
lhdgrmtnd: Awading to international gtdrklii for csrd@uhooneiy reauacitation (CPR) chest compression is performed on the bwa half of the sternum by cotr@e&ng the sternum witit the beeI of one htmd and the other hand on lop of the first. Great importance is altribotcd to cxM loaliition of the so-called mmptession point. Purpose: In n laboratory inveetigati~ WC aswsed the form distribution across the heel of the hand during simulated chest mmpwsion. hwetirtI 8ml secaods: I? amcstbetists performed simulated chest mmpressions onto a flat surfam mvered with an iutaptcd force sutsor mat (EMFD) eitk with the left hand down and the right hand down. We dete4mined .’ the uwan total force and that part of the beet _. where the maximal force is transfeti. k Results: Similar mean lotal forces were -*measmed (right band down: 644N; left band down. 621N}. The hypothenar of the heel exerted r signitimntly higher force mmpared to the lhenar, -dent whether the ri&t hand or the I& band was down. The distance ;’ !mtween @xts of maximal force with lbe tight ,+& hand or the IeR hand down was 2 2cm. ’ C:oncl4o~: In rrrdcr to perform chest wmpressions 11001too Par cranial iiod thus to duce the pomtial risk of stcmal G~tutw we rccornmcnd to use the right hand down if lbe rescuer knees beside the right side oI‘ the :xllirnl ;nlMlvicr vrrs:I
Performance
of Chest Compressions
Pediatric
Emergency Personnel
Christine Louisville,
Cappelle US
Whitelaw,
on an Infant
University
Model by
of Louisville,
prepared, when conrmnted with P sneilar emczgeacy.to etuiml& the CoITeU action. Other e~isodu covered Bum and !kald.% Cltoidne and Didline 999 The rationale fo; the scripts will be explained tog&m witbthe evidcnce‘which is being gatlmed as to the audietw size and theii reception of the msagr.
EMERGENCY AN GERMAN
TELEPHONE EMERGENCY
CALLS AND RESPONSE BASE
Reu RC; Dirks 8, Richter D, Gaor$ieff M Department of AneWtesMgy, Section Emergency University of Ulm, Ulm. Germany Background:
In Germany pmdini&
ACTIONS
AT
Medicine
medicins, provickrr help on four lev-
Annstrong Media+). An aodibls metronome msomd that mmprawions wsrsgivarstIlo/mmn~~dths~kndrmvkwrs~edwitfiwhite tape to assist with ppopsr haad/finear pl~ent. No instroctions on mmpmmions were &acn. The investigator rem&d the skillme+,~ings of~~(rdeq~),orwee(toodeep),prred(too~low): psrt=Fnts vme blmded to the results. A mmp e size of 44 SubJects was calculated to
psbatt care m&ants, three radio mntml personnel (EMT tmined), and two pediatric tmmport team members. 30 subjects wvse t&nab. All petti+nts had takec a basic lit% support mwse end 33 bad talceata pediabie advmced Iifs support come. Participants bad worked an average of five ymrs (mnge 0 to 24 yeam) in em-cy medicine. 42 participnts osed tbr finger method and two used the pabnar me&d. No one used the chest eneirclemattt method. lhinn s one minute neriod onlv three of 44(7%) participants paformed at least W% of the comjx-essiOns t0 the mnwd depth. Reqoiring only 50% of the comprrssions to be correct, only nine (2V..) socceakd. Ov&l~ the median number of correct compressions was zero (conftdencc Interval 0.1). Conclusion: Althou& mdiatrio emuxenc~ medical wrsonnel em m&red to maintain tx4tdiaiTioh in basic they illideqnllteiy p&ml cheatmmpnwionsumeaswed c im%ot model. This finding supports the need for improved training in basic I& support techniques, even for those who frequently encounter critically ill chddren
[email protected]~GPRerarra NAWwasalarmed.kthisonecaseonlyhraoofthefour-dispatchers sent a NAW. A m to the 6 patients, who bwfe Concluston: In 20% of the cat& t3vaWk lrmmeth’waa not sufficient for proper judgment. No differencs behveen doctors and EMTs wss seen
FORCE MSTltIBUTU3N DURING SIMULATED
AClWSS THE HEEL OF THE BAND MANUAL CHR!W COMPRESSION
Bauhm M’. Kolhnitur
“SAVE A LIFE” NATiONAL TV COVE&%X OF itWWSTATfON OTIiJSlt FMFJtGENCY RIWLTRMESA~,
AND
J”. Gilly tl’
“Dep. 01 An-a,
It&. for Bmcrgmcy and Dims& Medic&, Univ. of of physical Medicine and Rehabilitation and ’ 1.. Boltzmanu Inst. for Experimental Anae&mia, Univ. of Vienna, Austria Innsbruck;
Tktp.
lhdgrmtnd: Awading to international gtdrklii for csrd@uhooneiy reauacitation (CPR) chest compression is performed on the bwa half of the sternum by cotr@e&ng the sternum witit the beeI of one htmd and the other hand on lop of the first. Great importance is altribotcd to cxM loaliition of the so-called mmptession point. Purpose: In n laboratory inveetigati~ WC aswsed the form distribution across the heel of the hand during simulated chest mmpwsion. hwetirtI 8ml secaods: I? amcstbetists performed simulated chest mmpressions onto a flat surfam mvered with an iutaptcd force sutsor mat (EMFD) eitk with the left hand down and the right hand down. We dete4mined .’ the uwan total force and that part of the beet _. where the maximal force is transfeti. k Results: Similar mean lotal forces were -*measmed (right band down: 644N; left band down. 621N}. The hypothenar of the heel exerted r signitimntly higher force mmpared to the lhenar, -dent whether the ri&t hand or the I& band was down. The distance ;’ !mtween @xts of maximal force with lbe tight ,+& hand or the IeR hand down was 2 2cm. ’ C:oncl4o~: In rrrdcr to perform chest wmpressions 11001too Par cranial iiod thus to duce the pomtial risk of stcmal G~tutw we rccornmcnd to use the right hand down if lbe rescuer knees beside the right side oI‘ the :xllirnl ;nlMlvicr vrrs:I
Performance
of Chest Compressions
Pediatric
Emergency Personnel
Christine Louisville,
Cappelle US
Whitelaw,
on an Infant
University
Model by
of Louisville,
prepared, when conrmnted with P sneilar emczgeacy.to etuiml& the CoITeU action. Other e~isodu covered Bum and !kald.% Cltoidne and Didline 999 The rationale fo; the scripts will be explained tog&m witbthe evidcnce‘which is being gatlmed as to the audietw size and theii reception of the msagr.
EMERGENCY AN GERMAN
TELEPHONE EMERGENCY
CALLS AND RESPONSE BASE
Reu RC; Dirks 8, Richter D, Gaor$ieff M Department of AneWtesMgy, Section Emergency University of Ulm, Ulm. Germany Background:
In Germany pmdini&
ACTIONS
AT
Medicine
medicins, provickrr help on four lev-
Annstrong Media+). An aodibls metronome msomd that mmprawions wsrsgivarstIlo/mmn~~dths~kndrmvkwrs~edwitfiwhite tape to assist with ppopsr haad/finear pl~ent. No instroctions on mmpmmions were &acn. The investigator rem&d the skillme+,~ings of~~(rdeq~),orwee(toodeep),prred(too~low): psrt=Fnts vme blmded to the results. A mmp e size of 44 SubJects was calculated to
psbatt care m&ants, three radio mntml personnel (EMT tmined), and two pediatric tmmport team members. 30 subjects wvse t&nab. All petti+nts had takec a basic lit% support mwse end 33 bad talceata pediabie advmced Iifs support come. Participants bad worked an average of five ymrs (mnge 0 to 24 yeam) in em-cy medicine. 42 participnts osed tbr finger method and two used the pabnar me&d. No one used the chest eneirclemattt method. lhinn s one minute neriod onlv three of 44(7%) participants paformed at least W% of the comjx-essiOns t0 the mnwd depth. Reqoiring only 50% of the comprrssions to be correct, only nine (2V..) socceakd. Ov&l~ the median number of correct compressions was zero (conftdencc Interval 0.1). Conclusion: Althou& mdiatrio emuxenc~ medical wrsonnel em m&red to maintain tx4tdiaiTioh in basic they illideqnllteiy p&ml cheatmmpnwionsumeaswed c im%ot model. This finding supports the need for improved training in basic I& support techniques, even for those who frequently encounter critically ill chddren
[email protected]~GPRerarra NAWwasalarmed.kthisonecaseonlyhraoofthefour-dispatchers sent a NAW. A m to the 6 patients, who bwfe Concluston: In 20% of the cat& t3vaWk lrmmeth’waa not sufficient for proper judgment. No differencs behveen doctors and EMTs wss seen