Effectiveness of Cardiopulmonary Resuscitation Depending on Lifeguard’s Level of Exhaustion

• Authors: Remigiusz Olejniczak
• Languages of publication: EN

Abstracts

EN

Rescue operation consists of many connected parts, which are called rescue chain links. The quality of the whole operation depends on the accuracy of execution and compliance with each link. Undue hurry, sluggishness or excessive exhaustion of lifeguard, may decrease the quality of performed resuscitation procedures, which is an important element of the whole rescuing process. The presence of a qualified lifeguard or rescue team is essential to the rescuing process. Situations in which lifeguard is on duty as a single unit are permitted in Polish legal regulations. In such cases, up to the point of transferring the victim to emergency medical services, rescue operation lies in the hands of a single lifeguard. The aim of this report is a comparative analysis of the quality of two-minute CPR procedures performed on QCPR anatomical models (Resusci Little Anne), in case of a one-person rescue operation at the swimming pool. 22 students of Water Safety, University of Szczecin took part in the experiment. The results of the experiment showed that the exhaustion of the lifeguard didn’t have a substantial impact on the quality and effectiveness of the rescue procedures. The study was conducted in conditions isolated from fatigue and after a rescue operation performed in water.

Keywords

EN

aquatic safety; cardiopulmonary resuscitation; physical capacity

• Publisher: Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
• Journal: Central European Journal of Sport Sciences and Medicine
• Year: 2020
• Volume: 30
• Issue: 2
• Pages: 57-70

Contributors

author

Remigiusz Olejniczak

• University of Szczecin, Institute of Spatial Management and Socio-Economic Geography

References

• Barcala-Furelos, R., Abelairas-Gomez, C., Romo-Perez, V., Palacios-Aguilar, J. (2013). Effect of psychical fatigue on the quality CPR: a water rescue study of lifeguards’ physical fatigue and quality CPR in a water rescue. American Journal of Emergency Medicine, 31, 473–477.
• Carballo-Fazanes, A., Barcala-Furelos, R., Eiroa-Bermúdez, J., Fernández-Méndez, M., Abelairas-Gómez, C., Martínez-Isasi, S., Murciano, M., Fernández-Méndez, F., Rodríguez-Núñez, A. (2019). Physiological demands of quality cardiopulmonary resuscitation performed at simulated 3250 meters high. A pilot study. American Journal of Emergency Medicine.
• Meddings, D., Hyder, A., Ozanne-Smith, J., Rahman, A. (2014). Global report on drowning: preventing a leading killer. Geneva: Press World Health Organization.
• Grasner, J.T., Bossaert, L. (2013). Epidemiology and management of cardiac arrest: what registries ere revealing. Best Pract Res Clin Anaesthesiol., 27, 293–306.
• Lilja, G., Nilsen, N., Friberg, H., Horn, J., Kjaergaard, J., Nilsson, F., Pellis, T., Wetterslev, J., Wise, M., Bosch, F., Bro-Jeppesen, J., Brunetti, I., Buratti, A., Hassager, C., Hofgren, C., Insorsi, A., Kuipel, M., Martini, A., Palmer, N., Rundgren, M., Rylander, C., Van Der Veen, A. (2015). Cognitive function in survivors of-out-of hospital cordiac arrest after target temperaturę management at 33 degrees C wersus 36 degrees C. Circulation, 131, 1340–1349.
• Queiroga, C., Barcala-Furelos, R., Abelairas-Gomez, C., Garcia-Soidan, J. (2014). CPR quality reduced due to physical fatigue after a water rescue in a swimming pool. Signa Vitae, 9 (2), 25–31.
• Rozporządzenie MSW z dnia 23 stycznia 2012 r. w sprawie minimalnych wymagań dotyczących liczby ratowników wodnych zapewniających stałą kontrolę wyznaczonego obszaru wodnego.
• Sánchez-López, M., Rovira-Gil, E., González-García, A., Ferrer-López, V., Martínez-Vizcaíno, V. (2015). Sex differences in the effort indicators during cardiopulmonary resuscitation maneuvers on rescue dummies. European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine [Eur J Emerg Med], 22 (1), 62–65.
• Savastano, S., Vanni, V. (2011). Cardiopulmonary resuscitation real life: the most frequent fears of lay rescuers. Resuscitation, 82, 568–571.
• Stanisz, A. (2006). Przystępny kurs statystyki. Tom 1. Statystyki podstawowe. Kraków: StatSoft Polska Sp. z o.o.
• Stanula, A. (2008). Wpływ zmęczenia indywidualną akcją ratowniczą na skuteczność zabiegów resuscytacyjnych. Sporty Wodne i Ratownictwo, pp. 49–55.
• Sulovic, L., Pavlovic, A., Zivkovic, J., Zivkovic, Z., Filipovic, S., Trpkovic, S. (2018). Accidental Drowning: The Importance of Early Measures of Resuscitation for a Successful Outcome. Case Reports in Emergency Medicine, 6 (4), 1–4.
• Sulzgruber, P., Kliegel, A., Wandaller, C., Uray, T., Losert, H., Laggner, A., Sterz, F., Kliegel, M. (2015). Survivors of cardiac arrest with good neurological outcome show considerable impairments of memory functioning. Resuscitation, 88, 120–5.
• Szpilman, D., Soares, M. (2004). In – water resuscitation – is it worthwhile? Resuscitation, pp. 25–31.
• Szpilman, D., Webber, J., Quan, L., Bierens, J., Morizot-Leite, L., Langendorfer, J., Beerman, S., Lofgren, B. (2014). Creating a drowning chain of survival. Resuscitation, pp. 49–52.
• Ustawa z 8.09.2006 o Państwowym Ratownictwie Medycznym.
• Ustawa z 18.08.2011 o bezpieczeństwie osób przebywających na obszarach wodnych.
• Wallis, B.A., Watt, K., Franklin, R.C., Taylor, M., Nixon, J.W., Kimble, R.M. (2015). Interventions associated with drowning prevention in children and adolescents: systematic literature review. Pub Med, pp. 195–210.
• Winkler, B., Hartig, F., Ducanto, J., Koch, A., Georgieff, M., Lungwitz, Y., Muth, C. (2015). Helicopter-based in-water resuscitation with chest compressions: a pilot study. Emergency Medicine Journal, 32 (7), 553–558.
• Wytyczne resuscytacji (2015). J. Anders (ed.) (2016). Kraków.

• Document Type: article