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Are European Resuscitation Council recommendations for paddle force achievable during defibrillation?

Are European Resuscitation Council recommendations for paddle force achievable during defibrillation?
Are European Resuscitation Council recommendations for paddle force achievable during defibrillation?
Transthoracic impedance (TTI) is an important determinant of success in defibrillation. Low TTI increases transmyocardial current and therefore increases the chance of depolarising a critical mass of myocardium. A major component of TTI occurs at the paddle-skin interface and is minimised by pressure applied to the defibrillation paddles. The International Liaison Committee on Resuscitation (ILCOR) 2000 guidelines recommend that 'firm force' should be applied to both paddles, whereas previous European Resuscitation Council (ERC) 1992 guidelines were more precise, recommending that 12 kg of force should to be applied. We assessed whether defibrillator operators are capable of achieving 12 kg paddle force. Fifty advanced life support-trained doctors and nurses attempted to achieve 12 kg paddle force while simulating defibrillation on a resuscitation doll. The median value of the maximum pressures obtainable was 10.1 (max 16.0; min 5.0) kg force. Only 14% could achieve > or =12 kg force on both paddles for defibrillation. Men achieved more force than women (10.7 vs. 8.1 kg force; P<0.01), and there was a correlation between maximum force achieved and operator height (r2=0.27) and dominant hand-grip strength (r2=0.34). The ERC recommendation of 12 kg paddle force is not achievable by the majority of defibrillator operators.
defibrillation, paddle force, transthoracic impedance, guidelines
0300-9572
287-290
Sado, D.M.
0ba2017a-85b2-46d1-b0d8-1e54bfddf827
Deakin, C.D.
560d993b-bbc9-4548-9990-272ed18a011d
Petley, G.W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Sado, D.M.
0ba2017a-85b2-46d1-b0d8-1e54bfddf827
Deakin, C.D.
560d993b-bbc9-4548-9990-272ed18a011d
Petley, G.W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0

Sado, D.M., Deakin, C.D. and Petley, G.W. (2001) Are European Resuscitation Council recommendations for paddle force achievable during defibrillation? Resuscitation, 51 (3), 287-290. (doi:10.1016/S0300-9572(01)00420-8). (PMID:11738780)

Record type: Article

Abstract

Transthoracic impedance (TTI) is an important determinant of success in defibrillation. Low TTI increases transmyocardial current and therefore increases the chance of depolarising a critical mass of myocardium. A major component of TTI occurs at the paddle-skin interface and is minimised by pressure applied to the defibrillation paddles. The International Liaison Committee on Resuscitation (ILCOR) 2000 guidelines recommend that 'firm force' should be applied to both paddles, whereas previous European Resuscitation Council (ERC) 1992 guidelines were more precise, recommending that 12 kg of force should to be applied. We assessed whether defibrillator operators are capable of achieving 12 kg paddle force. Fifty advanced life support-trained doctors and nurses attempted to achieve 12 kg paddle force while simulating defibrillation on a resuscitation doll. The median value of the maximum pressures obtainable was 10.1 (max 16.0; min 5.0) kg force. Only 14% could achieve > or =12 kg force on both paddles for defibrillation. Men achieved more force than women (10.7 vs. 8.1 kg force; P<0.01), and there was a correlation between maximum force achieved and operator height (r2=0.27) and dominant hand-grip strength (r2=0.34). The ERC recommendation of 12 kg paddle force is not achievable by the majority of defibrillator operators.

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More information

Published date: December 2001
Keywords: defibrillation, paddle force, transthoracic impedance, guidelines
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 383380
URI: https://eprints.soton.ac.uk/id/eprint/383380
ISSN: 0300-9572
PURE UUID: dd82912d-a11e-4142-b06a-5ca91763e206
ORCID for G.W. Petley: ORCID iD orcid.org/0000-0002-3295-0444

Catalogue record

Date deposited: 29 Jan 2016 09:55
Last modified: 20 Jul 2019 01:16

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Contributors

Author: D.M. Sado
Author: C.D. Deakin
Author: G.W. Petley ORCID iD

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