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Does paddle force applied during defibrillation meet advanced life support guidelines of the European Resuscitation Council?

Does paddle force applied during defibrillation meet advanced life support guidelines of the European Resuscitation Council?
Does paddle force applied during defibrillation meet advanced life support guidelines of the European Resuscitation Council?
Objectives: to determine whether paddle force applied during defibrillation meets the 12 kg (?120 N) force recommended by the advanced life support (ALS) guidelines of the European Resuscitation Council (ERC). Materials and methods: an adult mannequin was ‘defibrillated’ using standard defibrillation paddles instrumented to measure paddle force. Paddle force was recorded at the time the discharge buttons on the paddle handles were depressed. Results: 54 doctors and nurses performed simulated defibrillation on a mannequin. Median sternal paddle force was 60.6 N (range 26.1–132.8 N) and median apical paddle force was 59.5 N (range 18.6–118.5 N). Only 3/54 operators (5.6%) applied sternal paddle force equal to or in excess of ERC recommendations. No operator applied apical paddle force equal to or in excess of ERC recommendations. Conclusions: force applied to defibrillation paddles does not meet guidelines of the European Resuscitation Council. Greater emphasis during advanced life support training should be placed on the importance of firm paddle force during defibrillation.
defibrillation, guidelines, pressure, force, transthoracic impedance
0300-9572
301-303
Deakin, C.D.
560d993b-bbc9-4548-9990-272ed18a011d
Petley, G.W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Cardan, E.
156498e6-6928-4d77-a5df-ab6437bd9b86
Clewlow, F.
06b8840f-4ccd-48cc-9a1e-d89f4960960d
Deakin, C.D.
560d993b-bbc9-4548-9990-272ed18a011d
Petley, G.W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Cardan, E.
156498e6-6928-4d77-a5df-ab6437bd9b86
Clewlow, F.
06b8840f-4ccd-48cc-9a1e-d89f4960960d

Deakin, C.D., Petley, G.W., Cardan, E. and Clewlow, F. (2001) Does paddle force applied during defibrillation meet advanced life support guidelines of the European Resuscitation Council? Resuscitation, 48 (3), 301-303. (doi:10.1016/S0300-9572(00)00265-3). (PMID:11278096)

Record type: Article

Abstract

Objectives: to determine whether paddle force applied during defibrillation meets the 12 kg (?120 N) force recommended by the advanced life support (ALS) guidelines of the European Resuscitation Council (ERC). Materials and methods: an adult mannequin was ‘defibrillated’ using standard defibrillation paddles instrumented to measure paddle force. Paddle force was recorded at the time the discharge buttons on the paddle handles were depressed. Results: 54 doctors and nurses performed simulated defibrillation on a mannequin. Median sternal paddle force was 60.6 N (range 26.1–132.8 N) and median apical paddle force was 59.5 N (range 18.6–118.5 N). Only 3/54 operators (5.6%) applied sternal paddle force equal to or in excess of ERC recommendations. No operator applied apical paddle force equal to or in excess of ERC recommendations. Conclusions: force applied to defibrillation paddles does not meet guidelines of the European Resuscitation Council. Greater emphasis during advanced life support training should be placed on the importance of firm paddle force during defibrillation.

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More information

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

Identifiers

Local EPrints ID: 383384
URI: https://eprints.soton.ac.uk/id/eprint/383384
ISSN: 0300-9572
PURE UUID: 714a00c6-2491-4812-aa1d-e300da08e31b
ORCID for G.W. Petley: ORCID iD orcid.org/0000-0002-3295-0444

Catalogue record

Date deposited: 29 Jan 2016 10:02
Last modified: 15 Aug 2019 00:52

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