Universität zu Köln

Overbeek, Remco ORCID: 0000-0002-4046-0234, Liebold, Felix, Johnson Kolaparambil Varghese, Lydia, Adams, Niels-Benjamin, Schmitz, Jan ORCID: 0000-0003-0282-097X, Neumann, Michael, Dusse, Fabian ORCID: 0000-0001-7762-6966, Stoll, Sandra E. ORCID: 0000-0002-4803-1362, Wetsch, Wolfgang A. ORCID: 0000-0001-5800-6665 and Hinkelbein, Jochen (2024). Alternative techniques for cardiopulmonary resuscitation in extreme environments − A scoping review. Resuscitation Plus, 20. pp. 1-13. Elsevier. ISSN 2666-5204

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Abstract

[Artikel-Nr.: 100762] Background: Cardiopulmonary resuscitation (CPR) is essential for saving lives during cardiac arrest, but performing CPR in extreme environments poses unique challenges. In scenarios ranging from hypogravity or microgravity to confined spaces like aeroplanes and underwater scenarios, traditional CPR techniques may be inadequate. This scoping review aims to identify alternative chest compression techniques, synthesise current knowledge, and pinpoint research gaps in resuscitation for cardiac arrest in extreme conditions. Methods: PubMed and the Cochrane Register of Controlled Trials as well as the website of ResearchGate was searched to identify relevant literature. Studies were eligible for inclusion if they evaluated alternative chest compression techniques, including manual or mixed CPR approaches, whilst assessing feasibility and effectiveness based on compression depth, rate, and/or impact on rescuer effort. Results: The database search yielded 9499 references. After screening 26 studies covering 6 different extreme environments were included (hypogravity: 2; microgravity: 9, helicopter: 1, aeroplane: 1, confined space: 11; avalanche: 2). 13 alternative chest compression techniques were identified, all of which tested using manikins to simulate cardiac arrest scenarios. Conclusion: To address the unique challenges in extreme environments, novel CPR techniques are emerging. However, evidence supporting their effectiveness remains limited.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Overbeek, Remco UNSPECIFIED https://orcid.org/0000-0002-4046-0234 UNSPECIFIED Liebold, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Johnson Kolaparambil Varghese, Lydia UNSPECIFIED UNSPECIFIED UNSPECIFIED Adams, Niels-Benjamin UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz, Jan UNSPECIFIED https://orcid.org/0000-0003-0282-097X UNSPECIFIED Neumann, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Dusse, Fabian UNSPECIFIED https://orcid.org/0000-0001-7762-6966 UNSPECIFIED Stoll, Sandra E. UNSPECIFIED https://orcid.org/0000-0002-4803-1362 UNSPECIFIED Wetsch, Wolfgang A. UNSPECIFIED https://orcid.org/0000-0001-5800-6665 UNSPECIFIED Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-814400
Identification Number:	10.1016/j.resplu.2024.100762
Journal or Publication Title:	Resuscitation Plus
Volume:	20
Page Range:	pp. 1-13
Number of Pages:	13
Date:	December 2024
Publisher:	Elsevier
ISSN:	2666-5204
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Anästhesiologie und Operative Intensivmedizin > Klinik für Anästhesiologie und Operative Intensivmedizin
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Advanced life support ; Chest compression ; CPR ; Out-of-hospital cardiac arrest English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81440