The impact of firefighter fatigue on the quality of chest compressions during resuscitation.
INTRODUCTION: The effectiveness of cardiopulmonary resuscitation depends primarily on the actions taken at the scene. Firefighters are often the first ones to help the injured. The quality of their rescue efforts in such case determines the subsequent prognosis for the patient. Nevertheless, the ta...
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| Format: | Article |
| Language: | English |
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Towarzystwo Pomocy Doraźnej
2023-12-01
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| Series: | Critical Care Innovations |
| Subjects: | |
| Online Access: | https://www.irdim.net/cci/6(4)1-10.html |
| _version_ | 1797368662355607552 |
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| author | Paulina Gryz Jakub Kowalski Piotr Konrad Leszczyński Martyna Miftadinow Katarzyna Szubińska |
| author_facet | Paulina Gryz Jakub Kowalski Piotr Konrad Leszczyński Martyna Miftadinow Katarzyna Szubińska |
| author_sort | Paulina Gryz |
| collection | DOAJ |
| description | INTRODUCTION: The effectiveness of cardiopulmonary resuscitation depends primarily on the actions taken at the scene. Firefighters are often the first ones to help the injured. The quality of their rescue efforts in such case determines the subsequent prognosis for the patient. Nevertheless, the tasks of firefighters also involve activities associated with a lot of physical activity, which can cause them to lose strength faster during CPR. The aim of the study was to assess the impact of fatigue on the quality of CPR performed by firefighters. MATERIALS AND METHODS: The study group consisted of 100 firefighters of volunteer firefighting units in the Siedlce poviat in Poland. The study was divided into three stages: I - performing chest compressions in a timed regime, II - subjecting the study group to uniform physical activity, III - reassessing the quality of chest compressions. The effectiveness of CPR was analyzed using a computer system and a professional training model. To analyze the variables, the normality of the distribution was determined using the Shapiro-Wilk test, and then the non-parametric test for uncorrelated variables Mann-Whitney U was used. Correlations were tested using the r-Pearson test at p<0.05 significance. RESULTS: The study group consisted of 93 men and 7 women, with a mean age of M=30.84 (SD ± 10.95). The respondents mostly had secondary education (42%) and vocational education (24%), with the majority (54%) declaring their marital status as single. Firefighters with varying ranks, including commanders, chiefs and presidents, participated in the study. The overall quality of chest compressions was lower each time after physical activity, at each analyzed minute of stage I and stage III (minute 1: 84.56% vs. 81.68%, p=0.281; minute 2: 81.13% vs. 80,25%, p=0,558; minute 3: 81.91% vs. 77.78%; p=0.243). A significantly higher quality of chest compressions was observed among men compared to women, both before fatigue (p=0.019) and after physical activity (p=0.053). Participants in the >53 age group had the best resuscitation scores in both during fatigue (90.78%) and before physical activity (90.83%). There was no significant correlation with rank or function of firefighters. Among the parameters of chest compressions evaluated in the third minute, the greatest effect of fatigue was shown in the aspect of the compression rate (59.42% vs. 49.20%) and depth (71.61% vs. 67.86%). CONCLUSIONS: Physical fatigue of firefighters results in moderate decrease in the effectiveness of chest compressions, especially in terms of the rate and depth of compressions. The overall quality of chest compressions is significantly higher in men than in women both before and after physical activity. The experience of firefighters can translate into the quality of resuscitation, regardless of their age. |
| first_indexed | 2024-03-08T17:35:58Z |
| format | Article |
| id | doaj.art-83e7c9e4108446b08c18dc8318c19ee4 |
| institution | Directory Open Access Journal |
| issn | 2545-2533 |
| language | English |
| last_indexed | 2024-03-08T17:35:58Z |
| publishDate | 2023-12-01 |
| publisher | Towarzystwo Pomocy Doraźnej |
| record_format | Article |
| series | Critical Care Innovations |
| spelling | doaj.art-83e7c9e4108446b08c18dc8318c19ee42024-01-02T12:50:16ZengTowarzystwo Pomocy DoraźnejCritical Care Innovations2545-25332023-12-016411010.32114/CCI.2023.6.4.1.10The impact of firefighter fatigue on the quality of chest compressions during resuscitation.Paulina Gryzhttps://orcid.org/0000-0003-4764-9192Jakub Kowalskihttps://orcid.org/0000-0002-1369-1723Piotr Konrad Leszczyńskihttps://orcid.org/0000-0002-3408-3591Martyna Miftadinowhttps://orcid.org/0009-0007-7237-3585Katarzyna Szubińskahttps://orcid.org/0009-0005-5687-3956 INTRODUCTION: The effectiveness of cardiopulmonary resuscitation depends primarily on the actions taken at the scene. Firefighters are often the first ones to help the injured. The quality of their rescue efforts in such case determines the subsequent prognosis for the patient. Nevertheless, the tasks of firefighters also involve activities associated with a lot of physical activity, which can cause them to lose strength faster during CPR. The aim of the study was to assess the impact of fatigue on the quality of CPR performed by firefighters. MATERIALS AND METHODS: The study group consisted of 100 firefighters of volunteer firefighting units in the Siedlce poviat in Poland. The study was divided into three stages: I - performing chest compressions in a timed regime, II - subjecting the study group to uniform physical activity, III - reassessing the quality of chest compressions. The effectiveness of CPR was analyzed using a computer system and a professional training model. To analyze the variables, the normality of the distribution was determined using the Shapiro-Wilk test, and then the non-parametric test for uncorrelated variables Mann-Whitney U was used. Correlations were tested using the r-Pearson test at p<0.05 significance. RESULTS: The study group consisted of 93 men and 7 women, with a mean age of M=30.84 (SD ± 10.95). The respondents mostly had secondary education (42%) and vocational education (24%), with the majority (54%) declaring their marital status as single. Firefighters with varying ranks, including commanders, chiefs and presidents, participated in the study. The overall quality of chest compressions was lower each time after physical activity, at each analyzed minute of stage I and stage III (minute 1: 84.56% vs. 81.68%, p=0.281; minute 2: 81.13% vs. 80,25%, p=0,558; minute 3: 81.91% vs. 77.78%; p=0.243). A significantly higher quality of chest compressions was observed among men compared to women, both before fatigue (p=0.019) and after physical activity (p=0.053). Participants in the >53 age group had the best resuscitation scores in both during fatigue (90.78%) and before physical activity (90.83%). There was no significant correlation with rank or function of firefighters. Among the parameters of chest compressions evaluated in the third minute, the greatest effect of fatigue was shown in the aspect of the compression rate (59.42% vs. 49.20%) and depth (71.61% vs. 67.86%). CONCLUSIONS: Physical fatigue of firefighters results in moderate decrease in the effectiveness of chest compressions, especially in terms of the rate and depth of compressions. The overall quality of chest compressions is significantly higher in men than in women both before and after physical activity. The experience of firefighters can translate into the quality of resuscitation, regardless of their age.https://www.irdim.net/cci/6(4)1-10.htmlresuscitationchest compressionsfirefighterfatiguequality. |
| spellingShingle | Paulina Gryz Jakub Kowalski Piotr Konrad Leszczyński Martyna Miftadinow Katarzyna Szubińska The impact of firefighter fatigue on the quality of chest compressions during resuscitation. Critical Care Innovations resuscitation chest compressions firefighter fatigue quality. |
| title | The impact of firefighter fatigue on the quality of chest compressions during resuscitation. |
| title_full | The impact of firefighter fatigue on the quality of chest compressions during resuscitation. |
| title_fullStr | The impact of firefighter fatigue on the quality of chest compressions during resuscitation. |
| title_full_unstemmed | The impact of firefighter fatigue on the quality of chest compressions during resuscitation. |
| title_short | The impact of firefighter fatigue on the quality of chest compressions during resuscitation. |
| title_sort | impact of firefighter fatigue on the quality of chest compressions during resuscitation |
| topic | resuscitation chest compressions firefighter fatigue quality. |
| url | https://www.irdim.net/cci/6(4)1-10.html |
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