Veille documentaire MTPH

Médecine du travail du personnel hospitalier

Mechanical loading of the low back during cardiopulmonary resuscitation

Auteur Jui-Yi Tsou

Auteur Chih-Hsien Chi

Auteur Rebekah Min-Fang Hsu

Auteur Hui-Fen Wu

Auteur Fong-Chin Su

Résumé AIM: Back pain is often seen in professional rescuers after carrying out resuscitation. Back loading is known to be affected by the working surface height, but the relationship between the surface height and back loading during cardiopulmonary resuscitation (CPR) is poorly understood. The purpose of this study was to examine how back loading changes in response to CPR posture and surface height. METHODS: Twenty-two experienced professional rescuers performed CPR using three surface heights; the floor (F), a table at a height of 63cm (HT) and one at a height of 37cm (LT). RESULTS: The mean and maximal low back moment and compression force at HT were significantly smaller than those at LT and F. CONCLUSION: The results suggest that the HT task of chest compression produces the lowest low back moment and compression force. Thus, HT positioning may decrease the probability of low back pain and is suggested to be optimal height for inexperienced resuscitators, those with back injury, or those requiring a long operating duration.

Publication Resuscitation

Volume 80

Numéro 10

Pages 1181-1186

Date Oct 2009

Abréviation de revue Resuscitation

ISSN 1873-1570

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