Why should we switch chest compression providers every 2 minutes during cardiopulmonary resuscitation?

Sa？etak Objective. Tis study was conducted to determine whether trained male rescuers could maintain adequate chest compression depth (CCD) for longer than the current recommended guidelines of 2 minutes. Methods. Forty male medical doctors administered a 5-minute single rescuer cardiopulmonary resuscitation (CPR) to a manikin on the foor with conventional CPR or randomly administered continuous chest compressions (CCC). Te ratio of compression to ventilation was set to 30:2 with mouth-to-mouth technique during conventional CPR. Chest compression data were recorded with an accelerometer device and divided into 1-minute segments for analysis. Results. Although average CCD maintained the recommended depths throughout 5 minutes in conventional CPR, it decreased signifcantly with CCC (1 minute: 55.4 ± 4.5 mm; 2 minutes: 54.2 ± 5.4 mm; 3 minutes: 52.6 ± 5.6 mm; 4 minutes: 51.6 ± 5.5 mm; 5 minutes: 49.9 ± 5.8 mm, p < 0.001). Te average chest compression numbers (ACCN) per minute were maintained over 80/min and have not been changed signifcantly within 5 minutes in the CCC. However, it didn’t reach to the 80/min and decreased signifcantly afer 3minutes compared to the baseline ACCN during frst 1-minute segment in the conventional CPR. Conclusions. Despite the chest compression providers being limited to trained male medical doctors, the average CCD decreased signifcantly within 5minutes with CCC. Although maintaining adequate CCD, ACCN in each minute decreased signifcantly afer 3minutes in the conventional CPR. Terefore, we should rotate chest compression providers every 2minutes regardless of the rescuer’s qualifcations and CPR methods