Abstract
Objective
Catalina Island's Casino Point is a popular scuba diving site and is located 11.6
nautical miles from the University of Southern California Catalina Hyperbaric Chamber.
We sought to determine the best method of providing high-performance CPR during a
dive emergency, comparing manual cardiopulmonary resuscitation (CPR) with 2 mechanical
compression devices during a simulated boat transport.
Methods
This study was performed on a Los Angeles County Lifeguard rescue boat using 3 manikins
and comparing 3 arms: 1) manual compressions with 2 rescuers, 2) mechanical CPR with
the Autopulse (ZOLL, Chelmsford, MA), and 3) mechanical CPR with the LUCAS III (Stryker,
Kalamazoo, WI). CPR data were collected using ZOLL Stat Padz with an accelerometer
connected to ZOLL X Series monitor/defibrillators. The manikins were filmed using
mounted cameras. Data were reviewed using ZOLL Case Review.
Results
In video footage, all 3 arms appeared to provide high-performance CPR during the 30-minute
transport. The compression fractions for manual CPR, the Autopulse, and the LUCAS
were 99.57%, 95.51%, and 98.4%, respectively. Engine noise (94.6-101.3 dB) prevented
the manual arm from hearing their audio prompts, and motion caused significant artifact
on the accelerometers.
Conclusion: High-performance CPR can successfully be performed on a rescue boat by
either manual or mechanical methods. Mechanical CPR offered many logistical advantages.
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References
PADI Travel. Diving in California. Available at: https://travel.padi.com/d/california/. Accessed March 2, 2020.
- Occupational Safety and Health Administration Technical Manual.2013 (Available at:)https://www.osha.gov/dts/osta/otm/new_noise/Date accessed: March 2, 2020
Article info
Publication history
Published online: November 27, 2020
Identification
Copyright
© 2020 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
