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January 24, 2023Prehospital Emergency Care

Combined football equipment and manikin obesity reduce CPR chest compression depth to ~33 mm.

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Why the study?

Protective athletic equipment and obesity may impair the delivery of effective chest compressions during CPR, but no established management algorithm exists for equipment-laden athletes.

Does American football protective equipment and simulated obesity reduce CPR chest compression quality performed by emergency responders?

Comparison

Chest compressions over American football protective equipment vs without protective equipment

Design

Preclinical study with four 2-minute bouts of compression-only CPR on traditional and obese manikins

Key result

CPR chest compression depth was significantly reduced by both manikin obesity (p<0.001) and football equipment (p=0.003), with the lowest depth on obese manikins with pads (32.8 mm).

Authors

JLJennifer A. LongoKLKatie J. LymanTHThomas A. Hanson

Discussion

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Member takes

Overview

May warrant CPR adjustments for obese athletes with pads; hypothesis-generating simulation data requiring clinical validation.

Structured PICO

Does American football protective equipment and simulated obesity reduce CPR chest compression quality performed by emergency responders?

P
Population
50 emergency responders performing compression-only CPR on traditional and obese manikins with and without American football protective equipment.
I
Intervention
Performing chest compressions over American football protective equipment (shoulder pads/chest protector)
C
Comparator
Performing chest compressions without protective equipment
O
Outcome
Chest compression depth and chest recoilsurrogate

Main Result

Absolute Event Rate: 32.8% vs 40.8%

p-value: p=<0.001

CPR chest compression depth is significantly reduced by both simulated patient obesity and American football protective equipment, highlighting a need for specific resuscitation protocols in these scenarios.

Cite This Study

Longo et al. (2023) studied Cardiac arrest (n=50). Obese manikin and American football protective equipment vs. Traditional manikin without equipment was evaluated on Mean chest compression depth (p=<0.001). CPR chest compression depth was significantly reduced by both manikin obesity (p<0.001) and football equipment (p=0.003), with the lowest depth on obese manikins with pads (32.8 mm).

synapsesocial.com/papers/6aacbfd72b7b09b630ca1156https://doi.org/10.1080/10903127.2023.2172494
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of Body Position on Chest Compression Quality During CPR in an Obesity Simulation Model: A Randomized Crossover Trial2026
  2. 2Quality of Cardiopulmonary Resuscitation Performed Over Hockey Shoulder Pads: A Simulation Study2023
  3. 3A30 Impact of Physical Fitness on Muscle Activity and Quality of Chest Compressions in Cardiorespiratory Resuscitation: A Multicentric Manikin Study2024
  4. 4Evaluation of the impact of body mass index and mid-upper arm circumference on the quality of cardiopulmonary resuscitation2026
  5. 5Temporal and Weight-Related Variations in Chest Compression Quality during CPR: A 30-Second Interval Manikin Study2025