Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis
Background: Lifeguards actively contribute to the safeguarding of human lives in aquatic environments. When attending to victims of cardiac arrest in the water, lifeguards must perform basic life support after intense physical exertion that may involve running, swimming, and towing. The purpose of t...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Aperio
2023-11-01
|
| Series: | International Journal of First Aid Education |
| Subjects: | |
| Online Access: | https://firstaidjournal.org/article/id/2312/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832575933486202880 |
|---|---|
| author | Filipe Maia |
| author_facet | Filipe Maia |
| author_sort | Filipe Maia |
| collection | DOAJ |
| description | Background: Lifeguards actively contribute to the safeguarding of human lives in aquatic environments. When attending to victims of cardiac arrest in the water, lifeguards must perform basic life support after intense physical exertion that may involve running, swimming, and towing. The purpose of this review is to assess the magnitude of the effects caused by physical fatigue on the quality of subsequent cardiopulmonary resuscitation, under simulated conditions.
Methods: A systematic literature search was conducted following PRISMA guidelines, covering the databases: PubMed, Web of Science, ScienceDirect, and Academic Search Complete, using the keywords: (lifeguard) AND ("cardiopulmonary" OR "cardiorespiratory" OR "basic life support" OR "resusc*"). Articles published until 25 May 2023 were considered for inclusion. The methodological quality of the included studies was assessed using the JBI Critical Appraisal Tool. The pooled data analysis was conducted using a random-effects model, with heterogeneity assessed using I2.
Results: In total, 8 studies (297 lifeguards) were included. Results indicate that physical fatigue jeopardizes the quality of compressions (ES: -0.90) and ventilations (ES: -1.10).
Conclusions: In general, lifeguards perform cardiopulmonary resuscitation poorly, especially when physically fatigued. Hence, this underscores the importance of keeping these professionals prepared to perform basic life support.
Resumo
Introdução: Os nadadores-salvadores contribuem ativamente na salvaguarda da vida humana em espaços aquáticos. Quando procuram dar resposta a vítimas de ataque cardíaco na água, estes profissionais devem realizar suporte básico de vida após atividade física intensa, que pode incluir correr, nadar e rebocar. O propósito desta revisão é averiguar a magnitude do efeito causado pela fadiga física na ressuscitação cardiopulmonar subsequente, sob condições simuladas.
Métodos: Uma pesquisa sistemática da literatura foi realizada seguindo as normas PRISMA, cobrindo as bases de dados: PubMed, Web of Science, ScienceDirect, and Academic Search Complete, usando as palavras-chave: (lifeguard) AND ("cardiopulmonary" OR "cardiorespiratory" OR "basic life support" OR "resusc*"). Os artigos publicados até 25 de maio de 2023 foram considerados para inclusão. A qualidade metodológica dos estudos incluídos foi avaliada com recurso à JBI Critical Appraisal Tool. A análise de dados foi conduzida utilizando random-effects model, com a heterogeneidade avaliada usando o teste I2.
Resultados: No total, 8 estudos foram incluídos (297 participantes). Os resultados indicam que a fadiga física compromete a qualidade das compressões (ES: -0.90) e das ventilações (ES: -1.10)
Conclusões: De modo geral, os nadadores-salvadores realizam ressuscitação cardiopulmonar com má qualidade, especialmente sob fadiga. Assim, estes resultados ilustram a importância de manter nadadores-salvadores devidamente preparados para realizar suporte básico de vida.
Résumé
Effets de la fatigue physique sur la qualité de la réanimation cardio-pulmonaire par les sauveteurs : Une revue systématique et une méta-analyse
Contexte : Les sauveteurs contribuent activement à la sauvegarde des vies humaines dans les milieux aquatiques. Lorsqu'ils s'occupent de victimes d'arrêts cardiaques dans l'eau, les sauveteurs doivent effectuer une réanimation de base après un effort physique intense qui peut impliquer la course, la natation et le remorquage. L'objectif de cette étude est d'évaluer l'ampleur des effets de la fatigue physique sur la qualité de la réanimation cardio-pulmonaire subséquente, dans des conditions simulées.
Méthodes : Une recherche documentaire systématique a été effectuée conformément aux lignes directrices PRISMA, couvrant les bases de données : PubMed, Web of Science, ScienceDirect, et Academic Search Complete, en utilisant les mots clés en anglais : (lifeguard) et ("cardiopulmonary" ou "cardiorespiratory" ou "basic life support" OU "resusc*"). Les articles publiés jusqu'au 25 mai 2023 ont été pris en compte. La qualité méthodologique des études incluses a été évaluée à l'aide du JBI Critical Appraisal Tool. L'analyse des données regroupées a été réalisée à l'aide d'un modèle à effets aléatoires, l'hétérogénéité étant évaluée à l'aide de I2.
Résultats : Au total, 8 études (297 sauveteurs) ont été incluses. Les résultats indiquent que la fatigue physique compromet la qualité des compressions (ES : -0,90) et des ventilations (ES : -1,10).
Conclusion : En général, les sauveteurs font mal la réanimation cardio-pulmonaire, surtout lorsqu'ils sont physiquement fatigués. Cela souligne donc l'importance de maintenir ces professionnels préparés à effectuer les soins de base. |
| format | Article |
| id | doaj-art-b859d5bb3d254b25a2267021391ddacf |
| institution | Kabale University |
| issn | 2514-7153 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | Aperio |
| record_format | Article |
| series | International Journal of First Aid Education |
| spelling | doaj-art-b859d5bb3d254b25a2267021391ddacf2025-01-31T16:28:21ZengAperioInternational Journal of First Aid Education2514-71532023-11-016110.25894/ijfae.6.1.91Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis Filipe Maia0 Background: Lifeguards actively contribute to the safeguarding of human lives in aquatic environments. When attending to victims of cardiac arrest in the water, lifeguards must perform basic life support after intense physical exertion that may involve running, swimming, and towing. The purpose of this review is to assess the magnitude of the effects caused by physical fatigue on the quality of subsequent cardiopulmonary resuscitation, under simulated conditions. Methods: A systematic literature search was conducted following PRISMA guidelines, covering the databases: PubMed, Web of Science, ScienceDirect, and Academic Search Complete, using the keywords: (lifeguard) AND ("cardiopulmonary" OR "cardiorespiratory" OR "basic life support" OR "resusc*"). Articles published until 25 May 2023 were considered for inclusion. The methodological quality of the included studies was assessed using the JBI Critical Appraisal Tool. The pooled data analysis was conducted using a random-effects model, with heterogeneity assessed using I2. Results: In total, 8 studies (297 lifeguards) were included. Results indicate that physical fatigue jeopardizes the quality of compressions (ES: -0.90) and ventilations (ES: -1.10). Conclusions: In general, lifeguards perform cardiopulmonary resuscitation poorly, especially when physically fatigued. Hence, this underscores the importance of keeping these professionals prepared to perform basic life support. Resumo Introdução: Os nadadores-salvadores contribuem ativamente na salvaguarda da vida humana em espaços aquáticos. Quando procuram dar resposta a vítimas de ataque cardíaco na água, estes profissionais devem realizar suporte básico de vida após atividade física intensa, que pode incluir correr, nadar e rebocar. O propósito desta revisão é averiguar a magnitude do efeito causado pela fadiga física na ressuscitação cardiopulmonar subsequente, sob condições simuladas. Métodos: Uma pesquisa sistemática da literatura foi realizada seguindo as normas PRISMA, cobrindo as bases de dados: PubMed, Web of Science, ScienceDirect, and Academic Search Complete, usando as palavras-chave: (lifeguard) AND ("cardiopulmonary" OR "cardiorespiratory" OR "basic life support" OR "resusc*"). Os artigos publicados até 25 de maio de 2023 foram considerados para inclusão. A qualidade metodológica dos estudos incluídos foi avaliada com recurso à JBI Critical Appraisal Tool. A análise de dados foi conduzida utilizando random-effects model, com a heterogeneidade avaliada usando o teste I2. Resultados: No total, 8 estudos foram incluídos (297 participantes). Os resultados indicam que a fadiga física compromete a qualidade das compressões (ES: -0.90) e das ventilações (ES: -1.10) Conclusões: De modo geral, os nadadores-salvadores realizam ressuscitação cardiopulmonar com má qualidade, especialmente sob fadiga. Assim, estes resultados ilustram a importância de manter nadadores-salvadores devidamente preparados para realizar suporte básico de vida. Résumé Effets de la fatigue physique sur la qualité de la réanimation cardio-pulmonaire par les sauveteurs : Une revue systématique et une méta-analyse Contexte : Les sauveteurs contribuent activement à la sauvegarde des vies humaines dans les milieux aquatiques. Lorsqu'ils s'occupent de victimes d'arrêts cardiaques dans l'eau, les sauveteurs doivent effectuer une réanimation de base après un effort physique intense qui peut impliquer la course, la natation et le remorquage. L'objectif de cette étude est d'évaluer l'ampleur des effets de la fatigue physique sur la qualité de la réanimation cardio-pulmonaire subséquente, dans des conditions simulées. Méthodes : Une recherche documentaire systématique a été effectuée conformément aux lignes directrices PRISMA, couvrant les bases de données : PubMed, Web of Science, ScienceDirect, et Academic Search Complete, en utilisant les mots clés en anglais : (lifeguard) et ("cardiopulmonary" ou "cardiorespiratory" ou "basic life support" OU "resusc*"). Les articles publiés jusqu'au 25 mai 2023 ont été pris en compte. La qualité méthodologique des études incluses a été évaluée à l'aide du JBI Critical Appraisal Tool. L'analyse des données regroupées a été réalisée à l'aide d'un modèle à effets aléatoires, l'hétérogénéité étant évaluée à l'aide de I2. Résultats : Au total, 8 études (297 sauveteurs) ont été incluses. Les résultats indiquent que la fatigue physique compromet la qualité des compressions (ES : -0,90) et des ventilations (ES : -1,10). Conclusion : En général, les sauveteurs font mal la réanimation cardio-pulmonaire, surtout lorsqu'ils sont physiquement fatigués. Cela souligne donc l'importance de maintenir ces professionnels préparés à effectuer les soins de base.https://firstaidjournal.org/article/id/2312/FatigueResuscitationLifesavingRescueCardiac arrest |
| spellingShingle | Filipe Maia Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis International Journal of First Aid Education Fatigue Resuscitation Lifesaving Rescue Cardiac arrest |
| title | Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis |
| title_full | Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis |
| title_fullStr | Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis |
| title_full_unstemmed | Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis |
| title_short | Effects of Physical Fatigue on Cardiopulmonary Resuscitation Quality by Lifeguards: A Systematic Review and Meta-analysis |
| title_sort | effects of physical fatigue on cardiopulmonary resuscitation quality by lifeguards a systematic review and meta analysis |
| topic | Fatigue Resuscitation Lifesaving Rescue Cardiac arrest |
| url | https://firstaidjournal.org/article/id/2312/ |
| work_keys_str_mv | AT filipemaia effectsofphysicalfatigueoncardiopulmonaryresuscitationqualitybylifeguardsasystematicreviewandmetaanalysis |