Previous Intensive Running or Swimming Negatively Affects CPR Effectiveness

J. Arturo Abraldes, Ricardo J. Fernandes and Ricardo Morán-Navarro
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J. Arturo Abraldes: Research Group MS&SPORT, Faculty of Sports Sciences, University of Murcia, 30720 Murcia, Spain
Ricardo J. Fernandes: Porto Biomechanics Laboratory, University of Porto, 4200-450 Porto, Portugal
Ricardo Morán-Navarro: Department of Physical Activity and Sport, Faculty of Sports Sciences, University of Murcia, 30720 Murcia, Spain

IJERPH, 2021, vol. 18, issue 18, 1-10

Abstract: Survival outcomes increase significantly when cardiopulmonary resuscitation (CPR) is provided correctly, but rescuers’ fatigue can compromise its delivery. We investigated the effect of two exercise modes on CPR effectiveness and physiological outputs. After 4 min baseline conditions, 30 lifeguards randomly performed a 100 m run and a combined water rescue before 4 min CPR (using an adult manikin and a 30:2 compression–ventilation ratio). Physiological variables were continuously measured during baseline and CPR using a portable gas analyzer (K4b 2 , Cosmed, Rome, Italy) and CPR effectiveness was analyzed using two HD video cameras. Higher oxygen uptake (23.0 ± 9.9 and 20.6 ± 9.1 vs. 13.5 ± 6.2 mL·kg·min ?1 ) and heart rate (137 ± 19 and 133 ± 15 vs. 114 ± 15 bpm), and lower compression efficacy (63.3 ± 29.5 and 62.2 ± 28.3 vs. 69.2 ± 28.0%), were found for CPRrun and CPRswim compared to CPRbase. In addition, ventilation efficacy was higher in the rescues preceded by intense exercise than in CPRbase (49.5 ± 42.3 and 51.9 ± 41.0 vs. 33.5 ± 38.3%), but no differences were detected between CPRrun and CPRswim. In conclusion, CPRrun and CPRswim protocols induced a relevant physiological stress over each min and in the overall CPR compared with CPRbase. The CPRun protocol reduces the compression rate but has a higher effectiveness percentage than the CPRswim protocol, in which there is a considerably higher compression rate but with less efficacy.

Keywords: physiology; fatigue; effort; oxygen uptake; effectiveness; CPR (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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