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Rescuers may vary their side of approach to a casualty without impact on cardiopulmonary resuscitation performance
  1. Christopher M Jones1,
  2. Christopher J Thorne1,
  3. Penelope S Colter1,
  4. Alison Macrae1,
  5. Gregory A Brown1,
  6. Jonathan Hulme2
  1. 1School of Clinical & Experimental Medicine, University of Birmingham, Birmingham, UK
  2. 2Sandwell and West Birmingham Hospitals NHS Trust, Birmingham City Hospital, Birmingham, UK
  1. Correspondence to Christopher M Jones, School of Clinical & Experimental Medicine, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; cmj744{at}


Aim To determine whether cardiopulmonary resuscitation (CPR) performance is influenced by a rescuer's preferred side of approach.

Methods Eighty-three first-year healthcare students were enrolled in a prospective randomised crossover study comparing chest compression quality during uninterrupted chest compression CPR after approach from both their preferred and non-preferred sides.

Results Chest compression quality was not dependent on rescuers' sidedness preference; neither mean compression rate and depth nor hand positioning differed between sides of approach.

Conclusions No link exists between the side from which a rescuer approaches, or prefers to approach, a casualty and chest compression quality.

  • Cardiopulmonary resuscitation (CPR)
  • chest compression
  • manikin
  • adult
  • resuscitation
  • training
  • research
  • prehospital care
  • intensive care
  • trauma
  • acute medicine
  • major incidents
  • ventilation
  • analgesia pain control
  • anaesthesia
  • airway

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.