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One-handed chest compression technique for paediatric cardiopulmonary resuscitation: dominant versus non-dominant hand
  1. Je Hyeok Oh,
  2. Chan Woong Kim,
  3. Sung Eun Kim,
  4. Dong Hoon Lee,
  5. Sang Jin Lee
  1. Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea
  1. Correspondence to Professor Chan Woong Kim, Department of Emergency Medicine, Chung-Ang University, College of Medicine, 84 Heukseok-ro, Dongjak-gu, Seoul 156-756, Republic of Korea; whenever{at}


Background Pediatric resuscitation guidelines do not specify which hand to use for one-handed cardiopulmonary resuscitation (CPR).

Objective To determine whether there is a difference in the quality of one-handed chest compressions (OHCCs) using the dominant versus non-dominant hand in simulated paediatric CPR.

Materials and methods 41 doctors took part in the study. Chest compressions were alternately performed with the dominant (test 1) and non-dominant hand (test 2) in a random order at 30 min intervals. Experiments were carried out with a 5-year-old paediatric manikin without ventilation for 2 min. Data on average compression rate (per min) and average compression depth (mm) were collected and compared.

Results No significant differences were found in the average compression rate (118.0±14.3/min vs 117.3±14.5/min, p=0.610) and average compression depth (41.3±5.6mm vs 41.9±4.1mm, p=0.327) between tests 1 and 2.

Conclusions No significant difference was found in the quality of OHCCs using the dominant and non-dominant hand in simulated paediatric CPR. The study suggests there is no need for paediatric resuscitation guidelines to state a preferred hand for performing OHCC.

  • paediatrics, paediatric resuscitation
  • resuscitation

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