Which technique of chest compression should we use wearing full personal protective equipment: a pilot data

Marek Malysz¹, Karol Bielski¹, *Jacek Smereka^{1, 2}, Klaudiusz Nadolny^{3, 4}, Maciej Maslanka^{1, 5}, Lukasz Szarpak^{1, 6}

To the Editor

Out-of-hospital cardiac arrest (OHCA) is a leading cause of global mortality and is a challenge for the Emergency Medical Services Team (EMS) personnel due to limited human resources. Overall prognosis and the neurological outcome are relatively poor following OHCA. Reported survival to discharge after the onset of OHCA varies from 0 to 21% (1). In the era of the COVID-19 pandemic, due to the risk of transmission of SARS-CoV-2 coronavirus, the staff of the emergency exit teams should use enhanced personal protective equipment when performing medical rescue operations (including resuscitation) in a patient with suspected/confirmed COVID-19 (2). Full protective suits, masks with FFP2 or FFP3 filters as well as face shields or double gloves are most often recommended (3). The use of this type of protection may reduce the effectiveness of individual medical procedures (4-6) and thus reduce the effectiveness of resuscitation (7).

The aim of the study was to compare two different chest compression positions during suspected/confirmed COVID-19 adult cardiopulmonary resuscitation performed by paramedics wearing full PPE.

The study was designed as a prospective r

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