Prone CPR study includes instructions for making a counterpressure sternal board


  • Jenny Blair, MD
  • Clinical Essentials
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Takeaway

  • Prone CPR is sometimes reasonable and may be necessary more often in the COVID-19 era.
  • If attempted, the procedure requires a rigid board and sternal support under the patient.

Why this matters

Description

  • Scoping review of 4 cases.
  • Instructions for making a prone cardiac arrest board, which readers can make themselves.

Key points

  • Lessons from scoping review:
    • 1 fist under sternum, other compressing spine led to sustained systolic BPs of 120 mmHg.
    • Sandbag between rigid board and sternum plus 2-handed spine compression generated higher BPs than standard CPR.
    • In a 6-year-old, a 1-handed technique led to return of spontaneous circulation. 
    • Sternal support is necessary.
  • Authors invented prone cardiac arrest board with sternal counterpressure elevation.
  • They tested compression quality on a mannequin.
    • The board allowed compressions to achieve adequate depths most of the time.
    • Participants found it “less fatiguing” to provide adequate depths with the board and sternal ridge. 
  • Downloadable instructions for 3D printing are freely available.
  • A study is underway; readers can participate.