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