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Systematic Literature Review 1
SYSTEMATIC LITERATURE REVIEW
(A Comparison of the two finger technique versus the two thumb technique in Infant CPR)
by Firstname Lastname
Class Name
Instructor Name
Institute/ University name
City
13.11.2018

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Systematic Literature Review 2
The nature and quality of the chest-compressions imparted to the infants while doing
cardio-pulmonary resuscitation (C.P.R.) on them is demonstrated to be the most crucial element
in the achievement of increased survival-rate in the absence of a substantial neurologic deficit for
the infants who need to undergo the cardio-pulmonary resuscitation. The aim of this review of
literature is make a systematic review of the available literature, research and investigations in
this context, which endeavor to make a comparison of the two alternative techniques employed
by resuscitators regarding the placement of their hands at the time of cardio-pulmonary
resuscitation of the infants. The techniques examined for the comparison are the two finger
technique versus two thumb technique. The tool employed for the critical appraisal of the studies
included in the review was Critical Appraisal Skills Program (CASP) checklist for systematic
review.
A study on the superiority of the two thumb technique over the two fingers technique in
single rescuer infant cardio-pulmonary resuscitation was done. Lee et al. (2018) compared the
two finger technique employing the index & middle fingers and the two thumb method keeping
in mind that the former produces more deep compression of the chest. However, contrary to the
previous literature, the investigation found that the two thumb technique was superior to the two
finger technique in producing significantly deep compressions of the chest. The limitation to the
study was it being applicable to a single rescuer context. The conclusions can be met in the
paramedic practice as normally there is a single rescuer in paramedic resuscitation and the
paramedics can use the two thumb technique to get better outcomes from the CPR. The findings
of the study by Lee et al. were in line with those of Pellegrino et al. (2018), who also confirmed
the superiority of the two thumb technique by concluding that it had an increased depth of
compression, and also that it was the technique preferred by the paediatric and infant

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Systematic Literature Review SYSTEMATIC LITERATURE REVIEW (A Comparison of the two finger technique versus the two thumb technique in Infant CPR) by Firstname Lastname Class Name Instructor Name Institute/ University name City 13.11.2018 1 Systematic Literature Review 2 The nature and quality of the chest-compressions imparted to the infants while doing cardio-pulmonary resuscitation (C.P.R.) on them is demonstrated to be the most crucial element in the achievement of increased survival-rate in the absence of a substantial neurologic deficit for the infants who need to undergo the cardio-pulmonary resuscitation. The aim of this review of literature is make a systematic review of the available literature, research and investigations in this context, which endeavor to make a comparison of the two alternative techniques employed by resuscitators regarding the placement of their hands at the time of cardio-pulmonary resuscitation of the infants. The techniques examined for the comparison are the two finger technique versus two thumb technique. The tool employed for the critical appraisal of the studies included in the review was Critical Appraisal Skills Program (CASP) checklist for systematic review. A study on the superiority of the two thumb technique over the two fingers technique in single rescuer infant cardio-pulmonary resuscitation was done. Lee et al. (2018) compared the two finger technique employing the index & middle fingers and the two thumb method keeping in ...
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