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EJOB 142577

EJOB 142577

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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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