THE EFFECT OF MEN’S LACROSSE EQUIPMENT ON CHEST COMPRESSION AND VENTILATION DELIVERY Public Deposited

Downloadable Content

Download PDF
Last Modified
  • March 21, 2019
Creator
  • Davis, Mikaela
    • Affiliation: College of Arts and Sciences, Department of Exercise and Sport Science
Abstract
  • Background: Current management guidelines for the care of equipped athletes in the case of cardiac emergencies are unclear regarding the decision to remove protective sports equipment prior to the delivery of cardiopulmonary resuscitation (CPR). It has been shown that the presence of football equipment decreases the effectiveness of CPR delivery. Our objective was to determine the effect of men’s lacrosse equipment on performing chest compressions and delivering adequate ventilations on patient simulators. Hypothesis: Conditions with more men’s lacrosse equipment left in place would decrease chest compression and ventilation efficacy for athletic trainers. Methods: Twenty-six certified athletic trainers participated in three different compression conditions and six different ventilation conditions using human patient simulators. Data for chest compressions (mean compression depth, compression rate, percentage of correctly released compressions, and percentage of adequate compressions) and ventilations (total ventilations, mean ventilation volume, and percentage of ventilations delivering adequate volume) were analyzed within subjects across each equipment condition. Results: The fully-equipped athlete was found to have the lowest mean compression depth (F2,50=26.57, p<0.001) and the fewest number of compressions reaching an adequate depth (F2,50=21.48, p<0.001) compared to all other conditions. The fully equipped athlete was also found to have the lowest mean ventilation volume (F2,125=17.79, p<0.001), and a lower percentage of ventilations reaching adequate volume (F2,125=43.05, p<0.001), in both one-person pocket mask and two-person bag valve mask scenarios. Conclusions: Our results indicate that chest compression and ventilation delivery are compromised in equipment-laden conditions in the sport of men’s lacrosse. As a result, in the case of a men’s lacrosse athlete requiring CPR, the shoulder pads must be lifted or cut away to expose the chest, and the facemask and chinstrap must be removed to access the airway.
Date of publication
Keyword
DOI
Resource type
Rights statement
  • In Copyright
Advisor
  • Mihalik, Jason
  • Petschauer, Meredith A.
  • Clark, Michael
Degree
  • Master of Arts
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
Language
Parents:

This work has no parents.

Items