I performed one handed CPR in a moving ambulance on a number of occasions
when I was a student on an elective with the Scottish Ambulance Service.
I have no idea what the oficial SAS policy on this is, but when I was there
there were always two of us in the back so one compressed the bag while the
other did one handed CPR. The second hand was used for holding on to the
vehicle! I assume if done by one person one hand does CPR and squeezes the
bag while the other is used to hold on.
I have to say I havn't done it for a while as the only out of hospital
arrests I've had over the last few years I've either got back a spontaneous
circulation or I've called at the scene.\
Doing CPR on the move with lights and sirens is very dangerous for the crew,
which is why I'm keen to see as few people transported in arrest as
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> From: "Iain McNeil" <[log in to unmask]>
> Reply-To: [log in to unmask]
> Date: Sun, 23 Apr 2000 09:20:33 +0100
> To: <[log in to unmask]>
> Subject: Single handed CPR
> I have recently come across a situation where ambulance crews have been
> taught to do chest compressions with one hand, on adults, when working on
> their own. Essentiailly they do chest compressions with one hand and hold on
> to the mask of the BVM with the other while the vehicle is mobile to
> hospital. This is taught in preference to the standard two handed chest
> compression technique.
> Does any one have experience of this?
> Is it acceptable practice?
> Does any one else do this as a routine?
> Do you think the practice of holding onto the patients mask with one hand
> whilst doing CPR in a moving vehicle is safe?
> Do you think one handed CPR is effective after a period of time? ( I am
> assured that on skill meters it is as good - but for how long I know not)
> Are there any references that you know of?
> I am not keen on the process at all but am willing to be persuaded if there
> is evidence to support its efficacy.Any thoughts would be gratefully
> Iain McNeil