@article{ref1,
title="Sports safety matting diminishes cardiopulmonary resuscitation quality and increases rescuer perceived exertion",
journal="PLoS one",
year="2021",
author="Kingston, Thomas and Tiller, Nicholas B. and Partington, Elle and Ahmed, Mukhtar and Jones, Gareth and Johnson, Mark I. and Callender, Nigel A.",
volume="16",
number="7",
pages="e0254800-e0254800",
abstract="OBJECTIVES: Compliant surfaces beneath a casualty diminish the quality of cardiopulmonary resuscitation (CPR) in clinical environments. To examine this issue in a sporting environment, we assessed chest compression quality and rescuer exertion upon compliant sports safety matting. <br><br>METHODS: Twenty-seven advanced life support providers volunteered (13 male/14 female; mass = 79.0 ± 12.5 kg; stature = 1.77 ± 0.09 m). Participants performed 5 × 2 min, randomized bouts of continuous chest compressions on a mannequin, upon five surfaces: solid floor; low-compliance matting; low-compliance matting with a backboard; high-compliance matting; high-compliance matting with a backboard. Measures included chest compression depth and rate, percentage of adequate compressions, and rescuer heart rate and perceived exertion. <br><br>RESULTS: Chest compression depth and rate were significantly lower upon high-compliance matting relative to other surfaces (p<0.05). The percentage of adequate compressions (depth ≥50 mm) was lowest upon high-compliance matting (40 ± 39%) versus low-compliance matting (60 ± 36%) and low-compliance matting with a backboard (59 ± 39%). Perceived exertion was significantly greater upon high-compliance matting versus floor, low-compliance matting, and low-compliance matting with a backboard (p<0.05). <br><br>CONCLUSION: Providers of CPR should be alerted to the detrimental effects of compliant safety matting in a sporting environment and prepare to alter the targeted compression depth and rescuer rotation intervals accordingly.<p /> <p>Language: en</p>",
language="en",
issn="1932-6203",
doi="10.1371/journal.pone.0254800",
url="http://dx.doi.org/10.1371/journal.pone.0254800"
}