Saudi Journal of Emergency Medicine

Original Article
SJEMed. 2022; 3(1): 075-079

Reassessing hyperventilation in prehospital care as a function of hand size

Authors: Maniraj Jeyaraju, Ali Aledhaim, Thomas Grissom, Jon Mark Hirshon.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1617672499

Abstract

Background: Approximately 356,000 out-of-hospital cardiac arrests occur yearly (AHA, 2019), and prehospital providers must rely on their training to successfully resuscitate these patients. Despite advancements in their training, providers tend to hyperventilate patients, which has been linked to adverse health sequelae. While studies have briefly explored provider hand size as a variable, none have conclusively connected hand size and hyperventilation rates. Furthermore, minute ventilation (MV) has not been explored as a parameter of ventilation performance. Methods: A focused revisit of this relationship between hand size and ventilation performance through manikin simulation testing of 122 emergency medical services professionals in Maryland evaluated the ventilator parameters of breath rate (BR), tidal volume (TV), and MV. Results: The cohort’s hyperventilation rate was 29%. In this study, evidence approaching statistical significance exists that participants with small hands (as determined by glove size) provide greater MV than other participants, yet no size-specific relationship was found for BR or TV. Further stratifying the participant certification level, the basic life support-certified providers with small hand sizes provided significantly greater BR administration. Conclusion: These findings affirm that hyperventilation is still a concern, MV is an important ventilator parameter to include in future studies, and a larger scale study is needed.

Keywords:   ventilation; cardiac arrest; prehospital emergency care


© Copyright: Author(s)

Reassessing hyperventilation in prehospital care as a function of hand size


Authors
Maniraj Jeyaraju
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, USA
PubMed articlesGoogle scholar articles

Ali Aledhaim
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, USA
PubMed articlesGoogle scholar articles

Thomas Grissom
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, USA
PubMed articlesGoogle scholar articles

Jon Mark Hirshon
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, USA.
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Correspondence to:
. Maniraj Jeyaraju, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, USA.; maniraj.jeyaraju@som.umaryland.edu

Publication history
Received 22 Apr 2021
Accepted 04 Feb 2022
Published online 27 Feb 2022
Published in print 07 Mar 2022

How to cite this article

Pubmed Style

Jeyaraju M, Aledhaim A, Grissom T, Hirshon JM. Reassessing hyperventilation in prehospital care as a function of hand size. SJEMed. 2022; 3(1): 075-079. doi:10.24911/SJEMed/72-1617672499


Web Style

Jeyaraju M, Aledhaim A, Grissom T, Hirshon JM. Reassessing hyperventilation in prehospital care as a function of hand size. https://www.sjemed.com/?mno=70713 [Access: December 06, 2022]. doi:10.24911/SJEMed/72-1617672499


AMA (American Medical Association) Style

Jeyaraju M, Aledhaim A, Grissom T, Hirshon JM. Reassessing hyperventilation in prehospital care as a function of hand size. SJEMed. 2022; 3(1): 075-079. doi:10.24911/SJEMed/72-1617672499


Vancouver/ICMJE Style

Jeyaraju M, Aledhaim A, Grissom T, Hirshon JM. Reassessing hyperventilation in prehospital care as a function of hand size. SJEMed. (2022), [cited December 06, 2022]; 3(1): 075-079. doi:10.24911/SJEMed/72-1617672499


Harvard Style

Jeyaraju, M., Aledhaim, . A., Grissom, . T. & Hirshon, . J. M. (2022) Reassessing hyperventilation in prehospital care as a function of hand size. SJEMed, 3 (1), 075-079. doi:10.24911/SJEMed/72-1617672499


Turabian Style

Jeyaraju, Maniraj, Ali Aledhaim, Thomas Grissom, and Jon Mark Hirshon. 2022. Reassessing hyperventilation in prehospital care as a function of hand size. Saudi Journal of Emergency Medicine, 3 (1), 075-079. doi:10.24911/SJEMed/72-1617672499


Chicago Style

Jeyaraju, Maniraj, Ali Aledhaim, Thomas Grissom, and Jon Mark Hirshon. "Reassessing hyperventilation in prehospital care as a function of hand size." Saudi Journal of Emergency Medicine 3 (2022), 075-079. doi:10.24911/SJEMed/72-1617672499


MLA (The Modern Language Association) Style

Jeyaraju, Maniraj, Ali Aledhaim, Thomas Grissom, and Jon Mark Hirshon. "Reassessing hyperventilation in prehospital care as a function of hand size." Saudi Journal of Emergency Medicine 3.1 (2022), 075-079. Print. doi:10.24911/SJEMed/72-1617672499


APA (American Psychological Association) Style

Jeyaraju, M., Aledhaim, . A., Grissom, . T. & Hirshon, . J. M. (2022) Reassessing hyperventilation in prehospital care as a function of hand size. Saudi Journal of Emergency Medicine, 3 (1), 075-079. doi:10.24911/SJEMed/72-1617672499


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