Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases
Cardiopulmonary resuscitation (CPR) remains controversial with dismal outcomes for cardiac arrest (CA) victims. Inadequate organ perfusion and frequent CPR-related trauma most likely occur due to inappropriate adaptation to hemostatic conditions, electrophysiology, cardiotorsal anatomy, and thoraci...
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Shahid Beheshti University of Medical Sciences
2025-01-01
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| Series: | Archives of Academic Emergency Medicine |
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| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2447 |
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| author | Georgia Tsoungani Sayed Nour |
| author_facet | Georgia Tsoungani Sayed Nour |
| author_sort | Georgia Tsoungani |
| collection | DOAJ |
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Cardiopulmonary resuscitation (CPR) remains controversial with dismal outcomes for cardiac arrest (CA) victims. Inadequate organ perfusion and frequent CPR-related trauma most likely occur due to inappropriate adaptation to hemostatic conditions, electrophysiology, cardiotorsal anatomy, and thoracic biomechanics. Alternatively, we propose a new technique compromising chest compressions through the 5th intercostal space while placing the victim in the left lateral decubitus position with wrapped abdomen and raised legs, allowing to: bypass the sternal barrier, refill the heart, and then recoil-rebound the chest (3R /CPR), within the axis of the cylindrical ribcage. Our goal is to evaluate the technique following its necessary application on two drowning victims. It seems that, 3R/CPR adapts the pathophysiological conditions of CA victims promoting a less traumatic return of spontaneous circulation (ROSC), making it worthy of further investigation and study.
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| format | Article |
| id | doaj-art-a531f27f079845e28f6c54f611153a3e |
| institution | Kabale University |
| issn | 2645-4904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj-art-a531f27f079845e28f6c54f611153a3e2025-02-11T20:47:49ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042025-01-0113110.22037/aaemj.v13i1.2447Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases Georgia Tsoungani 0Sayed Nour1HELLAS Lifeguards SchoolBIRUNI University, Ist. Turkey Cardiopulmonary resuscitation (CPR) remains controversial with dismal outcomes for cardiac arrest (CA) victims. Inadequate organ perfusion and frequent CPR-related trauma most likely occur due to inappropriate adaptation to hemostatic conditions, electrophysiology, cardiotorsal anatomy, and thoracic biomechanics. Alternatively, we propose a new technique compromising chest compressions through the 5th intercostal space while placing the victim in the left lateral decubitus position with wrapped abdomen and raised legs, allowing to: bypass the sternal barrier, refill the heart, and then recoil-rebound the chest (3R /CPR), within the axis of the cylindrical ribcage. Our goal is to evaluate the technique following its necessary application on two drowning victims. It seems that, 3R/CPR adapts the pathophysiological conditions of CA victims promoting a less traumatic return of spontaneous circulation (ROSC), making it worthy of further investigation and study. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2447Heart ArrestCardiopulmonary resuscitationReturn of Spontaneous CirculationOut of Hospital Cardiac Arrest |
| spellingShingle | Georgia Tsoungani Sayed Nour Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases Archives of Academic Emergency Medicine Heart Arrest Cardiopulmonary resuscitation Return of Spontaneous Circulation Out of Hospital Cardiac Arrest |
| title | Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases |
| title_full | Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases |
| title_fullStr | Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases |
| title_full_unstemmed | Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases |
| title_short | Application of Refill, Recoil, Rebound (3R) as a Novel Chest Compression Technique in Cardiopulmonary Resuscitation; Report of Two Cases |
| title_sort | application of refill recoil rebound 3r as a novel chest compression technique in cardiopulmonary resuscitation report of two cases |
| topic | Heart Arrest Cardiopulmonary resuscitation Return of Spontaneous Circulation Out of Hospital Cardiac Arrest |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2447 |
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