Effect of Bed Height on Chest Compression Quality and Provider Biomechanics During Pediatric CPR Simulation
The Effects of Practitioner Anthropometric Differences and Bed Level on CPR Quality in Pediatric Cardiopulmonary Resuscitation: A Simulation-Based Study
Akdeniz University
25 participants
Sep 28, 2025
INTERVENTIONAL
Conditions
Summary
High-quality chest compressions are critical for outcomes after pediatric cardiac arrest, yet rescuer ergonomics and bed height may adversely affect compression quality and fatigue. This randomized crossover simulation study will evaluate how four different bed-height settings influence pediatric CPR quality and rescuer biomechanics. Pediatric emergency medicine residents will perform 2-minute chest-compression-only CPR on a pediatric manikin placed on a hospital bed under four bed-height conditions in randomized order across separate sessions. CPR quality metrics from the manikin's feedback system, rescuer fatigue, physiologic responses, and arm angle over time will be compared to identify an ergonomically optimal bed-height approach.
Eligibility
Inclusion Criteria5
- Age ≥ 18 years
- Pediatric resident/assistant physician working in the Department of Pediatrics (Akdeniz University) with valid ÇİYAD certification
- Willing and able to provide written informed consent
- Able to perform a 2-minute continuous chest-compression CPR cycle on a pediatric manikin
- Available to complete four CPR sessions (each at a different bed-height condition) on separate days
Exclusion Criteria4
- Known chronic cardiopulmonary disease that may limit physical exertion during CPR
- Known musculoskeletal disorder or chronic condition that may affect CPR performance
- Acute injury/illness at the time of participation that could impair safe CPR performance
- Refusal or inability to provide informed consent
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Interventions
Hospital bed height is set to a fixed standard height of 58 cm for the CPR session.
Hospital bed height is adjusted to the participant's patella midpoint reference before the CPR session.
Hospital bed height is adjusted to the lower one-third point of the distance between the patella and ASIS before the CPR session.
Participant selects the bed height they perceive as optimal/comfortable prior to the CPR session.
Locations(1)
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NCT07329842