Impact of personal protective equipment on pediatric cardiopulmonary resuscitation performance: A controlled trial

Aaron J. Donoghue, Aaron J. Donoghue, Fred M. Henretig, Aaron J. Donoghue, Maybelle Kou, Grace L. Good, Adam Kochman, Maybelle Kou, Helen Stacks, Carmel Eiger, Mark Nash, Julie Debski, Jia Yuh Chen, Gaurav Sharma, Christoph P. Hornik, Leigh Gosnell, David Siegel, Steven Krug, Mark D. Adler, Daniel K. BenjaminChristoph Hornik, Kanecia Zimmerman, Phyllis Kennel, Rose Beci, Chi Dang Hornik, Matthew Laughon, Ian M. Paul, Janice Sullivan, Kelly Wade, Paula Delmore, Gregory L. Kearns

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Objectives This study aimed to determine whether personal protective equipment (PPE) results in deterioration in chest compression (CC) quality and greater fatigue for administering health care providers (HCPs). Methods In this multicenter study, HCPs completed 2 sessions. In session 1 (baseline), HCPs wore normal attire; in session 2, HCPs donned full PPE. During each session, they performed 5 minutes of uninterrupted CCs on a child manikin. Chest compression rate, depth, and release velocity were reported in ten 30-second epochs. Change in CC parameters and self-reported fatigue were measured between the start and 2- and 5-minute epochs. Results We enrolled 108 HCPs (prehospital and in-hospital providers). The median CC rate did not change significantly between epochs 1 and 10 during baseline sessions. Median CC depth and release velocity decreased for 5 minutes with PPE. There were no significant differences in CC parameters between baseline and PPE sessions in any provider group. Median fatigue scores during baseline sessions were 2 (at start), 4 (at 2 minutes), and 6 (at 5 minutes). There was a significantly higher median fatigue score between 0 and 5 minutes in both study sessions and in all groups. Fatigue scores were significantly higher for providers wearing PPE compared with baseline specifically among prehospital providers. Conclusions During a clinically appropriate 2-minute period, neither CC quality nor self-reported fatigue worsened to a significant degree in providers wearing PPE. Our data suggest that Pediatric Basic Life Support recommendations for CC providers to switch every 2 minutes need not be altered with PPE use.

Original languageEnglish (US)
Pages (from-to)267-273
Number of pages7
JournalPediatric emergency care
Issue number6
StatePublished - Jun 1 2020


  • chest compression
  • pediatric cardiopulmonary resuscitation
  • personal protective equipment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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