• Je Hyeok Oh, Chan Woong Kim, Sung Eun Kim, Dong Hoon Lee, and Sang Jin Lee.
• Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
• Emerg Med J. 2015 Jul 1;32(7):544-6.

BackgroundPediatric resuscitation guidelines do not specify which hand to use for one-handed cardiopulmonary resuscitation (CPR).ObjectiveTo determine whether there is a difference in the quality of one-handed chest compressions (OHCCs) using the dominant versus non-dominant hand in simulated paediatric CPR.Materials And Methods41 doctors took part in the study. Chest compressions were alternately performed with the dominant (test 1) and non-dominant hand (test 2) in a random order at 30 min intervals. Experiments were carried out with a 5-year-old paediatric manikin without ventilation for 2 min. Data on average compression rate (per min) and average compression depth (mm) were collected and compared.ResultsNo significant differences were found in the average compression rate (118.0±14.3/min vs 117.3±14.5/min, p=0.610) and average compression depth (41.3±5.6mm vs 41.9±4.1mm, p=0.327) between tests 1 and 2.ConclusionsNo significant difference was found in the quality of OHCCs using the dominant and non-dominant hand in simulated paediatric CPR. The study suggests there is no need for paediatric resuscitation guidelines to state a preferred hand for performing OHCC.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

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