The Effects of Practitioner Anthropometric Differences and Bed Level on CPR Quality in Pediatric Cardiopulmonary Resuscitation: A Simulation-Based Study
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.
• 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