Kendo Protective Equipment Prevents Quick Access for Resuscitation During Sudden Cardiac Arrest: A Cross-Over Manikin Study

in International Journal of Athletic Therapy and Training

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Shota Tanaka Kokushikan University
Tokai University

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Hiroki Ueta Meiji University of Integrative Medicine

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Ryo Sagisaka Kokushikan University

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Shuji Sakanashi Kokushikan University
Meiji University of Integrative Medicine

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Takahiro Hara Kokushikan University

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Hideharu Tanaka Kokushikan University

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DOI:
https://doi.org/10.1123/ijatt.2019-0073
Keywords:
cardiopulmonary resuscitation; protective equipment; out-of-hospital cardiac arrest; catastrophic sport injury
First Published Online:
10 Feb 2020
In Print:
Volume 25: Issue 4
Page Range:
197–202
Restricted access

Protective equipment in sports can be a barrier to sudden cardiac arrest (SCA) treatment, but no Kendo-related data are available. In order to enhance the SCA survival rate, we aimed to determine whether Kendo protective equipment should be removed before or after an automated external defibrillator (AED) has arrived by measuring the quality and timeframe of cardiopulmonary resuscitation administration. Eighteen collegiate female Kendo players were instructed to treat the patient with SCA under two conditions: (a) equipment removal [ER] condition; (b) no equipment removal [NER] condition. Chest compression initiation was delayed during simulated cardiac arrest situations in Kendo, but the SCA quality was much better without protective equipment. When a layperson is only a nonhealthcare professional female, Kendo protective equipment becomes a barrier for quick access during SCA treatment of Kendo players.

S. Tanaka and H. Tanaka are with the Research Institute of Disaster Management and EMS, Kokushikan University, Tokyo, Japan. S. Tanaka is also with the School of Medicine, Tokai University, Tokyo, Japan. Ueta and Sakanashi are with the Faculty of Emergency Medical Science, Meiji University of Integrative Medicine, Nantan, Kyoto, Japan. Sagisaka, Sakanashi, Hara, and H. Tanaka are with the Graduate School of EMS System, Kokushikan University, Tokyo, Japan.

S. Tanaka (tanakamedical24@gmail.com) is corresponding author.
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International Journal of Athletic Therapy and Training

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  • 1.

    All Japan Kendo Federation. https://www.kendo.or.jp/knowledge/. Accessed June 7, 2019.

  • 2.

    Van Camp SP, Bloor CM, Mueller FO, Cantu RC, Olson HG. Nontraumatic sports death in high school and college athletes. Med Sci Sports Exerc. 1995;27:641–647. PubMed ID: 7674867 doi:10.1249/00005768-199505000-00005

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Drezner JA, Rogers KJ, Zimmer RR, Sennet BJ. Use of automated external defibrillators at NCAA Division I universities. Med Sci Sports Exerc. 2005;37:1487–1492. PubMed ID: 16177599 doi:10.1249/01.mss.0000177591.30968.d4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Hillis WS, McIntyre PD, Maclean J, Goodwin JF, McKenna WJ. ABC of sports medicine. Sudden death in sport. BMJ. 1994;309: 657–660. PubMed ID: 8086993 doi:10.1136/bmj.309.6955.657

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Schultzel M, Schultzel M, Wentz B, Bernhardt M. The prevalence of injury in Kendo. Phys Sportsmed. 2016;44:29–33. PubMed ID: 26548751 doi:10.1080/00913847.2016.1105093

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Masumo S, Tanaka H, Yano H, et al. Analysis of cardiopulmonary arrest in Kendo. J Disaster Manag Emerg Med Syst. 2019;5:27–34.

  • 7.

    Larsen MP, Eisenberg MS, Cummins RO, et al. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann EmergMed. 1993;22:1652–1658. doi:10.1016/S0196-0644(05)81302-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Kinoshi T, Tanaka S, Sagisaka R, et al. Mobile automated external defibrillation system during road races. N Engl J Med. 2018;379: 488–489. doi:10.1056/NEJMc1803218

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Del Rossi G, Bodkin D, Dhanani A, Courson R, Konin J. Protective athletic equipment slows initiation of CPR in simulated cardiac arrest. Resuscitation. 2011;82:908–912. PubMed ID: 21458135 doi:10.1016/j.resuscitation.2011.02.022

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Boergers RJ, Bowman TG, Lininger MR, et al. The ability to provide quality chest compressions over lacrosse shoulder pads. J Athl Train. 2018;53:122–127. PubMed ID: 29341795 doi:10.4085/1062-6050-346-16

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Waninger KN, Goodbred A, Vanic K, et al. Adequate performance of cardiopulmonary resuscitation techniques during simulated cardiac arrest over and under protective equipment in football. Clin J Sport Med. 2014;24(4):280–283. PubMed ID: 24184851 doi:10.1097/JSM.0000000000000022

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Mihalik JP, Lynall RC, Fraser MA, et al. Football equipment removal improves chest compression and ventilation efficacy. Prehosp Emerg Care. 2016;20:578–585. PubMed ID: 26986696 doi:10.3109/10903127.2016.1149649

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Lynall RC, Mihalik JP, Swartz EE, et al. Effectiveness of chest compressions in various football equipment conditions. Med Sci Sports Exerc. 2014;46: 741–742. doi:10.1249/01.mss.0000495719.24160.63

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Boergers RJ, Bowman TG, Lininger MR, et al. The ability to provide quality chest compressions over lacrosse shoulder pads. J Athl Train. 2018;53(2):122–127. PubMed ID: 29341795 doi:10.4085/1062-6050-346-16

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Tanaka S, Rodrigues W, Sotir S, Sagisaka R, Tanaka H. CPR performance in the presence of audiovisual feedback or football shoulder pads. BMJ Open Sport Exerc Med. 2017;3(1):e000208. PubMed ID: 28761704 doi:10.1136/bmjsem-2016-000208

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Boergers RJ, Bowman TG. The effect of lacrosse protective equipment and different airway management devices on the ability to provide CPR to a mannikin. Athl Train Sports Health Care. 2017;9(3):103–107. doi:10.3928/19425864-20170109-01

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Clark MD, Davis MP, Petschauer MA, Swartz EE, Mihalik JP. Delivering chest compressions and ventilations with and without men’s lactose equipment. J Athl Train. 2018;53(4):416–422. PubMed ID: 29565643 doi:10.4085/1062-6050-91-17

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Casa DJ, Guskiewicz KM, Anderson SA, et al. National Athletic Trainers’ Association position statement: preventing sudden death in sports. J Athl Train. 2012;47:96–118. PubMed ID: 22488236 doi:10.4085/1062-6050-47.1.96

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    American Heart Association. Highlights of the 2015 American Heart Association guidelines update for CPR and ECC. Dallas, TX: American Heart Association; 2015. https://eccguidelines.heart.org/wp-content/uploads/2015/10/2015-AHA-Guidelines-Highlights-English.pdf. Accessed June 6, 2019.

    • Search Google Scholar
    • Export Citation
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