Dominant Versus Nondominant Hand Cardiopulmonary Resuscitation: Is There Really True Dominance?

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Chest compressions are integral to cardiopulmonary resuscitation. The use of early chest compressions is vital to return of spontaneous circulation, but these compressions must also be done properly to be effective.1,2 Effective chest compressions should be of adequate depth, should allow for appropriate recoil, require appropriate hand position, and need to be done at an optimal rate of 100 compressions per minute.3
Hand position and approach of the rescuer to the patient are 2 often overlooked elements of compressions. It is recommended that the palm of the dominant hand be placed in contact with the patient's sternum and that the nondominant hand be laid on the dominant hand during compressions in adults.1 There are limited data regarding handedness of compressions with most of it a result of studies done on manikins. We performed a meta-analysis pooling findings of studies comparing dominant versus nondominant hand compressions.
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