Metabolic fatigue in resuscitators using personal protection equipment against biological hazard


  • Francisco Martín Rodríguez M.Sc, Ph.D. Professor, Centro de Simulación Clínica Avanzada. Facultad de Medicina. Universidad de Valladolid. Unidad Móvil de Emergencias Valladolid I, Gerencia de Emergencias Sanitarias de Castilla y León (SACYL). España. Email:



Cardiopulmonary resuscitation, personal protective equipment, anaerobic threshold, containment of biohazards, stress, physiological.


Objective. To describe the effects of wearing individual protection equipment against biological hazard when performing a simulated resuscitation.

Methods. Uncontrolled quasi-experimental study involving 47 volunteers chosen by random sampling stratified by sex and professional category. We determined vital signs, anthropometric parameters and baseline lactate levels; subsequently, the volunteers put on level D individual protection equipment against biological hazard and performed a simulated resuscitation for 20 minutes. After undressing and 10 minutes of rest, blood was extracted again to determine lactate levels. Metabolic fatigue was defined as a level of lactic acid above 4 mmol/L at the end of the intervention.

Results. 25.5% of the participants finished the simulation with an unfavorable metabolic tolerance pattern. The variables that predict metabolic fatigue were the level of physical activity and bone mass -in a protective formand muscle mass. People with a low level of physical activity had ten times the probability of metabolic fatigue compared to those with higher levels of activity (44% versus 4.5%, respectively).

Conclusion. Professionals who present a medium or high level of physical activity tolerate resuscitation tasks better with a level D individual biological protection suit in a simulated resuscitation.


How to cite this article: Martín-Rodríguez F. Metabolic fatigue in resuscitators using personal protection equipment against biological hazard. Invest. Educ. Enferm. 2019; 37(2):e04

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How to Cite

Rodríguez, F. M. (2019). Metabolic fatigue in resuscitators using personal protection equipment against biological hazard. Investigación Y Educación En Enfermería, 37(2).