The impact of a CPRezy™ feedback device on the quality of chest compressions performed by nurses

Introduction: Prompting devices for chest compressions have been advocated as a means of improving CPR quality in previous AHA guidelines. Studies have shown overall CPR quality improves with the use of these devices. Hypothesis: This study compared the impact of prompting devices on providers with varying levels of experience and proficiency. Methods: A convenience sample of 53 subjects with varying degrees of CPR experience, ranging from zero to frequent opportunities to perform CPR, were enrolled. Using a skills recording CPR manikin, data on each subject’s chest compression performance was obtained. All subjects performed an initial one-minute cycle of continuous chest compressions with no prompting device. After a brief rest, subjects were randomized to use one of two CPR prompting devices (Philips MRX with Q-CPR or Laerdal Medical CPRmeter). An additional one minute of CPR was conducted with the first device. Subjects were then crossed over to use the other prompting device after another brief rest. Results: Across the entire group, nearly all parameters significantly improved with the prompting devices, confirming previous studies on the efficacy of CPR prompting devices. However, when subjects’ results were examined by breaking the group into three performance levels (high, medium and low) based on the Overall CPR Score generated by the manikin software, there were differences in performance. Paired t -tests were conducted on the low and high performance groups. The low-level group significantly improved across 7 of 8 variables with both devices. The high-level group had only minor changes from baseline (both positive and negative) in most variables, but had significant or near significant decrease in proficiency in one variable - percent correctly released compressions ( p = 0.011 for Philips device; p = 0.052 for the Laerdal device). Conclusions: CPR prompting devices improve the overall quality of chest compressions. Individuals with existing high performance CPR skills could be distracted by the device, reducing the quality of compressions compared to using no device. When a CPR prompting device is introduced into a health care system, all providers, especially high performers, require practice with the device in order to acclimate to its use.

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The impact of a CPR feedback device on the quality of chest compressions performed by the attendees to Italian Resuscitation Council annual congress

Resuscitation ◽

10.1016/j.resuscitation.2016.07.044 ◽

2016 ◽

Vol 106 ◽

pp. e19-e20

Author(s):

Luigi Grassi ◽

Giovanni Babini ◽

Federico Semeraro ◽

Andrea Scapigliati ◽

Anita Luciani ◽

...

Keyword(s):

Chest Compressions ◽

Annual Congress ◽

The Impact

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The impact of the use of a CPRMeter monitor on quality of chest compressions: a prospective randomised trial, cross-simulation

Kardiologia Polska ◽

10.5603/kp.a2017.0255 ◽

2017 ◽

pp. 574-579

Author(s):

Lukasz Iskrzycki ◽

Jacek Smereka ◽

Antonio Rodriguez-Nunez ◽

Roberto Barcala Furelos ◽

Cristian Abelarias Gomez ◽

...

Keyword(s):

Randomised Trial ◽

Chest Compressions ◽

Prospective Randomised Trial ◽

The Impact

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The impact of ultrasonography on quality of cardiopulmonary resuscitation: a retrospective observational study

10.21203/rs.2.19577/v1 ◽

2019 ◽

Author(s):

Wan-Ching Lien ◽

Kah-Meng Chong ◽

Herman Chih-Heng Chang ◽

Su-Fen Cheng ◽

Wei-Tien Chang ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Observational Study ◽

Pause Duration ◽

University Hospital ◽

Retrospective Observational Study ◽

Secondary Outcome ◽

Chest Compressions ◽

Traumatic Cardiac Arrest ◽

The Impact

Abstract Background: This study aims to evaluate the effect of ultrasonography (US) on quality of cardiopulmonary resuscitation (CPR), and US-related pause duration of pulse-checks.Methods: This retrospective observational study was conducted at the emergency department of National Taiwan University Hospital between April 2017 and May 2018. Video recordings for adult patients with non-traumatic cardiac arrest in designated resuscitation rooms were collected. The primary outcome was chest compression fraction (CCF) in the CPR with US group. The secondary outcome was pause duration of pulse checks with introduction of US or not. US-related pulse-checks were stratified into US during hands-off periods only (hands-off US), and US performing from hands-off to hands-on periods (continuous US). Results: A total of 153 patients were enrolled. Continuous US was performed in 116 patients. CCF was similar (92%) between the CPR with and without US groups. In the CPR with US group, pause duration was significantly longer in US-related pulse-checks than that without US (9.3±8.0 v.s. 7.3±4.7s, p<0.0001). Notably, longer pause was noted in the hands-off US, as comparing with that in the continuous US (18.3±16.4 v.s. 7.7±3.5s, p<0.0001). Conclusions: The introduction of US during CPR did not impact on CCF. Individual pause would not be lengthened if continuous US was performed while allowing chest compressions to be resumed. In addition, structured training, adequate facilities and manpower, and a timer reminding resumption of chest compressions would help sophisticated integration of US into CPR process.

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Impact of loading and transport on effectiveness of external chest compressions – a simulation study

Australasian Journal of Paramedicine ◽

10.33151/ajp.15.3.563 ◽

2018 ◽

Vol 15 (3) ◽

Author(s):

Reyna Chew ◽

Clare Price ◽

Hamed Moqadassi ◽

Shaun Talbert ◽

Tim Hilliar ◽

...

Keyword(s):

Primary Outcome ◽

Ground Level ◽

Spontaneous Circulation ◽

Chest Compressions ◽

Ambulance Transport ◽

Outcome Comparison ◽

Clinically Significant ◽

External Chest Compressions ◽

The Impact

IntroductionEffective external chest compressions (ECC) are recognised as being critical for increasing chances of survival in out-of-hospital cardiac arrest. The aim of this study was to: 1) determine the impact of movement and transport on effectiveness of ECC performed by student paramedics; 2) provide results to inform a future larger study; and 3) validate teaching methods in an undergraduate paramedicine program.MethodsA prospective cohort design was utilised. Student paramedics performed ECC on a manikin under three different conditions: at ground level on a hard floor surface (ground ECC); at waist-height on a moving ambulance stretcher (extrication ECC; and during transport in the rear of a moving ambulance (transport ECC). Three minutes of ECCs was performed under each condition, with periods of rest between phases. The primary outcome was the composite ‘compression score’ (CS) (%).ResultsTwenty-seven student paramedics performed chest compressions under all three conditions. For the primary outcome comparison of CS, there were clinically significant differences in ECC quality across the three conditions. Ground ECC produced the highest CS (89%; IQR 46), followed by transport ECC (54%; IQR 40). Extrication ECC was least effective (CS 0%; IQR 14).ConclusionThe conditions under which ECC are performed significantly affects ECC quality. The quality of ECC is substantially reduced if performed in the back of a moving ambulance, and futile if performed on a moving ambulance stretcher. Paramedics should consider these findings when deciding whether or not to move or transport patients before return of spontaneous circulation. Lower than expected CS on hard ground surfaces may indicate a need to review teaching of ECC in this cohort of students.

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10–2 Improving quality of chest compressions amongst medical and nursing staff through deliberate in-situ simulated practice with feedback: the impact of repeated training

10.1136/bmjstel-2017-demec.1 ◽

2017 ◽

Author(s):

C Korb ◽

L Lofton ◽

C Balnta ◽

H MacGloin ◽

K Goodliffe ◽

...

Keyword(s):

Nursing Staff ◽

Chest Compressions ◽

Repeated Training ◽

The Impact

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The impact of chest compression rates on quality of chest compressions – A manikin study

Resuscitation ◽

10.1016/j.resuscitation.2011.07.012 ◽

2012 ◽

Vol 83 (3) ◽

pp. 360-364 ◽

Cited By ~ 37

Author(s):

Richard A. Field ◽

Jasmeet Soar ◽

Robin P. Davies ◽

Naheed Akhtar ◽

Gavin D. Perkins

Keyword(s):

Chest Compression ◽

Chest Compressions ◽

Manikin Study ◽

The Impact

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Self-Compassion and Quality of Life in Adults Who Stutter

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-20-00055 ◽

2020 ◽

Vol 29 (4) ◽

pp. 2097-2108

Author(s):

Robyn L. Croft ◽

Courtney T. Byrd

Keyword(s):

Quality Of Life ◽

Social Connectedness ◽

The Self ◽

Future Research ◽

Self Compassion ◽

Adults Who Stutter ◽

And Gender ◽

Relationship Of ◽

The Impact

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.

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Surgery for Lung Cancer and the Consequences for the Swallow

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp1.sig13.162 ◽

2016 ◽

Vol 1 (13) ◽

pp. 162-168

Author(s):

Pippa Hales ◽

Corinne Mossey-Gaston

Keyword(s):

Lung Cancer ◽

Treatment Options ◽

Vocal Cord Palsy ◽

Subsequent Treatment ◽

Physiological Reserve ◽

Palliative Phase ◽

And Function ◽

The Impact ◽

Swallow Function

Lung cancer is one of the most commonly diagnosed cancers across Northern America and Europe. Treatment options offered are dependent on the type of cancer, the location of the tumor, the staging, and the overall health of the person. When surgery for lung cancer is offered, difficulty swallowing is a potential complication that can have several influencing factors. Surgical interaction with the recurrent laryngeal nerve (RLN) can lead to unilateral vocal cord palsy, altering swallow function and safety. Understanding whether the RLN has been preserved, damaged, or sacrificed is integral to understanding the effect on the swallow and the subsequent treatment options available. There is also the risk of post-surgical reduction of physiological reserve, which can reduce the strength and function of the swallow in addition to any surgery specific complications. As lung cancer has a limited prognosis, the clinician must also factor in the palliative phase, as this can further increase the burden of an already compromised swallow. By understanding the surgery and the implications this may have for the swallow, there is the potential to reduce the impact of post-surgical complications and so improve quality of life (QOL) for people with lung cancer.

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