scholarly journals Enhanced self-assessment of CPR by low-dose, high-frequency training

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anna Abelsson ◽  
Jari Appelgren ◽  
Christer Axelsson
Keyword(s):  
Visual Feedback ◽  
High Frequency ◽  
Low Dose ◽  
Compression Rate ◽  
Multiple Choice Questions ◽  
Self Assessment ◽  
Content Type ◽  
Good Ability ◽  
Cpr Quality ◽  
Cpr Training

PurposeThe purpose was to investigate what effect an intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for one month would have on professionals' subjective self-assessment skill of CPR.Design/methodology/approachThis study had a quantitative approach. In total, 38 firefighters performed CPR for two minutes on a Resusci Anne QCPR. They then self-assessed their CPR through four multiple-choice questions regarding compression rate, depth, recoil and ventilation volume. After one month of low-dose, high-frequency training with visual feedback, the firefighters once more performed CPR and self-assessed their CPR.FindingsWith one month of low-dose, high-frequency training with visual feedback, the level of self-assessment was 87% (n = 33) correct self-assessment of compression rate, 95% (n = 36) correct self-assessment of compression depth, 68% (n = 26) correct self-assessment of recoil and 87% (n = 33) correct self-assessment of ventilations volume. The result shows a reduced number of firefighters who overestimate their ability to perform CPR.Originality/valueWith low-dose, high-frequency CPR training with visual feedback for a month, the firefighters develop a good ability to self-assess their CPR to be performed within the guidelines. By improving their ability to self-assess their CPR quality, firefighters can self-regulate their compression and ventilation quality.

scholarly journals Low-dose, high-frequency CPR training with feedback for firefighters

2019 ◽  
Vol 8 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Anna Abelsson ◽  
Jari Appelgren ◽  
Christer Axelsson
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
High Frequency ◽  
Design Methodology ◽  
Low Dose ◽  
Compression Depth ◽  
Content Type ◽  
Objective Feedback ◽  
Volume Compression ◽  
Cpr Training ◽  
Post Assessment

Purpose The purpose of this paper is to investigate the effects of the intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for firefighters for one month. Design/methodology/approach The study had a quantitative approach. Data were collected through an intervention by means of simulation. The data collection consisted of a pre- and post-assessment of 38 firefighter’s CPR performance. Findings There was a statistically significant improvement from pre- to post-assessment regarding participants’ compression rates. Compression depth increased statistically significantly to average 2 mm too deep in the group. Recoil decreased in the group with an average of 1 mm for the better. There was a statistically significant improvement in participants’ ventilation volume from pre- to post-assessment. Originality/value Prehospital staff such as firefighters, police, and ambulance perform CPR under less than optimal circumstances. It is therefore of the utmost importance that these professionals are trained in the best possible way. The result of this study shows that low-dose, high-frequency CPR training with an average of six training sessions per month improves ventilation volume, compression depth, rate, and recoil. This study concludes that objective feedback during training enhances the firefighters’ CPR skills which in turn also could be applied to police and ambulance CPR training.

scholarly journals The effect of step stool use and provider height on CPR quality during pediatric cardiac arrest: A simulation-based multicentre study

CJEM ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 80-88 ◽  
Author(s):  
Adam Cheng ◽  
Yiqun Lin ◽  
Vinay Nadkarni ◽  
Brandi Wan ◽  
Jonathan Duff ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Visual Feedback ◽  
Just In Time ◽  
Average Height ◽  
Compression Depth ◽  
Simulation Based ◽  
Cpr Quality ◽  
Cpr Training ◽  
Gender Specific

AbstractObjectivesWe aimed to explore whether a) step stool use is associated with improved cardiopulmonary resuscitation (CPR) quality; b) provider adjusted height is associated with improved CPR quality; and if associations exist, c) determine whether just-in-time (JIT) CPR training and/or CPR visual feedback attenuates the effect of height and/or step stool use on CPR quality.MethodsWe analysed data from a trial of simulated cardiac arrests with three study arms: No intervention; CPR visual feedback; and JIT CPR training. Step stool use was voluntary. We explored the association between 1) step stool use and CPR quality, and 2) provider adjusted height and CPR quality. Adjusted height was defined as provider height + 23 cm (if step stool was used). Below-average height participants were ≤ gender-specific average height; the remainder were above average height. We assessed for interaction between study arm and both adjusted height and step stool use.ResultsOne hundred twenty-four subjects participated; 1,230 30-second epochs of CPR were analysed. Step stool use was associated with improved compression depth in below-average (female, p=0.007; male, p<0.001) and above-average (female, p=0.001; male, p<0.001) height providers. There is an association between adjusted height and compression depth (p<0.001). Visual feedback attenuated the effect of height (p=0.025) on compression depth; JIT training did not (p=0.918). Visual feedback and JIT training attenuated the effect of step stool use (p<0.001) on compression depth.ConclusionsStep stool use is associated with improved compression depth regardless of height. Increased provider height is associated with improved compression depth, with visual feedback attenuating the effects of height and step stool use.

Let the kids play: gamification as a CPR training methodology in secondary school students. A quasi-experimental manikin simulation study

2019 ◽  
Vol 36 (11) ◽  
pp. 653-659 ◽  
Author(s):  
Martín Otero-Agra ◽  
Roberto Barcala-Furelos ◽  
Iker Besada-Saavedra ◽  
Lucía Peixoto-Pino ◽  
Santiago Martínez-Isasi ◽  
...  
Keyword(s):  
Secondary School ◽  
Visual Feedback ◽  
Secondary School Students ◽  
School Students ◽  
Academic Activity ◽  
Training Methodology ◽  
Instructor Feedback ◽  
Quasi Experimental ◽  
Cpr Quality ◽  
Cpr Training

ObjectiveGamification is a non-evaluation and competition-based training methodology with high emotional involvement. The goal of this study was to evaluate gamification methodology as compared with other existing methodologies when teaching cardiopulmonary resuscitation (CPR) to secondary school students.Methods489 secondary school students from two high schools in Spain participated in this randomised-block quasi-experimental study in February 2018. The students were classified into different groups. Each group received CPR training with a different methodology: GAM (gamification-based training as a compulsory but non-tested academic activity to learn by playing in teams, with instructor and visual feedback); EVA (training based on subsequent evaluation as a motivational incentive, with instructor and visual feedback); VFC (visual feedback complementary, training based on a non-compulsory and non-tested academic activity, with instructor and visual feedback); TC (traditional complementary, training based on a non-compulsory and non-tested academic activity, with instructor feedback). After a week, each student performed a 2 min hands-only CPR test and quality of CPR was assessed. Visual feedback in training and CPR variables in test were provided by the QCPR Instructor App using a Little Anne manikin, both from Laerdal (Norway).ResultsGAM (89.56%; 95% CI 86.71 to 92.42) methodology resulted in significantly higher scores for CPR quality than VFC and TC (81.96%; 95% CI 78.04% to 85.88% and 64.11%; 95% CI 58.23 to 69.99). GAM (61.77%; 95% CI 56.09 to 67.45) methodology also resulted in significantly higher scores for correct rate than VFC and TC (48.41%; 95% CI 41.15% to 55.67% and 17.28%; 95% CI 10.94 to 23.62). 93.4% of GAM methodology participants obtained >50 mm of compression mean depth which was a significantly higher proportion than among students in VFC and TC (78.0% and 71.9%). No differences between GAM and EVA were found. A confidence level of 95% has been assigned to all values.ConclusionsGAM methodology resulted in higher CPR quality than non-tested methods of academic training with instructor feedback or visual feedback. Gamification should be considered as an alternative teaching method for Basic Life Support (BLS) in younger individuals.

scholarly journals Low-Dose, High-Frequency CPR Training Improves Skill Retention of In-Hospital Pediatric Providers

PEDIATRICS ◽  
2011 ◽  
Vol 128 (1) ◽  
pp. e145-e151 ◽  
Author(s):  
R. M. Sutton ◽  
D. Niles ◽  
P. A. Meaney ◽  
R. Aplenc ◽  
B. French ◽  
...  
Keyword(s):  
High Frequency ◽  
Low Dose ◽  
Skill Retention ◽  
Hospital Pediatric ◽  
Cpr Training ◽  
Pediatric Providers

scholarly journals Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

CJEM ◽  
2017 ◽  
Vol 19 (06) ◽  
pp. 480-487 ◽  
Author(s):  
Enrico Baldi ◽  
Stefano Cornara ◽  
Enrico Contri ◽  
Francesco Epis ◽  
Dario Fina ◽  
...  
Keyword(s):  
Real Time ◽  
Visual Feedback ◽  
Life Support ◽  
Hand Position ◽  
Feedback Group ◽  
Liaison Committee ◽  
Automated External Defibrillation ◽  
Cpr Quality ◽  
The Difference ◽  
Cpr Training

ABSTRACT Objective The chances of surviving an out-of-hospital cardiac arrest depend on early and high-quality cardiopulmonary resuscitation (CPR). Our aim is to verify whether the use of feedback devices during laypersons’ CPR training improves chest compression quality. Methods Laypersons totalling 450 participating in Basic Life Support and Automated External Defibrillation (BLS/AED) courses were randomly divided into three groups: group No Feedback (NF) attended a course without any feedback, group Short Feedback (SF) a course with 1-minute training with real-time visual feedback, and group Long Feedback (LF) a course with 10-minute training with real-time visual feedback. At the end of each course, we recorded 1 minute of compression-only CPR. The primary end point was the difference in the percentage of compressions performed with correct depth. Results There was a significant improvement in the percentage of compressions with correct depth in the groups receiving feedback compared to the other (NF v. LF, p=0.022; NF v. SF, p=0.005). This improvement was also present in the percentage of compressions with a complete chest recoil (71.7% in NF, 86.6% in SF, and 88.8% in LF; p&lt;0.001), compressions with the correct hand position (93.2% in NF, 98.2% in SF, and 99.3% in LF; p&lt;0.001), and in the Total CPR Score (79.4% in NF, 90.2% in SF, and 92.5% in LF; p&lt;0.001). There were no significant differences for all of the parameters between group SF and group LF. Conclusions Real-time visual feedback improves laypersons’ CPR quality, and we suggest its use in every BLS/AED course for laypersons because it can help achieve the goals emphasized by the International Liaison Committee on Resuscitation recommendations.

Low dose- high frequency, case based psychomotor CPR training improves compression fraction for patients with in-hospital cardiac arrest

Resuscitation ◽  
2020 ◽  
Vol 146 ◽  
pp. 26-31 ◽  
Author(s):  
Ashish R. Panchal ◽  
Gregory Norton ◽  
Emily Gibbons ◽  
Jeri Buehler ◽  
Michael C. Kurz
Keyword(s):  
Cardiac Arrest ◽  
High Frequency ◽  
Low Dose ◽  
Cpr Training ◽  
Hospital Cardiac Arrest ◽  
Case Based

Abstract 12583: Low-Dose, High-Frequency Psychomotor CPR Skills Training Results in Improved and Sustained Performance of Optimal Adult/Child Ventilations in Fire-Based EMS Personnel

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
DAVID E SLATTERY ◽  
Chase Hamilton ◽  
Khanhha Tran ◽  
Aaron Singer
Keyword(s):  
High Frequency ◽  
Low Dose ◽  
Performance Metrics ◽  
Outcome Measure ◽  
Skills Training ◽  
Individual Performance ◽  
P Value ◽  
Ventilation Performance ◽  
Cpr Training ◽  
In Fire

Background: Hyper/over-ventilation (HOV) negatively effects cerebral blood and coronary artery flow during cardiac arrest. The resuscitation quality improvement (RQI) model of low-dose, high-frequency (LDHF) CPR training has been shown to improve CPR skills. Due to the deleterious impact of HOV on survival, our study seeks to determine if the RQI model improves ventilation skills for EMS personnel. We test the hypothesis that the RQI training results in improved and sustained ventilation performance. Methods: In 2014, our department transitioned from traditional BLS/ACLS training to the RQI model. Performance metrics are captured automatically for each rescuer on a quarterly basis using high-fidelity mannequins. Inclusion: All data from adult RQI attempts by EMS personnel from 2015-2019. Exclusion: attempts by non-EMS personnel. The 1 outcome measure is the overall mean (95% CI) ventilation score (composite measure, range 0-100, derived from average volume/rate and % with correct volume). The 2nd outcome measure is the proportion (95%CI) of rescuers with ventilation scores >90%. Data were extracted from RQI and analyzed with Prism statistical software. Comparisons for the 1 outcome was performed using one-way ANOVA and we report mean and 95% CI and proportions and 95% CI as appropriate. Results: During the study period, 740 personnel completed 1,490 ventilation activities in the baseline period and 5,077 in the subsequent years. The mean (95% CI) composite ventilation scores for the baseline was 84.10 (83.09,85.10) vs 2016 = 83.13 (82.17,84.09), 2017=88.79 (87.91,89.66), 2018=90.36 (89.45, 91.27), 2019= 88.59 (87.37, 89.81) for years 2016-2019; F= 41.36, R2=0.024, p value <0.0001. 10outcome: In the baseline RQI year, there were 55.3 % (95%CI= 52.8,57.8) participants with composite ventilation scores >/=90% vs. 2016= 53.5% (51.2,55.8), 2017=65.2%(62.6,68.6), 2018= 71.7%(69.1,74.3) and 2019=69.3%(66.1,72.2) in subsequent years. Limitations: Individual performance not reported, single agency. Conclusions: LDHF CPR training improves proper, and exceptional, ventilation performance in fire-based EMS personnel. Our results may be useful for other EMS agencies who are considering transitioning to LDHF training such as the RQI system.

Abstract 455: A Comparison of CPR Quality Using an Augmented Reality Application versus a Standard Audio-Visual Feedback Manikin

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Shaun K McGovern ◽  
Steve Balian ◽  
Abhishek Bhardwaj ◽  
Benjamin Abella ◽  
Audrey L Blewer ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Visual Feedback ◽  
Simulation Training ◽  
Test Scenario ◽  
Refresher Training ◽  
Training Modality ◽  
Augmented Reality Application ◽  
Post Test ◽  
Cpr Quality ◽  
Cpr Training

Background: The provision of high-quality cardiopulmonary resuscitation (CPR) is a significant predictor of survival from cardiac arrest, yet healthcare provider (HCP) CPR quality is known to be poor. Although refresher CPR simulation training has been shown to improve HCP CPR quality, no studies have compared an immersive augmented reality (AR) application to a standard audio-visual feedback (AVF) manikin (Laerdal ResusciAnne) as a refresher training modality. Objectives: We randomized HCPs to refresher CPR simulation training with either a novel AR CPR training application (CPReality, Figure 1) or a validated AVF manikin; both cohorts completed a post-simulation CPR quality evaluation with no feedback immediately following the intervention. We sought to assess the efficacy of AR as a CPR simulation modality compared with an AVF manikin. We hypothesized that the AR application would confer similar skills to the AVF manikin. Results: We enrolled 100 experienced HCPs (e.g. RN, MD, APP) between 1/19-5/19. Mean chest compression (CC) rate for the AR application compared with the AVF manikin was 114±1 vs 121±3 cpm (p<0.01) and CC depth was 52±1 vs 48±1 mm (p<0.01), respectively. Post-simulation mean CC rate for the AR application compared with the AVF manikin was 122±15 vs 117±11 cpm (p=ns), depth was 52±8 vs 49±8 mm (p=ns), and percent with complete recoil was 92±24 vs 88±28 (p=ns), respectively. More AR simulation subjects agreed that the AR simulation provided a realistic patient presence compared to AVF simulation subjects (79% vs. 59%, p=0.07). The majority of CPReality simulation participants agreed or strongly agreed that they would want to use AR modalities for future CPR training (95%). Conclusions: In a post-test scenario, the AR CPR simulation training produced similar CPR quality as the standard AVF manikin in refreshing CPR skills in HCP. Further studies should explore the use of innovative technologies for CPR training. Figure 1 . CPReality (CPReality).

scholarly journals The assessment of a manikin-based low-dose, high-frequency cardiac resuscitation quality improvement program in early UK adopter hospitals

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Katherine Kuyt ◽  
Montana Mullen ◽  
Catherine Fullwood ◽  
Todd P. Chang ◽  
James Fenwick ◽  
...  
Keyword(s):  
Quality Improvement ◽  
High Frequency ◽  
Low Dose ◽  
Training Session ◽  
Control Site ◽  
Improvement Program ◽  
Data Set ◽  
Significant Difference ◽  
The Uk ◽  
Cpr Training

Abstract Background Adult and paediatric basic life support (BLS) training are often conducted via group training with an accredited instructor every 24 months. Multiple studies have demonstrated a decline in the quality of cardio-pulmonary resuscitation (CPR) performed as soon as 3-month post-training. The ‘Resuscitation Quality Improvement’ (RQI) programme is a quarterly low-dose, high-frequency training, based around the use of manikins connected to a cart providing real-time and summative feedback. We aimed to evaluate the effects of the RQI Programme on CPR psychomotor skills in UK hospitals that had adopted this as a method of BLS training, and establish whether this program leads to increased compliance in CPR training. Methods The study took place across three adopter sites and one control site. Participants completed a baseline assessment without live feedback. Following this, participants at the adopter sites followed the RQI curriculum for adult CPR, or adult and infant CPR. The curriculum was split into quarterly training blocks, and live feedback was given on technique during the training session via the RQI cart. After following the curriculum for 12/24 months, participants completed a second assessment without live feedback. Results At the adopter sites, there was a significant improvement in the overall score between baseline and assessment for infant ventilations (N = 167, p < 0.001), adult ventilations (n = 129, p < 0.001), infant compressions (n = 163, p < 0.001) adult compressions (n = 205, p < 0.001), and adult CPR (n = 249, p < 0.001). There was no significant improvement in the overall score for infant CPR (n = 206, p = 0.08). Data from the control site demonstrated a statistically significant improvement in mean score for adult CPR (n = 22, p = 0.02), but not for adult compressions (N = 18, p = 0.39) or ventilations (n = 17, p = 0.08). No statistically significant difference in improvement of mean scores was found between the grouped adopter sites and the control site. The effect of the duration of the RQI curriculum on CPR performance appeared to be minimal in this data set. Compliance with the RQI curriculum varied by site, one site maintained hospital compliance at 90% over a 1 year period, however compliance reduced over time at all sites. Conclusions This data demonstrated an increased adherence with guidelines for high-quality CPR post-training with the RQI cart, for all adult and most infant measures, but not infant CPR. However, the relationship between a formalised quarterly RQI curriculum and improvements in resuscitation skills is not clear. It is also unclear whether the RQI approach is superior to the current classroom-based BLS training for CPR skill acquisition in the UK. Further research is required to establish how to optimally implement the RQI system in the UK and how to optimally improve hospital wide compliance with CPR training to improve the outcomes of in-hospital cardiac arrests.

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