Automated Audiovisual Feedback in Cardiopulmonary Resuscitation Training: Improving Skills in Pediatric Intensive Care Nurses

2018 ◽  
Vol 38 (5) ◽  
pp. 59-66
Author(s):  
Robert Bishop ◽  
Brian Joy ◽  
Melissa Moore-Clingenpeel ◽  
Tensing Maa
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Care Professionals ◽  
Life Support ◽  
Target Range ◽  
Compression Rate ◽  
Improvement Program ◽  
High Quality ◽  
Median Percentage ◽  
Compression Depth ◽  
Resuscitation Training

Background High-quality cardiopulmonary resuscitation is associated with improved survival and neurological outcomes after cardiac arrest. Unfortunately, health care professionals frequently do not perform resuscitation within guidelines after life-support training. Objectives To determine if brief intermittent training in cardiopulmonary resuscitation could improve nurses’ skills to perform high-quality resuscitation 70% or more of the time during 2 minutes of cardiopulmonary resuscitation after 3 training sessions. Methods In a prospective single-center quality improvement program, pediatric critical care nurses had monthly training in cardiopulmonary resuscitation. A portable manikin/defibrillator with a chest compression sensor was used to provide corrective audiovisual feedback to optimize resuscitation skills. Resuscitation was practiced on an adult manikin. Target goals were compression depth 2 in or greater at a compression rate of 100/min to 120/minute. Percentage of time in the target range and mean compression depth and rate were recorded. Data were collected every other month. The percentage of time both compression rate and depth were in the target range was compared among nurses with different total numbers of training sessions. Results Of the 62 nurses who participated in the training, 48 had data collected. The median percentage of time in the target range improved from 29% with no training to 46% after 1 session, 54% after 2 sessions, 68% after 3 sessions, and 74% after 4 sessions (P = .001). Compression depth increased with the number of training sessions (P = .002). Conclusions This training program in cardiopulmonary resuscitation yielded significant skill improvement and retention.

scholarly journals Effect of introducing a feedback device during adult and infant cardiopulmonary resuscitation training: A ‘before and after’ study

2018 ◽  
Vol 27 (2) ◽  
pp. 114-117
Author(s):  
Kwan Ho Kim ◽  
Chan Woong Kim ◽  
Je Hyeok Oh
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Compression Rate ◽  
Practice Session ◽  
Compression Depth ◽  
Training Course ◽  
Resuscitation Training ◽  
Before And After ◽  
Practice Time ◽  
Positive Effect ◽  
Before And After Study

Objective: This study aimed to verify the effect of introducing a feedback device during adult and infant cardiopulmonary resuscitation training. Methods: A feedback device was introduced in the cardiopulmonary resuscitation training course of our medical school in the middle of the last semester. The cardiopulmonary resuscitation training course consisted of 2 h of instructor-led cardiopulmonary resuscitation training and 1 h of self-practice time. All students should complete the adult and infant cardiopulmonary resuscitation skill tests just after the course. Each test consisted of five cycles of single-rescuer cardiopulmonary resuscitation. A feedback device was introduced only in the self-practice session. The cardiopulmonary resuscitation parameters of the skill tests before ( n = 40) and after ( n = 39) introducing the feedback device were analysed. Results: The ratios of correct rate significantly increased after introducing the feedback device in both the skill tests (adult test: 58.5 ± 37.2 vs 85.5 ± 21.4, p = 0.001; infant test: 55.0 ± 32.4 vs 80.2 ± 20.7, p = 0.001). Although the average depths did not significantly differ between those before and after introducing the feedback device in the adult test (58.4 ± 4.0 mm vs 59.0 ± 3.7 mm, p = 0.341), it increased significantly after introducing the feedback device in the infant test (38.3 ± 4.3 mm vs 40.8 ± 1.1 mm, p = 0.001). Conclusion: Introducing a feedback device might have enhanced the accuracies of compression rate in adult and infant cardiopulmonary resuscitation training. However, the potential positive effect on chest compression depth was limited to infant cardiopulmonary resuscitation training.

scholarly journals Knowledge and attitude of cardiopulmonary resuscitation training and automated external defibrillators training among medical interns in a private medical college

2021 ◽  
Vol 12 (11) ◽  
pp. 79-84
Author(s):  
Archana Bhat ◽  
Lulu Sherif Mahmood ◽  
Akshatha Rao Aroor
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Care Professionals ◽  
Life Support ◽  
Training Session ◽  
Automated External Defibrillators ◽  
Validated Questionnaire ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Post Test ◽  
The Mean

Background: Knowledge about basic life support (BLS) is mandatory for health-care professionals. Aims and Objectives: This study is done with the objective to evaluate the knowledge about cardiopulmonary resuscitation (CPR) and use of automated external defibrillators (AEDs) among medical students who have completed MBBS course and has enrolled for internship. Materials and Methods: A cross-sectional study using a validated questionnaire was given to MBBS interns before BLS training and same questionnaire was given 1 month after the training. The questionnaire included knowledge and attitudes toward use of CPR and AED and management of choking. Results: Out of the 86 students who answered the questionnaire, the mean score was 11.28 during the pre-test. In the post-test questionnaire, the mean score was 13.91. There was a statistically significant difference (P=0.000) in the post-test scores conducted after 1 month. About 39.6% of students scored average marks (5–10) in the pre-test and 60.4% of students scored good (10–15) marks in the pre-test. After the training session in the post-test, 97.7% of students scored good marks (10–15) while only 2.32% scored average marks. P<0.001, Chi-square=35.97 is highly significant. Conclusion: BLS training helps to increase knowledge of CPR and the use of an AED.

Abstract 449: Cost Analysis of a Contextualized Cardiopulmonary Resuscitation Training for Orderlies Participating in In-Hospital Cardiac Arrests

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Christian Vincelette ◽  
Catalina Sokoloff ◽  
François-Martin Carrier ◽  
Pierre Desaulniers ◽  
Nathalie Nadon
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Cost Analysis ◽  
Life Support ◽  
Heart Association ◽  
Time Lapse ◽  
Performance Outcomes ◽  
Chest Compressions ◽  
High Quality ◽  
Resuscitation Training ◽  
The Cost

Introduction: Basic life support (BLS) training poses challenges for healthcare organizations. It requires numerous resources, complicates scheduling and is expensive. Orderlies typically provide chest compressions during in-hospital cardiac arrests, and are therefore recertified in cardiopulmonary resuscitation (CPR) every 2 years. However, such time lapse between CPR certifications induces skills decay. Hypothesis: Based on the American Heart Association statement on resuscitation education science published in 2018, we aimed to train all orderlies (n= 900) in less than 1 year, in order to reach proficiency in chest compressions, at a fraction of the cost. Method: A shortened (20 minutes), and adapted version of CPR training was created. This training specifically addressed high quality chest compressions, the cornerstone skill relevant to the scope of practice of orderlies in CPR. It was delivered in situ during working hours, as a mass training program that spanned over a period of 1 week. The training was provided through Mastery Learning and Deliberate Practice with direct feedback and live coaching. The cost analysis aimed to compare the costs of the new approach as compared to BLS training. Results: With this innovative approach, 30 trainers were able to train 600 employees in only 5 days. Preliminary results suggest most were able to perform high quality compressions after training. The total cost of the activity was 2 347.21 $CAD which represents 3% (2 347 of 76 200) of what it would take to train 600 people in BLS (76 200$CAD), and 13% (2 347 of 18 000) of the budget planned per year for orderlies’ BLS training at our institution (~18 000$CAD). The individual cost of our initiative was 4.13$CAD per employee. This method allowed to train employees around the clock, to cover all working shifts, thereafter preventing the removal of employees from the rolling schedule. Also, this solution allows us to repeat the experience another time this year, to train all orderlies. Conclusions: Although further research is needed to assess if skills are sustained over time and comparable based on performance outcomes, our inquiry is an innovative, sustainable and cost-effective way to train specific CPR skills to large groups.

scholarly journals Effect of the Use of Metronome Feedback on the Quality of Pediatric Cardiopulmonary Resuscitation

2021 ◽  
Vol 18 (15) ◽  
pp. 8087
Author(s):  
Dongjun Yang ◽  
Wongyu Lee ◽  
Jehyeok Oh
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Healthcare Providers ◽  
Compression Rate ◽  
Audio Feedback ◽  
Simple Method ◽  
Compression Depth ◽  
Pediatric Resuscitation ◽  
Cpr Quality

Although the use of audio feedback with devices such as metronomes during cardiopulmonary resuscitation (CPR) is a simple method for improving CPR quality, its effect on the quality of pediatric CPR has not been adequately evaluated. In this study, 64 healthcare providers performed CPR (with one- and two-handed chest compression (OHCC and THCC, respectively)) on a pediatric resuscitation manikin (Resusci Junior QCPR), with and without audio feedback using a metronome (110 beats/min). CPR was performed on the floor, with a compression-to-ventilation ratio of 30:2. For both OHCC and THCC, the rate of achievement of an adequate compression rate during CPR was significantly higher when performed with metronome feedback than that without metronome feedback (CPR with vs. without feedback: 100.0% (99.0, 100.0) vs. 94.0% (69.0, 99.0), p < 0.001, for OHCC, and 100.0% (98.5, 100.0) vs. 91.0% (34.5, 98.5), p < 0.001, for THCC). However, the rate of achievement of adequate compression depth during the CPR performed was significantly higher without metronome feedback than that with metronome feedback (CPR with vs. without feedback: 95.0% (23.5, 99.5) vs. 98.5% (77.5, 100.0), p = 0.004, for OHCC, and 99.0% (95.5, 100.0) vs. 100.0% (99.0, 100.0), p = 0.003, for THCC). Although metronome feedback during pediatric CPR could increase the rate of achievement of adequate compression rates, it could cause decreased compression depth.

scholarly journals Metronome Use Positively Affect Cardiopulmonary Resuscitation Parameters: Prospective Observational Multicenter Manikin Study

2020 ◽  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Minute Ventilation ◽  
Heart Association ◽  
High Volume ◽  
Compression Rate ◽  
Compression Depth ◽  
Manikin Study ◽  
Volume Ventilation ◽  
Cpr Quality

Objective: Clinical studies have shown that eliminating performer errors is important to ensure high quality cardiopulmonary resuscitation (CPR). Literature on the effects of metronome use on the quality of CPR is scarce. This study aimed to investigate the effect of metronome use on the quality of cardiopulmonary resuscitation. Methods: Thirty volunteer emergency physicians who were divided into 15 groups participated in this prospective, observational, multi-center, manikin study. Firstly, each participant performed conventional CPR on a manikin, and then performed metronome-guided CPR after a short break. Parameters affecting CPR quality were evaluated based on the recommendations of the 2015 American Heart Association CPR and Emergency Cardiovascular Care Guideline. In addition, the fatigue levels of participants were evaluated using the Borg Fatigue Index. Results: Metronome-guided CPR significantly improved the chest compression rate (median (Interquartile Range-IQR); 128 (22) compressions/min vs. 110 (2) compressions/min; 95%CI, p < 0.001), deep compression rate (median (IQR); 95.25 (80) compressions/min vs. 72.63 (105) compressions/min; 95%CI, p < 0.001), compression depth (median (IQR); 62.50 (11) mm vs. 60.25 (14) mm; 95%CI, p = 0.016), ventilation number (median (IQR); 11.25 (6) ventilations/min vs. 9.50 (1) ventilations/min; 95%CI, p = 0.001), high-volume ventilation count (median (IQR); 10.13 (6) ventilations/min vs. 9.50 (1) ventilations/min; 95%CI, p = 0.026), minute ventilation volume (median (IQR); 11.75 (10) L/min vs. 8.03 (3) L/min; 95%CI, p < 0.05), and fatigue levels (median (IQR); 3 (2) vs. 2 (2); in 95%CI, p < 0.05). Conclusions: Our study showed that metronome is a useful device for reaching effective CPR. Metronome guidance may change the CPR parameters positively. This study is in accordance with previous studies which have investigated the effect of metronome-guided CPR on survival.

scholarly journals PENGETAHUAN PERAWAT TENTANG HIGH-QUALITY CARDIOPULMONARY RESUSCITATION (CPR) DI ENAM RUMAH SAKIT SWASTA DI INDONESIA [NURSES' KNOWLEDGE ABOUT HIGH-QUALITY CARDIOPULMONARY RESUSCITATION (CPR) IN SIX PRIVATE HOSPITALS IN INDONESIA]

2021 ◽  
Vol 9 (2) ◽  
pp. 149
Author(s):  
Anugerah Ruben Ananda ◽  
Desi Friska Dela Zalukhu ◽  
Firdaus G Junior ◽  
Marisa Junianti Manik ◽  
Swingly Wikliv D
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Life Support ◽  
Sampling Technique ◽  
Total Sample ◽  
Health Providers ◽  
High Quality ◽  
Private Hospitals ◽  
Heart Attacks ◽  
Quantitative Descriptive

<p><em>Cardiac arrest is a significant cause of death worldwide, and an estimated 17.9 million people die from heart disease. In 2016, cardiac arrest represented 31% of all global deaths, and heart attacks and strokes caused 85%. In the treatment of cardiac arrest, health providers must perform cardiac and pulmonary resuscitation, a combination of chest compressions, and assistance for the victim's breathing. Nurses must be able to provide high-quality CPR to the patients for optimal outcomes. This study aimed to describe the knowledge of nurses in six private hospitals in Indonesia about high-quality CPR. This research was quantitative descriptive using a modified questionnaire regarding the theory of high-quality CPR. The population in this study were nurses from adult inpatient wards at six private hospitals in Indonesia with a total sample of 86 respondents through convenience sampling technique. The results showed that 79.1% inpatient nurses at six hospitals in Indonesia had good knowledge about high-quality CPR. Nurses are expected to maintain and improve their knowledge and ability to provide high-quality CPR so that the basic life support provided will be of high quality and provide optimal results for cardiac arrest patients in hospitals.</em><strong><br /><br />BAHASA INDONESIA ABSTRAK: </strong>Henti jantung merupakan penyebab kematian yang signifikan di dunia dan diperkirakan 17,9 juta orang meninggal karena penyakit jantung. Pada 2016, henti jantung mewakili 31% dari semua kematian global, dan 85% disebabkan oleh serangan jantung dan stroke. Dalam penanganan henti jantung, perawat harus melakukan resusitasi jantung dan paru yaitu kombinasi dari kompresi dada dan bantuan terhadap pernafasan korban. Tenaga kesehatan harus mampu memberikan<em> high-quality</em> CPR kepada korban untuk hasil yang optimal. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan perawat tentang high-quality CPR di enam rumah sakit swasta di Indonesia. Penelitian ini merupakan studi deskriptif kuantitatif dengan menggunakan kuesioner mengenai teori <em>high-quality</em> CPR yang telah dimodifikasi. Populasi dalam penelitian ini adalah perawat ruang rawat inap dewasa di enam rumah sakit swasta di Indonesia dengan jumlah sampel sebanyak 86 responden melalui teknik sampel konvenien. Hasil penelitian menunjukan 79.1% perawat rawat inap di enam rumah sakit di Indonesia memiliki pengetahuan tentang <em>high-quality</em> CPR pada tingkat yang baik. Perawat diharapkan untuk tetap mempertahankan dan meningkatkan pengetahuan dan kemampuan pemberian <em>high-quality CPR</em> sehingga bantuan hidup dasar yang diberikan akan berkualitas dan memberikan hasil optimal bagi pasien henti jantung dalam rumah sakit.</p>

Abstract 19197: No Difference in Retention of BLS/AED Skills When Teaching Laypersons Using Four-stage and Two-stage Teaching Technique: A Randomized Comparison

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Katrine Bjørnshave ◽  
Lise Q Krogh ◽  
Svend B Hansen ◽  
Mette A Nebsbjerg ◽  
Troels Thim ◽  
...  
Keyword(s):  
Chest Compression ◽  
Health Care Professionals ◽  
Pass Rate ◽  
Two Stage ◽  
Compression Depth ◽  
Training Technique ◽  
Resuscitation Training ◽  
Compression Cycle ◽  
Teaching Technique ◽  
Total Average

Introduction: The ability of laypersons to perform BLS/AED increases immediately after resuscitation training. Studies indicate that resuscitation skills rapidly decay after initial training, however it is unknown whether teaching technique influence retention of skill. Aim: To study the retention of BLS/AED skills three months after training when teaching laypersons using a four-stage and two-stage teaching technique. Methods: Laypersons (exclusion: health care professionals/students) were randomized to a standardized ERC BLS/AED courses using the four-stage teaching technique or to courses with the same content but modified to a two-stage teaching technique. Participants were tested in a simulated cardiac arrest scenario three months (±five days) after their course to assess retention of BLS/AED. Tests were video recorded and reviewed by two independent assessors blinded to training technique. Skills were assessed using the ERC BLS/AED assessment form. The primary endpoint was passing the test (17 out of 17 skills adequately performed). Results: A total of 160 participants were included in the study. No difference was found in pass rate immediately after training (diff. -1.6%; 95%CI -17.9%; 14.6%). There was no statistical difference in retention of BLS/AED skills (pass rate: both 11%, diff. -0.4%; 95%CI -28%-27%) three months after training . Total average skills adequately performed (of 17) were 13.7 versus 13.3 among laypersons trained with the four-stage (n=64) and the two-stage technique (n=64). No difference was found in number of chest compressions delivered per compression cycle (29±2.8 vs 30±3.1), chest compression rate (107±17 vs 108±19 minute-1), chest compression depth (46±11 vs 43±12 mm), number of effective rescue breaths between compression cycles (1.6±0.7 vs 1.6±0.5) and tidal volume (0.6±0.4 0.7±0.4 L). Conclusion: We found no difference in retention of BLS/AED skills among laypersons taught using a four-stage teaching technique compared to a two-stage teaching technique.

scholarly journals Basic Life Support and Cardiopulmonary Resuscitation Training for Pharmacy Students and the Community by a Pharmacy Student Committee

2010 ◽  
Vol 74 (6) ◽  
pp. 100 ◽  
Author(s):  
Kara B. Goddard ◽  
Heather D. Eppert ◽  
Elizabeth L. Underwood ◽  
Katie Maxwell McLean ◽  
Shannon W. Finks ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Basic Life Support ◽  
Life Support ◽  
Pharmacy Students ◽  
Pharmacy Student ◽  
Resuscitation Training

scholarly journals The potential of leg-foot chest compression as an alternative to conventional hands-on compression during cardiopulmonary resuscitation

2018 ◽  
Vol 26 (2) ◽  
pp. 106-110 ◽  
Author(s):  
Yoshiaki Takahashi ◽  
Takeji Saitoh ◽  
Misaki Okada ◽  
Hiroshi Satoh ◽  
Toshiya Akai ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Basic Life Support ◽  
Life Support ◽  
Vital Signs ◽  
Borg Scale ◽  
Compression Depth ◽  
Hands On ◽  
Scale Scores

Background: Conventional hands-on chest compression, in cardiopulmonary resuscitation, is often inadequate, especially when the rescuers are weak or have a small physique. Objectives: This study aimed to investigate the potential of leg-foot chest compression, with and without a footstool, during cardiopulmonary resuscitation. Methods and Results: We prospectively enrolled 21 medical workers competent in basic life support. They performed cardiopulmonary resuscitation on a manikin for 2 min using conventional hands-on compression (HO), leg-foot compression (LF), and leg-foot compression with a footstool (LF + FS). We analyzed the compression depths, changes in the rescuers’ vital signs, and the modified Borg scale scores after the trials. The compression depth did not differ between the cases using HO and LF. In the case of LF + FS, compression depths ⩾5 cm were more frequently observed (median, inter-quartile range: 93%, 81%–100%) than in HO (9%, 0%–57%, p < 0.01) and LF (28%, 11%–47%, p < 0.01). The increase in the heart rate or modified Borg scale scores, after the trials, did not differ between the HO and LF group; however, the values were the lowest in the case of LF + FS (49 ± 18 beats/min and 5 (4–7) in HO, 46 ± 18 and 6 (5–7) in LF, and 32 ± 11 and 2 (1–3) in LF + FS, respectively, p < 0.01). However, the increase in blood pressure, SpO2, and respiratory rate were not different among each group. The increases in the heart rate and modified Borg scale scores negatively were correlated with the rescuers’ body size, in the case of HO and LF, but not LF + FS. Conclusion: LF can be used as an alternative to HO, when adequate HO is difficult. LF + FS could be used when rescuers are weak or have a small physique and when the victims are bigger than the rescuers.

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