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Real-time feedback can improve infant manikin cardiopulmonary resuscitation by up to 79%- A randomised controlled trial

Martin, Philip Stephen, Theobald, Peter, Kemp, Alison Mary, Maguire, Sabine Ann, Maconochie, Ian and Jones, Michael David 2013. Real-time feedback can improve infant manikin cardiopulmonary resuscitation by up to 79%- A randomised controlled trial. Resuscitation 84 (8) , pp. 1125-1130. 10.1016/j.resuscitation.2013.03.029

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Abstract

Setting: European and Advanced Paediatric Life Support training courses. Participants: Sixty-nine certified CPR providers. Interventions: CPR providers were randomly allocated to a ‘no-feedback’ or ‘feedback’ group, performing two-thumb and two-finger chest compressions on a “physiological”, instrumented resuscitation manikin. Baseline data was recorded without feedback, before chest compressions were repeated with one group receiving feedback. Main outcome measures: Indices were calculated that defined chest compression quality, based upon comparison of the chest wall displacement to the targets of four, internationally recommended parameters: chest compression depth, release force, chest compression rate and compression duty cycle. Results: Baseline data were consistent with other studies, with <1% of chest compressions performed by providers simultaneously achieving the target of the four internationally recommended parameters. During the ‘experimental’ phase, 34 CPR providers benefitted from the provision of ‘real-time’ feedback which, on analysis, coincided with a statistical improvement in compression rate, depth and duty cycle quality across both compression techniques (all measures: p < 0.001). Feedback enabled providers to simultaneously achieve the four targets in 75% (two-finger) and 80% (two-thumb) of chest compressions. Conclusions: Real-time feedback produced a dramatic increase in the quality of chest compression (i.e. from <1% to 75–80%). If these results transfer to a clinical scenario this technology could, for the first time, support providers in consistently performing accurate chest compressions during infant CPR and thus potentially improving clinical outcomes.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Engineering
Subjects: T Technology > TJ Mechanical engineering and machinery
Uncontrolled Keywords: Cardiopulmonary resuscitation; Chest compression; Paediatric; Infant; Manikins; Feedback
Publisher: Elsevier
ISSN: 0300-9572
Last Modified: 13 Aug 2019 06:03
URI: http://orca.cf.ac.uk/id/eprint/50966

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