Change in Cardiopulmonary Resuscitation Performance Over Time During Simulated Pediatric Cardiac Arrest and the Effect of Just-in-Time Training and Feedback.
Pediatr Emerg Care
; 37(3): 133-137, 2021 Mar 01.
Article
in En
| MEDLINE
| ID: mdl-33651758
ABSTRACT
OBJECTIVES:
Effective cardiopulmonary resuscitation (CPR) is critical to ensure optimal outcomes from cardiac arrest, yet trained health care providers consistently struggle to provide guideline-compliant CPR. Rescuer fatigue can impact chest compression (CC) quality during a cardiac arrest event, although it is unknown if visual feedback or just-in-time training influences change of CC quality over time. In this study, we attempt to describe the changes in CC quality over a 12-minute simulated resuscitation and examine the influence of just-in-time training and visual feedback on CC quality over time.METHODS:
We conducted secondary analysis of data collected from the CPRCARES study, a multicenter randomized trial in which CPR-certified health care providers from 10 different pediatric tertiary care centers were randomized to receive visual feedback, just-in-time CPR training, or no intervention. They participated in a simulated cardiac arrest scenario with 2 team members providing CCs. We compared the quality of CCs delivered (depth and rate) at the beginning (0-4 minutes), middle (4-8 minutes), and end (8-12 minutes) of the resuscitation.RESULTS:
There was no significant change in depth over the 3 time intervals in any of the arms. There was a significant increase in rate (128 to 133 CC/min) in the no intervention arm over the scenario duration (P < 0.05).CONCLUSIONS:
There was no significant drop in CC depth over a 12-minute cardiac arrest scenario with 2 team members providing compressions.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cardiopulmonary Resuscitation
/
Simulation Training
/
Heart Arrest
Type of study:
Clinical_trials
/
Observational_studies
Limits:
Child
/
Humans
Language:
En
Journal:
Pediatr Emerg Care
Journal subject:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Year:
2021
Document type:
Article
Affiliation country:
Canada