Effect of real-time visual feedback device ‘Quality Cardiopulmonary Resuscitation (QCPR) Classroom’ with a metronome sound on layperson CPR training in Japan: a cluster randomized control trial

Tanaka, Shota; Tsukigase, Kyoko; Hara, Takahiro; Sagisaka, Ryo; Myklebust, Helge; Birkenes, Tonje S.; Takahashi, Hiroyuki; Iwata, Ayana; Kidokoro, Yutaro; Yamada, Momoyo; Ueta, Hiroki; Takyu, Hiroshi; Tanaka, Hideharu

doi:10.1136/bmjopen-2018-026140

Cited by 33 publications

(36 citation statements)

References 42 publications

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“…As in this study, QCPR Classroom participants could see their CPR results on a large screen, while the control group only received subjective instructor feedback. QCPR Classroom was found to help students obtain high-quality CPR training, especially on correct compression depth and full recoil [35]. Other research studying the in uence of received feedback on CPR quality [36][37] have reported similar conclusions.…”

Section: Discussionmentioning

confidence: 61%

Importance of Immediate Electronic-based Feedback to Enhance Feedback for First-time CPR Trainees

Misztal-Okońska

Goniewicz

et al. 2021

Preprint

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Background: Sudden cardiac arrest is one of the leading causes of death globally. The recommended clinical management in out-of-hospital cardiac arrest cases is the immediate initiation of high-quality Cardiopulmonary Resuscitation (CPR). Training mannequins should be combined with technology that provide students with detailed immediate feedback on the quality of CPR performance. This study aimed to verify the impacts of the type of feedback (basic or detailed) the responders receive from the device while learning CPR and how it influences the quality of their performance and the motivation to improve their skills.Methods: The study was conducted at the Medical University of Lublin among 694 multi professional health students during first aid classes on Basic Life Support (BLS). The students first practiced on an adult mannequin with a basic control panel; afterward, the same mannequin was connected to a laptop, ensuring a detailed record of the performed activities through a projector. Next, the participants expressed their subjective opinion on how the feedback provided during the classes, basic vs detailed, motivated them to improve the quality of their CPR performance. Additionally, during the classes, the instructor conducted an extended observation of students' work and behavior.Results: In the students’ opinion, the CPR training with detailed feedback devices provided motivation for learning and improving CPR proficiency than the one with a basic control panel. Furthermore, the comments given from devices seem to be more acceptable to the students, who did not see any bias in the device’s evaluation compared to that of the instructor.Conclusions: Detailed device feedback motivates student health practitioners to learn and improve the overall quality of CPR. The use of mannequins that provide detailed feedback during BLS courses can improve survival in out-of-hospital cardiac arrest.

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Section: Discussionmentioning

confidence: 61%

Importance of Immediate Electronic-based Feedback to Enhance Feedback for First-time CPR Trainees

Misztal-Okońska

Goniewicz

et al. 2021

Preprint

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“…Following removal of 196 duplicates, 681 sources were screened via titles and abstracts, resulting in 201 possible relevant studies. Upon full text analysis, 32 studies met inclusion criteria and were included in our review including 14 randomised controlled trials (RCTs) [14,17,18,20,23,24,29,32,33,38,40,42,44,45], 08 randomised trials (RTs) [25][26][27][28]31,36,37,41] and 10 randomised cross-over trials (RCOTs) [15,16,19,21,22,30,34,35,39,46]. The flow chart of the search and selection process is presented in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The use of ARTF devices has been examined in each study included in this review and it has been demonstrated that all feedback and/or prompt devices may not have the same impact on performance. Generally, CPR training utilising ARTF results in improved acquisition of CPR skills, longer retention and subsequent enhanced performance when compared to baseline or control groups [16][17][18][19]20,23,32,39,44,45]. Metrics such as chest compression rate, chest compression depth, recoil, handoff time, fatigue reduction and general quality of CPR, significantly improved as a result of the use of ARTF during training in those studies.…”

Section: Analysis Of Individual Studiesmentioning

confidence: 92%

“…Some feedback devices offer information about performance, so that rescuers can make real time adjustments to their CPR attempt [38]. Others, such as metronomes, only provide prompts for the rescuer to perform chest compressions at a predetermined measurement, rate for example, but cannot assess the quality of the performance [24,45].…”

Section: Analysis Of Individual Studiesmentioning

confidence: 99%

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The Use of Automated Real-Time Feedback Devices to Improve Quality During CPR Training and Real CPR Performance: A Systematic Review

Almeida¹,

Tobase²,

Polastri³

et al. 2020

INTED Proceedings

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High quality cardiopulmonary resuscitation (CPR) is imperative to improve patient outcome after a cardiac arrest. However, it has been demonstrated that CPR quality is normally of suboptimal quality in both real-life resuscitation attempts or simulated training. Automated real-time feedback (ARTF) devices have been considered a potential tool to improve the quality of CPR and maximise retention of the skills. Although previous studies have supported the usefulness of such devices during training, others have conflicting conclusions with regards to its efficacy during real-life CPR. This systematic review of the literature aims to assess the effectiveness of ARTF for improving CPR performance during simulated training and real-life resuscitation in the adult and paediatric population. Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines [1], articles published between January 2010 and November 2019 were searched from 7 electronic databases (SCIELO, LILACS, BVS, PubMed, Web of Science, Embase, Cochrane, Cinahl, Google Scholar) and reviewed according to the pre-defined eligibility criteria. CPR performance quality was assessed based on guideline compliance for chest compression rate, chest compression depth and complete chest recoil. 871 studies were found, and 32 studies met inclusion criteria. 14 randomised controlled trials (RCTs), 08 randomised trials (RTs) and 10 randomised cross-over trials (RCOTs). Each study used ARTF devices during CPR training or real CPR to analyse the performance of healthcare professionals for paediatric or adult population. According to the studies, the use of ARTF devices enhances CPR performance in terms of achieving the recommended chest compression rate, depth and recoil. Based on the results of the studies analysed in this review, the use of ARTF can significantly help improve CPR performance during training of healthcare professionals. Further research is needed to reach the same conclusion for real-life CPR.

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“…Tanaka et al observed similar findings that the visual and audible feedback improves the quality of CPR. 19 In the real-world situations, the use of feedback devices like a metronome for rate and CPR meter for depth would be helpful to ensure high-quality CPR.…”

Section: Discussionmentioning

confidence: 99%

Influence of Physical Activity of the Rescuer on Chest Compression Duration and its Effects on Hemodynamics and Fatigue Levels of the Rescuer: A Simulation-based Study

Nayak¹,

Babu²,

Unnikrishnan³

et al. 2020

Indian Journal of Critical Care Medicine

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Background Cardiopulmonary resuscitation (CPR) is a lifesaving skill performed during the cardiac arrest. Various factors of rescuer affect CPR quality, and rescuers physical fitness is one among the important factors needs to be explored for improved CPR quality. This study aimed to assess the physical activity (PA) levels of the health care providers (HCPs) who were trained in basic life support (BLS) and its relationship on chest compression duration, hemodynamic parameters, and fatigue levels of the rescuers. Materials and methods A single-center, cross-sectional study was conducted on 48 HCPs who were trained in BLS within one year. Eligible participants were contacted by email, and the responders’ level of PA was determined using the global physical activity questionnaire (GPAQ). The participants were recruited for chest compression-only cardiac arrest scenarios. Each subject performed continuous chest compression on the manikin until they perceived maximum fatigue. Heart rate (HR), blood pressure (BP), oxygen saturation (SpO 2 ), and fatigue level were assessed at baseline, immediately after and following two minutes of cessation of chest compressions. The total duration of chest compression was also documented. Results Most participants (24, 50%) reported high levels of PA while 22 (45.83%) and 2 (4.17%) reported moderate and low intensity of PA, respectively. The mean age of the 35 participants was 26.08 ± 4.60 years. The mean duration of chest compressions was 193.25 seconds with higher times reported for those with high PA when compared to those with moderate PA ( p = 0.017). Similar findings were also observed for fatigue. Conclusion Rescuers who reported high PA had lower levels of fatigue and could perform longer duration of chest compressions. How to cite this article Nayak VR, Babu A, Unnikrishnan R, Babu AS, Krishna HM. Influence of Physical Activity of the Rescuer on Chest Compression Duration and its Effects on Hemodynamics and Fatigue Levels of the Rescuer: a Simulation-based Study. Indian J Crit Care Med 2020;24(6):409–413.

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Effect of real-time visual feedback device ‘Quality Cardiopulmonary Resuscitation (QCPR) Classroom’ with a metronome sound on layperson CPR training in Japan: a cluster randomized control trial

Cited by 33 publications

References 42 publications

Importance of Immediate Electronic-based Feedback to Enhance Feedback for First-time CPR Trainees

Importance of Immediate Electronic-based Feedback to Enhance Feedback for First-time CPR Trainees

The Use of Automated Real-Time Feedback Devices to Improve Quality During CPR Training and Real CPR Performance: A Systematic Review

Influence of Physical Activity of the Rescuer on Chest Compression Duration and its Effects on Hemodynamics and Fatigue Levels of the Rescuer: A Simulation-based Study

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