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

Baldi, Enrico; Cornara, Stefano; Epis, Francesco; Fina, Dario; Zelaschi, Beatrice; Dossena, Cinzia; Fichtner, Ferdinando; Tonani, Michela; Maggio, Marzia Di; Zambaiti, Elisa; Somaschini, Alberto

doi:10.1017/cem.2016.410

Cited by 72 publications

(58 citation statements)

References 39 publications

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“…The laypersons were able to perform overall good quality CPR. In a recently published randomized controlled trial, Baldi et al 17 randomly categorized 450 laypersons of various ages participating in BLS/AED courses into three groups. Both 1-and 10-minute training with a feedback device was superior to a course without any feedback with respect to the percentage of compressions with correct depth performed.…”

Section: Discussionmentioning

confidence: 99%

“…The optimal percentage of adequate chest compression in laypersons is hard to define, but it ranged from 58.9% to 77.8% with a feedback device and from 14.6% to 66.6% without a feedback device, respectively in previous studies. 17,19 Apparently, the rates vary widely and could differ depending on the method of training and participants' characteristics. In our study, the percentage of adequate chest compression depth was 51.0% and 26.9% in the RTFG and NFG, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Long-term benefits of chest compression-only cardiopulmonary resuscitation training using real-time visual feedback manikins: a randomized simulation study

et al. 2020

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Objective Cardiopulmonary resuscitation (CPR) education with a feedback device is known to result in better CPR skills compared to one without the feedback device. However, its long-term benefits have not been established. The purpose of this study was to evaluate the long-term CPR skill retention after training using real-time visual manikins in comparison to that of non-feedback manikins. Methods We recruited 120 general university students who were randomly divided into the real-time feedback group (RTFG) and the non-feedback group. Of them, 95 (RTFG, 48; non-feedback group, 47) attended basic life support and automated external defibrillation training for 1 hour. For comparison of retention of CPR skills, the two groups were evaluated based on 2-minute chest compression performed immediately after training and at 3, 6, and 9 months. The CPR parameters between the two groups were also compared using a generalized linear model. Results At immediately after training, the performance of RTFG was better in terms of average chest compression depth (51.9 ± 1.1 vs. 45.5 ± 1.1, p < 0.001) and a higher percentage of adequate chest compression depth (51.0 ± 4.1 vs. 26.9 ± 4.2, p < 0.001). This significant difference was maintained until 6 months after training, but there was no difference at 9 months after training. However, there was no significant difference in the chest compression rate and the correct hand position at any time point. Conclusion CPR training with a real-time visual feedback manikin improved skill acquisition in chest compression depth, but only until 6 months after the training. It could be a more effective educational method for basic life support training in laypersons.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long-term benefits of chest compression-only cardiopulmonary resuscitation training using real-time visual feedback manikins: a randomized simulation study

et al. 2020

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“…After the children had completed the training, we asked them to perform two minutes of continuous chest compressions on the same manikin they had been trained on and recorded their performance with the Resusci ® Anne Wireless SkillReporter ™ (Laerdal). This system has already been used in several studies investigating CPR quality [ 23 , 24 ] and is able to detect and record chest compressions characteristics in real time (rate, depth, leaning and hands position) and also calculates the so called “compressions score” which represents the overall chest compression quality and ranges from 0–100. The following parameters are used to calculate the compression score: compression depth, compression rate, incomplete release, number of compressions per cycle, number of compressions per cycle and hand position.…”

Section: Methodsmentioning

confidence: 99%

The impact of cardiopulmonary resuscitation (CPR) manikin chest stiffness on motivation and CPR performance measures in children undergoing CPR training—A prospective, randomized, single-blind, controlled trial

et al. 2018

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BackgroundCardio-pulmonary-resuscitation (CPR) training starting at the age of 12 years is recommended internationally. Training younger children is not recommended because young children lack the physical ability to perform adequate CPR and discouragement to perform CPR later is apprehended. The aim of this study was to answer the following questions: Are younger children discouraged after CPR training? Is discouragement caused by their lack in physical ability to perform adequate chest compressions on a standard manikin and would the use of manikins with a reduced resistance affect their motivation or performance?MethodsWe investigated the motivation and CPR performance of children aged 8–13 years after CPR training on manikins of different chest stiffness in a prospective, randomized, single-blind, controlled trial. 322 children underwent randomization and received 30 minutes CPR training in small groups at school. We used two optically identical resuscitation manikins with different compression resistances of 45kg and 30kg. Motivation was assessed with a self-administered questionnaire. Performance was measured with the Resusci®Anne SkillReporter™.FindingsMotivation after the training was generally high and there was no difference between the two groups in any of the questionnaire items on motivation: Children had fun (98 vs. 99%; P = 0.32), were interested in the training (99 vs. 98%; P = 0.65), and were glad to train resuscitation again in the future (89 vs. 91%; P = 0.89). CPR performance was generally poor (median compression score (8, IQR 1–45 and 29, IQR 11–54; P<0.001) and the mean compression depth was lower in the 45kg-resistance than in the 30kg-resistance group (33±10mm vs. 41±9; P<0.001).ConclusionsCompression resistances of manikins, though influencing CPR performance, did not discourage 8 to 13 year old children after CPR training. The findings refute the view that young children are discouraged when receiving CPR training even though they are physically not able to perform adequate CPR.

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“…In six studies, the indicator developed by the Laerdal corporation was used for the analysis [19][20][21][22][23][24]. It is a part of the software for analysing resuscitation performed in simulation conditions.…”

Section: Resultsmentioning

confidence: 99%

Assessment of Chest Compression Quality — a systematic review

Kłosiewicz

Puslecki

Zalewski

et al. 2020

Disaster Emerg Med J

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INTRODUCTION: High-quality chest compression (CC) is a crucial factor that determines the survival of cardiac arrest patients. Adequate quality should be featured by appropriate compression rate and depth, and full chest recoil after each compression. The ranges are strictly determined in Resuscitation Guidelines. All these parameters are interdependent. Currently, there is a need to find or develop a universal index that will enable the definition and determination of the overall quality of CCs. MATERIAL AND METHODS: A systematic review of the MEDLINE, EMBASE, COCHRANE, and GOOGLE SCHOLAR databases was performed. The authors aimed to find papers in which the quality of CC was assessed. The extracted information included measurement of the CC quality in a direct and objective manner-by analysing the depth, rate, and recoil of CC, position of the hands, duty cycle, and indirectly by evaluating chest compression fraction (CCF). Papers describing the quality of CC based on a combination of various components of the CC quality were selected for analysis. RESULTS: In total 1604 publications were obtained. Among them, 21 articles satisfied the search criteria. In most of the papers, it was suggested that compressions should have been considered as correct when they met simultaneously all quality criteria. Only three papers presented any mathematical formula that could have been used for further comparisons. CONCLUSIONS: Although many proposals have been developed, no single, universal, and commonly accepted indicator of resuscitation quality has been so far designed and subsequently applied. Further work on this subject is warranted and strongly recommended.

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

Cited by 72 publications

References 39 publications

Long-term benefits of chest compression-only cardiopulmonary resuscitation training using real-time visual feedback manikins: a randomized simulation study

Long-term benefits of chest compression-only cardiopulmonary resuscitation training using real-time visual feedback manikins: a randomized simulation study

The impact of cardiopulmonary resuscitation (CPR) manikin chest stiffness on motivation and CPR performance measures in children undergoing CPR training—A prospective, randomized, single-blind, controlled trial

Assessment of Chest Compression Quality — a systematic review

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