Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees

Abstract

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 provides 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. 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. In the students’ opinion, the CPR training with detailed feedback devices provided motivation for learning and improving CPR proficiency than that with a basic control panel. Furthermore, the comments given from devices seemed to be more acceptable to the students, who did not see any bias in the device’s evaluation compared to that of the instructor. 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.

Emergency Medicine Perspectives: The Importance of Bystanders and Their Impact on On-Site Resuscitation Measures and Immediate Outcomes of Out-of-Hospital Cardiac Arrest

“…Although the general public is not expected to administer drugs or engage in advanced life support (ALS), a deeper understanding of the broader implications of timely bystander CPR can highlight its critical role in the entire emergency response process. A comprehensive training program that offers insights into the significance of early intervention and its potential downstream effects, without delving into the specifics of drug choices, could foster a more informed and proactive approach to bystander interventions [30].…”

Application of Technology in Cardiopulmonary Resuscitation, a Narrative Review

“…CPR training using real-time device feedback for nurses and nursing students showed that the accuracy of chest compressions, mouth-to-mouth ventilation, and overall performance ability improved when compared pre-and postdevice feedback and this was statistically significant when compared to a control group of students who received CPR training without the device [32][33][34]. Trainees subjectively prefer the feedback given by devices, noting less bias compared to instructor feedback and stating an increase in motivation to learn and improve the quality of their CPR [28,35]. In medical student training of CPR skills, supplementing visual feedback devices during simulated cardiac arrest resuscitations resulted in an increased ratio of full chest recoil, while maintaining adequate chest compression depth and rate [36][37][38].…”

Feedback Devices for Cardiopulmonary Resuscitation: A Narrative Review

“…CPR feedback devices are widely utilized in CPR training. In studies investigating CPR training, it has been observed that training with a feedback device enhances CPR competency and overall quality more significantly than traditional CPR training methods [35]. Furthermore, the utilization of feedback devices can augment skill acquisition and overall performance in cardiopulmonary resuscitation [36].…”