Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest

A Narrative Review of Training Approaches to Address Low Volume High Risk Pediatric Resuscitation Skills

“…Authors used a combination of video review and chest compression monitor devices to examine 49 observations of chest compressions performed by 32 RQI ® -trained providers in the pediatric emergency department setting. Findings confirm that highfrequency CPR skill training results in "improved performance during training sessions for all skills; [and] a significant association was found between number of sessions and adherence to compression rate guidelines during real patient events" [46] (p.1).…”

“…To date, emerging evidence suggests that this novel approach to resuscitation training has the potential to produce the desired outcomes while mitigating the challenges (e.g., time, space, bulky/complex equipment, available experts, and psychological safety) in busy healthcare settings. For example, Donoghue and colleagues [46] conducted a prospective observational study using the RQI ® program, with the goal to measure CPR performance by emergency department providers in a children's hospital during real patient events and to examine the direct relationship with their CPR training. Over a 15-month study period, 159 providers completed four consecutive RQI ® sessions to practice low volume, high-risk resuscitation skills; and 28 children received chest compressions under video-recorded conditions.…”

Anti-Choking Suction Devices for Foreign Body Airway Obstruction in Children. Would Parents and Kindergarten Teachers be Able to Use Them Without Training?

“…And, in turn, participants with prior training achieved a signi cantly higher rate. Although no previous studies on evaluating the effect of training on the choking recommended protocol have been found, our results might be related to other studies where different methods of training in BLS content, such as AED [29], and adult [30,31] and pediatric [32] CPR, improved performance outcomes.…”

What can be learned from the literature about intervals and strategies for paediatric CPR retraining of healthcare professionals? A scoping review of literature

“… No lasting improvements in either frequency of CPR practice or CPR performance scores in the presence of a leaderboard. Ciurzynski et al 40 (2017), USA Pre-post, 21 nurses, hospital Pre-test questionnaire; 8–12 minutes, 2 rescuers simulated CPR with RTF; switch roles; (if an overall CPR performance score of 80% was not achieved, repeat CPR with RTF); debrief; post-test questionnaire and refresher at 6 months Knowledge, CPR performance, comfort with emergency response Knowledge: significantly improved (p = 0.001); knowledge was not retained at 6 months (97, SD = 6) and (85, SD = 11), p = 0.001; Comfort: significantly higher (p = 0.004); Skills: improved at 6 months but not significantly A personalised refresher simulation every 6 months is recommended Donogue et al 41 (2021), USA Observational, 253 physicians, nurses, paramedics, EM technicians, hospital Baseline assessment; CPR self-directed skill training every 3 months where participants had to pass with a score over 75%. If not, RTF until pass; AND real-life events with chest compression monitor and videorecording.…”