Measuring the effectiveness of a novel CPRcard™ feedback device during simulated chest compressions by non-healthcare workers

White, Alexander E.; Ng, Han Xian; Ng, Wai Yee; Ng, Eileen Kai Xin; Fook‐Chong, Stephanie; Kua, Phek Hui Jade; Ong, Marcus Eng Hock

doi:10.11622/smedj.2017072

Cited by 11 publications

(10 citation statements)

References 38 publications

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“…The 2015 AHA Guidelines recommend and the AHA mandated in 2017 use of audiovisual feedback in all CPR training 8 14 31. Previous studies indicate that use of feedback for CPR performance significantly improves CPR quality 16–28. In our study, CPR quality was significantly better in the QCPR Classroom than in the control group.…”

Section: Discussionsupporting

confidence: 55%

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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

et al. 2019

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Objectives‘Quality Cardiopulmonary Resuscitation (QCPR) Classroom’ was recently introduced to provide higher-quality Cardiopulmonary Resuscitation (CPR) training. This study aimed to examine whether novel QCPR Classroom training can lead to higher chest-compression quality than standard CPR training.DesignA cluster randomised controlled trial was conducted to compare standard CPR training (control) and QCPR Classroom (intervention).SettingLayperson CPR training in Japan.ParticipantsSix hundred forty-two people aged over 15 years were recruited from among CPR trainees.InterventionsCPR performance data were registered without feedback on instrumented Little Anne prototypes for 1 min pretraining and post-training. A large classroom was used in which QCPR Classroom participants could see their CPR performance on a big screen at the front; the control group only received instructor’s subjective feedback.Primary and secondary outcome measuresThe primary outcomes were compression depth (mm), rate (compressions per minute (cpm)), percentage of adequate depth (%) and recoil (%). Survey scores were a secondary outcome. The survey included participants’ confidence regarding CPR parameters and ease of understanding instructor feedback.ResultsIn total, 259 and 238 people in the control and QCPR Classroom groups, respectively, were eligible for analysis. After training, the mean compression depth and rate were 56.1±9.8 mm and 119.2±7.3 cpm in the control group and 59.5±7.9 mm and 116.8±5.5 cpm in the QCPR Classroom group. The QCPR Classroom group showed significantly more adequate depth than the control group (p=0.001). There were 39.0% (95% CI 33.8 to 44.2; p<0.0001) and 20.0% improvements (95% CI 15.4 to 24.7; P<0.0001) in the QCPR Classroom and control groups, respectively. The difference in adequate recoil between pretraining and post-training was 2.7% (95% CI −1.7 to 7.1; pre 64.2±36.5% vs post 66.9%±34.6%; p=0.23) and 22.6% in the control and QCPR Classroom groups (95% CI 17.8 to 27.3; pre 64.8±37.5% vs post 87.4%±22.9%; p<0.0001), respectively.ConclusionsQCPR Classroom helped students achieve high-quality CPR training, especially for proper compression depth and full recoil. For good educational achievement, a novel QCPR Classroom with a metronome sound is recommended.

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Section: Discussionsupporting

confidence: 55%

“…We are currently facing a period of transition to CPR training with a feedback device as various feedback devices have been introduced, and research has supported their effectiveness 16–28. However, they are unavailable for CPR training targeting a large population.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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“…More detailed information about characteristics and outcomes of included studies are also shown in S2 and S3 Tables in Supplementary materials. Among 42 studies included, 32 were RCTs, 6 studies [18,36,45,54,55,57] were randomized crossover controlled trials and 4 studies [24,48,49,53] were non-randomized studies. There were 13 studies conducted in North America [18,22–24,34,35,37,40,44,49,52,53,58], 19 in Europe [17,25–27,29–31,33,38,39,41–43,45,46,48,51,55,57], and 10 in the Asia-Pacific region [19–21,28,32,36,47,50,54,56].…”

Section: Resultsmentioning

confidence: 99%

“…Another study showed that, with feedback on compression rate from the test device, the rescuer could perform higher quality of CPR with higher compression rate and without compromising compression depth [38]. The other 4 studies also found that real-time feedback devices improved the quality of bystander CPR in a simulation setting [54–57].…”

Section: Resultsmentioning

confidence: 99%

Interventions to improve the quality of bystander cardiopulmonary resuscitation: A systematic review

Chen

Hsieh

et al. 2019

PLoS ONE

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Background Performing high-quality bystander cardiopulmonary resuscitation (CPR) improves the clinical outcomes of victims with sudden cardiac arrest. Thus far, no systematic review has been performed to identify interventions associated with improved bystander CPR quality. Methods We searched Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, Ovid PsycInfo, Thomson Reuters SCI-EXPANDED, and the Cochrane Central Register of Controlled Trials to retrieve studies published from 1 January 1966 to 5 October 2018 associated with interventions that could improve the quality of bystander CPR. Data regarding participant characteristics, interventions, and design and outcomes of included studies were extracted. Results Of the initially identified 2,703 studies, 42 were included. Of these, 32 were randomized controlled trials. Participants included adults, high school students, and university students with non-medical professional majors. Interventions improving bystander CPR quality included telephone dispatcher-assisted CPR (DA-CPR) with simplified or more concrete instructions, compression-only CPR, and other on-scene interventions, such as four-hand CPR for elderly rescuers, kneel on opposite sides for two-person CPR, and CPR with heels for a tired rescuer. Devices providing real-time feedback and mobile devices containing CPR applications or software were also found to be beneficial in improving the quality of bystander CPR. However, using mobile devices for improving CPR quality or for assisting DA-CPR might cause rescuers to delay starting CPR. Conclusions To further improve the clinical outcomes of victims with cardiac arrest, these effective interventions may be included in the guidelines for bystander CPR.

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“…The CPRcard is a novel, credit card-sized feedback device that provides visual assistance to achieve proper depth and rate of chest compressions. (13) It is part of a research study in collaboration with Laerdal Medical (Norway) to evaluate whether the DARE programme and CPRcard training would bring about a change in the attitude and confidence of the public in saving lives and whether they lead to any improvements in bystander response rates and victim survival. Participants receive a CPRcard at the start of their training and use it during their compression practice.…”

Section: Community Interventionsmentioning

confidence: 99%

An essential review of Singapore’s response to out-of-hospital cardiac arrests: improvements over a ten-year period

Ae¹,

Ho²,

Shahidah³

et al. 2021

smedj

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Care for patients who experience out-of-hospital cardiac arrest (OHCA) has rapidly evolved in the past decade. Increased sophistication of care in the community, emergency medical services (EMS) and hospital setting is associated with improved patient-centred outcomes. Notably, Utstein survival doubled from 11.6% to 23.1% between 2011 and 2016. These achievements involved collaboration between policymakers, clinicians and researchers, and were made possible by a strategic interplay of policy, research and implementation. We review the development and current state of OHCA in Singapore using primary population-based data from the Pan-Asian Resuscitation Outcomes Study and an unstructured search of research databases. We discuss the roles of important milestones in policy, community, dispatch, EMS and hospital interventions. Finally, we relate these interventions to relevant processes and outcomes, such as the relationship between the strategic implementation of bystander cardiopulmonary resuscitation and placement of automated external defibrillator with return of spontaneous circulation, survival to discharge and survival with favourable neurological outcomes.

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Measuring the effectiveness of a novel CPRcard™ feedback device during simulated chest compressions by non-healthcare workers

Cited by 11 publications

References 38 publications

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

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

Interventions to improve the quality of bystander cardiopulmonary resuscitation: A systematic review

An essential review of Singapore’s response to out-of-hospital cardiac arrests: improvements over a ten-year period

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