Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation

Semark, Birgitta; Årestedt, Kristofer; Israelsson, Johan; Wangenheim, Burkard von; Carlsson, Jörg; Schildmeijer, Kristina

doi:10.1177/1474515117701060

Cited by 10 publications

(5 citation statements)

References 20 publications

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“…These results differ from a recent study using audiovisual feedback to assess compression rate and depth, where the most common problem was excessive compression depth. 23 However, the vast majority of these events occurred with the patient being treated on a mattress, whereas in the present study, CPR was performed on the floor. Results may therefore not be comparable.…”

Section: Chest Compressionsmentioning

confidence: 75%

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Pettersen

Mårtensson

Axelsson³

et al. 2017

European Journal of Cardiovascular Nursing

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Section: Chest Compressionsmentioning

confidence: 75%

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Pettersen

Mårtensson

Axelsson³

et al. 2017

European Journal of Cardiovascular Nursing

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“…3,4,[9][10][11][12][13][14][15][16] Semark et al evaluated the quality of chest compressions in in-hospital cardiac arrest and found poor compression quality in 96% of the cases when frequency and depth were analyzed. 14 Abella et al also studied the quality of in-hospital CPR and found similar data to our findings, showing that the quality of multiple parameters was inconsistent and often did not meet the recommendations of published guidelines, even when performed by well-trained professionals. 16 Sutton et al analyzed the quality of in-hospital pediatric CPR, showing that the compressions were shallow in 27.2% of the cases, used excessive residual leaning force in 23.4%, and had an inadequate rate in 43.1%.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Quality of Pediatric Cardiopulmonary Resuscitation Using the in Situ Mock Code Tool

Kuzma¹,

Hirsch

Nau³

et al. 2020

Rev. paul. pediatr.

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Objective: To evaluate the quality of individual and team care for cardiac arrest in a pediatric hospital using clinical surprise simulation (in situ mock code). Methods: We conducted an observational study with a sample of the hospital staff. Clinical simulations of cardiorespiratory arrest were performed in several sectors and work shifts. The mock code occurred in vacant beds of the sector without previous notification to the teams on call. One researcher conducted all mock codes and another evaluated individual and team attendance through a questionnaire contemplating recommendation for adequate cardiopulmonary resuscitation, based on the Pediatric Advanced Life Support (PALS) guidelines. At the end of the simulations, the research team provided a debriefing to the team tested. Results: Fifteen in situ mock code were performed with 56 nursing professionals (including nurses, nursing residents and technicians) and 11 physicians (including two pediatric residents and four residents of pediatric subspecialties). The evaluation showed that 46.7% of the professionals identified cardiac arrest checking for responsiveness (26.7%) and pulse (46.7%); 91.6% requested cardiac monitoring and venous access. In one case (8.3%) the cardiac compression technique was correct in depth and frequency, while 50% performed cardiopulmonary resuscitation correctly regarding the proportion of compressions and ventilation. According to PALS guidelines, the teams had a good performance in the work dynamics. Conclusions: There was low adherence to the PALS guidelines during cardiac arrest simulations. The quality of cardiopulmonary resuscitation should be improved in many points. We suggest periodical clinical simulations in pediatric services to improve cardiopulmonary resuscitation performance.

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“…Previous studies had found that the compression rates were generally too slow 9 . However, our study showed an opposite result, in that excessive compression rates were commonly observed.…”

Section: Discussionmentioning

confidence: 97%

Effect of Audiovisual Cardiopulmonary Resuscitation Feedback Device on Improving Chest Compression Quality

Lin

Hsia

Lee

et al. 2020

Sci Rep

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The one month survival rate after out-of-hospital cardiac arrest (OHCA) in the paediatric population remains low. Improving survival in paediatric OHCA by enhancing the quality of cardiopulmonary resuscitation (CPR) is important. In this study, we aimed to analyse the factors associated with CPR quality by using a real-time feedback device. Participants were prospectively divided into 4 groups: paediatric research fellows, paediatric residents, medical students (clerks), and paediatric critical care nurses. Then, the participants were asked to perform 5 cycles of CPR on a paediatric simulation manikin without prompts from feedback devices, and to repeat another 5 cycles of CPR after education with the 2015 paediatric advanced life support guidelines. A total of 75 participants were evaluated. In the overall analysis, an improvement in the percentage of participants meeting the target compression rate was observed (from 49.82% to 71.23%, P < 0.001). The percentage of participants achieving the target compression depth improved from 73.77% to 85.63% (P = 0.005). Among the 4 groups, the residents showed the most significant improvement in both compression rate (from 48.41% to 86.57%, P < 0.001) and compression depth (from 63.50% to 95.57%, P < 0.001). Inappropriate rate was a more important factor resulting in inadequate CPR performance than inappropriate depth. An excessive compression rate was also a common problem. In conclusions, the real-time CPR feedback device may help clinical physicians and nurses in improving the quality of chest compression. Excessive CPR compression rate may be a major cause of inadequate CPR performance.

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Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation

Cited by 10 publications

References 20 publications

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

European cardiovascular nurses’ and allied professionals’ knowledge and practical skills regarding cardiopulmonary resuscitation

Assessment of the Quality of Pediatric Cardiopulmonary Resuscitation Using the in Situ Mock Code Tool

Effect of Audiovisual Cardiopulmonary Resuscitation Feedback Device on Improving Chest Compression Quality

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