Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study

Lakomek, Felix; Lukas, Roman-Patrik; Brinkrolf, Peter; Mennewisch, Andreas; Steinsiek, Nicole; Gutendorf, Peter; Sudowe, Hendrik; Heller, Michael; Kwiecien, Robert; Zarbock, Alexander; Böhn, Andreas

doi:10.1371/journal.pone.0229431

Cited by 31 publications

(29 citation statements)

References 33 publications

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“…QCPR Classroom was found to help students obtain high-quality CPR training, especially in terms of correct compression depth and full recoil [ 44 ]. Other research studying the influence of received feedback on CPR quality [ 45 , 46 ] reported similar conclusions.…”

Section: Discussionsupporting

confidence: 62%

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

Misztal-Okońska

Goniewicz²,

Goniewicz

et al. 2021

IJERPH

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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.

show abstract

Section: Discussionsupporting

confidence: 62%

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

Misztal-Okońska

Goniewicz²,

Goniewicz

et al. 2021

IJERPH

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show abstract

“…QCPR Classroom was found to help students obtain high-quality CPR training, especially on correct compression depth and full recoil [35]. Other research studying the in uence of received feedback on CPR quality [36][37] have reported similar conclusions.…”

Section: Discussionmentioning

confidence: 62%

Importance of Immediate Electronic-based Feedback to Enhance Feedback for First-time CPR Trainees

Misztal-Okońska

Goniewicz

et al. 2021

Preprint

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

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“…The feedback sensor is placed on the patient's sternum during resuscitation. The feedback system issues auditory and visual prompts if deviations from the guideline recommendations are detected [21]. The quality of mechanical chest compression is recorded by the corpuls cpr.…”

Section: Exclusion Criteriamentioning

confidence: 99%

Differences between manual CPR and corpuls cpr in regard to quality and outcome: study protocol of the comparing observational multi‐center prospective registry study on resuscitation (COMPRESS)

Seewald

Dopfer

Wnent

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background The effect of mechanical CPR is diversely described in the literature. Different mechanical CPR devices are available. The corpuls cpr is a new generation of piston-driven devices and was launched in 2015. The COMPRESS-trial analyzes quality of chest compression and CPR-related injuries in cases of mechanical CPR by the corpuls cpr and manual CPR. Methods This article describes the design and study protocol of the COMPRESS-trial. This observational multi-center study includes all patients who suffered an out-of-hospital cardiac arrest (OHCA) where CPR is attempted in four German emergency medical systems (EMS) between January 2020 and December 2022. EMS treatment, in-hospital-treatment and outcome are anonymously reported to the German Resuscitation Registry (GRR). This information is linked with data from the defibrillator, the feedback system and the mechanical CPR device for a complete dataset. Primary endpoint is chest compression quality (complete release, compression rate, compression depth, chest compression fraction, CPR-related injuries). Secondary endpoint is survival (return of spontaneous circulation (ROSC), admission to hospital and survival to hospital discharge). The trial is sponsored by GS Elektromedizinische Geräte G. Stemple GmbH. Discussion This observational multi-center study will contribute to the evaluation of mechanical chest compression devices and to the efficacy and safety of the corpuls cpr. Trial registration DRKS, DRKS-ID DRKS00020819. Registered 31 July 2020.

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Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study

Cited by 31 publications

References 33 publications

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

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

Importance of Immediate Electronic-based Feedback to Enhance Feedback for First-time CPR Trainees

Differences between manual CPR and corpuls cpr in regard to quality and outcome: study protocol of the comparing observational multi‐center prospective registry study on resuscitation (COMPRESS)

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