Development of Simulated Chest Compression Videos for Objective Evaluation of CPR Instructors
Authors: Al-Rasheed Rakan S. , Devine Jeffrey , Dunbar-Viveiros Jennifer A. , Jones Mark S. , Dannecker Max , Jay Gregory D. , Kobayashi Leo 
Published: December 2012

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Instructions: 1.1
contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz.

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1.
Read the article, “Development of Simulated Chest Compression Videos for Objective Evaluation of CPR Instructors,” found on pages 59–63, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

2.
Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

3.
Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

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Contact Hours
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Objectives

Explain the process of the development of simulated chest compression videos for objective evaluation of cardiopulmonary resuscitation (CPR) or the CPR Instructor Real-time Review through Use of Simulation (CIRRUS) project.

Describe simulated CPR video use as an adjunct to teach, assess, and research CPR quality.

Disclosure Statement
Neither the planners nor the authors have any conflicts of interest to disclose.

The goal of the development phase of the CPR Instructor Real-time Review through Use of Simulation (CIRRUS) research program was to create a video library portraying a spectrum of objectively verified simulation chest compression performances. Investigators scripted and recorded 12 two-person cardiopulmonary resuscitation (CPR) videos with specific chest compression parameters encompassing a range of hand positions, rates, depths, and chest releases in combinations that proportionately reflected typical learner cohort performances. Six videos were designated to portray adequate chest compressions, whereas the other six videos were to feature inadequate compressions. All 12 final 2-minute videos showed chest compression parameters as originally specified within tolerances to comply with American Heart Association recommendations. Deviations from specification were 1 to 10 cpm (mode = 4 cpm) for compression rate and −1.4 to 1.3 cm (mode = 0.9 cm) for depth. The program’s collection of simulated CPR videos with objectively verified chest compression performances may help researchers and educators study and improve CPR instruction and provider preparation for the effective delivery of optimal patient care.