MIHS Emergency Department CPR Quality Improvement Project

Study Overview
=================
Brief Summary
-----------------
The investigators will quantify the quality of chest compressions provided in the Emergency Department and determine whether the quality of chest compressions is related to patient outcome. The quality of chest compressions and patient outcomes will be assessed both before and after the introduction of audiovisual feedback in real time.

Detailed Description
-----------------
The Emergency Department will be using E-series unit manufactured by ZOLL Medical Group (Chelmsford, MA). These units are equipped with an accelerometer-based system that allows for measurement of chest compression depth and rate. These units are also equipped with RealCPRHelp, and FDA-approved technology that provides real-time audiovisual feedback to providers on the quality of chest compressions. In the first phase of the project, the ED providers will utilize the E-series units to treat all patients requiring chest compressions.

Official Title
-----------------
MIHS Emergency Department CPR Quality Improvement Project

Conditions
-----------------
Cardiac Arrest

Intervention / Treatment
-----------------
* Behavioral: scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 18 years old or older Exclusion Criteria: less than 18 years old

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Chest Compression before and after RealCPRHelp
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Before RTAVF and post-event debriefing<br>Before scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing | |
| Active Comparator: After RTAVF and post-event debriefing<br>After scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing | Behavioral: scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing<br>* scenario-based training for CPR, real-time audiovisual CPR feedback using R Series monitor-defibrillator during treatment, and post-event debriefing<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CPR Quality-compression Depth | Measurement of chest compression depth | during CPR | 
| CPR Quality-percent of >51mm Compressions | Percent of Chest Compressions greater than 51mm | during CPR | 
| CPR Quality | Chest Compression Release Velocity | during CPR | 
| CPR Quality-compression Fraction | Chest Compression Fraction indicating the percentage of time in which chest compressions are done by rescuers during a cardiac arrest | During CPR | 
| CPR Quality-Chest Compression Rate | Mean Chest Compression Rate | During CPR | 
| CPR Quality- Pre-shock Pause | Pre-shock pause: time from cessation of CPR to shock delivery | During CPR | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Cardiac arrest, CPR, quality improvement