Effectiveness of Pediatric Resuscitation

Study Overview
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Brief Summary
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The aim of this study was to compare five CPR feedback devices to standard BLS in terms of the quality of single rescuer pediatric resuscitation. Therefore, the investigators hypothesis was that there would be no difference between CPR methods in terms of chest compression quality parameters.

Detailed Description
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Cardiac arrest is a leading cause of death worldwide. High-quality chest compressions are of paramount importance for survival and good neurological outcome. Unfortunately, even health professionals have difficulty performing effective CPR. Chest compression (CC) is often too shallow, compression ratio is inadequate, and hands-off time is too long. CPR feedback devices might be an option for rescuers to in order to increase CC efficiency.

Official Title
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Quality of Chest Compressions During 8 Min of Single-rescuer Pediatric Cardiopulmonary Resuscitation With Five Different CPR Feedback Devices. Randomised Crossover Manikin Trial

Conditions
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Cardiac Arrest

Intervention / Treatment
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* Device: The CPRmeter
* Device: The PocketCPR
* Device: Standard BLS
* Device: The CPREazy
* Device: The CPR PRO APP
* Device: The CardioPump
* Device: Standard BLS


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: give voluntary consent to participate in the study medical profession (paramedics, nurses, physicians) or medical students (nurses, paramedics, physicians) Exclusion Criteria: not meet the above criteria wrist or low back diseases

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: With feedback<br>Participants compress the chest of the manikin with CPR feedback device. | Device: Standard BLS<br>* Chest compressions without CPR feedback device (manual resuscitation)<br>|
| Experimental: Without feedback<br>Participants compress the chest of the manikin without CPR feedback device | Device: The CPRmeter<br>* Feedback device - 1<br>Device: The PocketCPR<br>* Feedback device - 2<br>Device: Standard BLS<br>* Standard basic life support = chest compressions without any feedback device (manual resuscitation)<br>Device: The CPREazy<br>* Feedback device - 3<br>Device: The CPR PRO APP<br>* Feedback device - 4<br>Device: The CardioPump<br>* Feedback devices - 5<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effective compressions was defined as compression with correct depth (40-50mm), correct hand position and complete decompressions | effective compressions was defined as compression with correct depth (40-50mm), correct hand position and complete decompressions | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Chest compression depth | To measure chest compression depth during 8 minutes. Chest compression depth will be measured using the software connected to the manikin and computer | 1 month | 
| Chest compression rate | To measure the chest compression rate during 8 minutes. Chest compression rate will be measured using the software connected to the manikin and computer | 1 month | 
| effective compressions ratio was defined as effective compressions [%] multiplied by flow time [%] | effective compressions ratio was defined as effective compressions [%] multiplied by flow time [%] | 1 month | 
| Flow time was defined as the sum of all periods during which chest compressions were performed | flow time was defined as the sum of all periods during which chest compressions were performed. | 1 month | 
| absolute hands-off time was defined as the sum of all periods without chest compressions or ventilation | absolute hands-off time (HOT) was defined as the sum of all periods without chest compressions or ventilation | 1 month | 
| VAS (visual analogue scale) | after having completed the 8 min testing period, the study participants were asked how challenging they had experienced standard BLS or resuscitation which the respective feedback device. answers were rated on a 10-point Lickert scale (most difficult = 1 to easiest = 10) | 1 month | 
| Prefered CPR device | after having completed the 8 min testing period, the study participants were asked how chellenging whitch method they would preferred. answers were rated on a 10-point Lickert scale (lower preferred = 1 to most preferred = 10) | 1 month |