Assessment of Visual and Auditory Feedback on the Quality of Chest Compressions in Pediatric Basic Life Support Trainings
PDF
Cite
Share
Request
Research Article
P: 49-53
August 2018

Assessment of Visual and Auditory Feedback on the Quality of Chest Compressions in Pediatric Basic Life Support Trainings

J Pediatr Emerg Intensive Care Med 2018;5(2):49-53
1. Akdeniz Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Antalya, Türkiye
2. Akdeniz Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Yoğun Bakım Bilim Dalı, Antalya, Türkiye
No information available.
No information available
Received Date: 04.01.2018
Accepted Date: 14.05.2018
Publish Date: 03.08.2018
PDF
Cite
Share
Request

ABSTRACT

Introduction:

The primary objective of the study was to assess the effects of training including visual and auditory feedback on the adequacy of resuscitation procedures.

Methods:

The study was conducted with 31 research associates of the department of pediatrics at the simulation center in Akdeniz University Faculty of Medicine. The depth and the number of chest compression were recorded by receptors placed on the model during the two-minute resuscitation. One week after the initial assessment, 5-minute hands-on training including individual visual and auditory feedback was provided. Afterward, the efficacy of the training in reaching the desired goals was investigated by repeating the initial assessment.

Results:

In the study, a statistically insignificant increase from 4.44±0.9 to 4.67±0.9 could be obtained in the mean depth of compression after the training while the mean number of chest compression decreased from 123.8±20/min to 113.7±22/min after the training. The mean percentage of compression at the targeted rate increased from 27.9% to 53.6%.

Conclusion:

Individual training with visual and auditory feedback is effective in improving the quality of resuscitation. It has provided an increase in the compression rates at the targeted rate and depth. After the training, it was observed that the variability among the research associates in terms of the rate and depth of chest compressions still remained significant. In order to define the ideal training technique, there is a need for studies comparing the results of repetitive vocational training courses and training courses provided using different techniques.

Keywords:
Basic life support, simulation, chest compression, cardiopulmonary resuscitation

References

1
Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960;173:1064-7.
2
Atkins DL, Berger S, Duff JP, Gonzales JC, Hunt EA, et al. Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(suppl 2):519-25.
3
Maconochie IK, de Caen AR, Aickin R, Atkins DL, Biarent D, et al. Part 6: Pediatric basic life support and pediatric advanced life support: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2015;95:e147-68.
4
Harris AW, Kudenchuk PJ. Cardiopulmonary resuscitation: the science behind the hands. Heart. 2018;104:1056-61.
5
Idris AH, Guffey D, Aufderheide TP, Brown S, Morrison LJ, et al. Relationship between chest compression rates and outcomes from cardiac arrest. Circulation. 2012;125:3004-12.
6
Sutton RM Wolfe H, Nishisaki A, Leffelman J, Niles D, et.al. Pushing harder, pushing faster, minimizing interruptions… but falling short of 2010 cardiopulmonary resuscitation targets during in-hospital pediatric and adolescent resuscitation. Resuscitation. 2013;84:1680-4.
7
Nevrekar V, Panda PK, Wig N, Pandey RM, Agarwal P, Biswas A. An Interventional Quality Improvement Study to Assess the Compliance to Cardiopulmonary Resuscitation Documentation in an Indian Teaching Hospital. Indian J Crit Care Med. 2017;21:758-64.
8
Cheng A, Hunt EA, Grant D, Lin Y, Grant V, et al. Variability in quality of chest compressions provided during simulated cardiac arrest across nine pediatric institutions. Resuscitation. 2015;97:13-9.
9
Zimmerman E, Cohen N, Maniaci V, Pena B, Lozano JM, Linares M. Use of a Metronome in Cardiopulmonary Resuscitation: A Simulation Study. Pediatrics. 2015;136:905-11.
10
Kramer-Johansen J, Myklebust H, Wik L, Fellows B, Svensson L, et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation. 2006;71:283-92.
11
Yeung J, Davies R, Gao F, Perkins GD. A randomised control trial of prompt and feedback devices and their impact on quality of chest compressions--a simulation study. Resuscitation. 2014;85:553-9.
12
Contri E, Cornara S, Somaschini A, Dossena C, Tonani M, et al. Complete chest recoil during laypersons’ CPR: Is it a matter of weight? Am J Emerg Med. 2017;35:1266-8.