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Rabanales-Sotos J, Guisado-Requena IM, Leiton-Espinoza ZE, Guerrero-Agenjo CM, López-Torres-Hidalgo J, Martín-Conty JL, Martín-Rodriguez F, López-Tendero J, López-González A. Development and Validation of a Novel Ultra-Compact and Cost-Effective Device for Basic Hands-On CPR Training: A Randomized, Sham-Controlled, Blinded Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15228. [PMID: 36429945 PMCID: PMC9690726 DOI: 10.3390/ijerph192215228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 11/10/2022] [Accepted: 11/16/2022] [Indexed: 06/16/2023]
Abstract
To examine the performance of a novel low-cost, ultra-compact, and attractive auditory feedback device for training laypeople in external chest compressions (ECCs), we conducted a quasi-experimental cross-sectional study from September to November 2021 at the Faculty of Nursing of Albacete, University of Castille-La Mancha, Spain. The ECC sequence was performed in the laboratory with the new device for basic hands-on CPR training. Results: One hundred college students were included in this study. The compression rate/min with the new device was 97.6, and the adequate %ECC was 52.4. According to the status of body mass index (BMI) and muscle strength of the upper limbs in the bivariate analysis, it was observed that the new device discriminated between those who performed correct ECCs according to their BMI and muscle strength and those who did not, which led to significantly influenced results in terms of the percentage of ECCs with correct depth. Conclusions: The new ultra-compact auditory feedback device "Salvando a Llanetes®" demonstrated utility for teaching and learning ECCs in basic CPR. We can affirm that the analyzed device is an adequate, safe and economical method for teaching "CPR Hands-Only™" to the general population.
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Affiliation(s)
- Joseba Rabanales-Sotos
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería de Albacete, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Campus Universitario s/n, 02071 Albacete, Spain
- Group of Preventive Activities in the University Health Sciences Setting, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Campus Universitario s/n, 02071 Albacete, Spain
| | - Isabel María Guisado-Requena
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería de Albacete, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Campus Universitario s/n, 02071 Albacete, Spain
- Group of Preventive Activities in the University Health Sciences Setting, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Campus Universitario s/n, 02071 Albacete, Spain
| | | | - Carmen María Guerrero-Agenjo
- Castilla-La Mancha Health Service (Servicio de Salud de Castilla-La Mancha/SESCAM), University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), 02071 Albacete, Spain
| | - Jesús López-Torres-Hidalgo
- Albacete Faculty of Medicine, Castilla-La Mancha Health Service (Servicio de Salud de Castilla-La Mancha/SESCAM), University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), 02071 Albacete, Spain
| | - José Luis Martín-Conty
- Faculty of Health Sciences, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), 13001 Ciudad Real, Spain
| | - Francisco Martín-Rodriguez
- Advanced Clinical Simulatons Center, School of Medicine, Universidad de Valladolid, 47002 Valladolid, Spain
| | - Jaime López-Tendero
- Castilla-La Mancha Health Service (Servicio de Salud de Castilla-La Mancha/SESCAM), University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), 02071 Albacete, Spain
| | - Angel López-González
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería de Albacete, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Campus Universitario s/n, 02071 Albacete, Spain
- Group of Preventive Activities in the University Health Sciences Setting, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Campus Universitario s/n, 02071 Albacete, Spain
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Gugelmin-Almeida D, Tobase L, Polastri TF, Peres HHC, Timerman S. Do automated real-time feedback devices improve CPR quality? A systematic review of literature. Resusc Plus 2021; 6:100108. [PMID: 34223369 PMCID: PMC8244494 DOI: 10.1016/j.resplu.2021.100108] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 03/02/2021] [Accepted: 03/04/2021] [Indexed: 12/20/2022] Open
Abstract
AIM Automated real-time feedback devices have been considered a potential tool to improve the quality of cardiopulmonary resuscitation (CPR). Despite previous studies supporting the usefulness of such devices during training, others have conflicting conclusions regarding its efficacy during real-life CPR. This systematic review aimed to assess the effectiveness of automated real-time feedback devices for improving CPR performance during training, simulation and real-life resuscitation attempts in the adult and paediatric population. METHODS Articles published between January 2010 and November 2020 were searched from BVS, Cinahl, Cochrane, PubMed and Web of Science, and reviewed according to a pre-defined set of eligibility criteria which included healthcare providers and randomised controlled trial studies. CPR quality was assessed based on guideline compliance for chest compression rate, chest compression depth and residual leaning. RESULTS The selection strategy led to 19 eligible studies, 16 in training/simulation and three in real-life CPR. Feedback devices during training and/or simulation resulted in improved acquisition of skills and enhanced performance in 15 studies. One study resulted in no significant improvement. During real resuscitation attempts, three studies demonstrated significant improvement with the use of feedback devices in comparison with standard CPR (without feedback device). CONCLUSION The use of automated real-time feedback devices enhances skill acquisition and CPR performance during training of healthcare professionals. Further research is needed to better understand the role of feedback devices in clinical setting.
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Affiliation(s)
- Debora Gugelmin-Almeida
- Faculty of Health and Social Sciences, Bournemouth University, Bournemouth Gateway Building, St. Pauls Lane, Bournemouth, BH8 8GP, England, United Kingdom
- Department of Anaesthesiology, Main Theatres, Royal Bournemouth and Christchurch Hospitals, Castle Lane East, Bournemouth, BH7 7DW, England, United Kingdom
| | - Lucia Tobase
- Centro Universitário São Camilo, Rua Raul Pompeia, 144, São Paulo, Brazil
| | - Thatiane Facholi Polastri
- Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, Brazil
| | | | - Sergio Timerman
- Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, Brazil
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Zhou XL, Wang J, Jin XQ, Zhao Y, Liu RL, Jiang C. Quality retention of chest compression after repetitive practices with or without feedback devices: A randomized manikin study. Am J Emerg Med 2019; 38:73-78. [PMID: 31005392 DOI: 10.1016/j.ajem.2019.04.025] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 03/03/2019] [Accepted: 04/12/2019] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES This study was designed to investigate whether an audiovisual feedback (AVF) device is beneficial for quality retention of chest compression (CC) after repetitive practices (RP). METHODS After completion of a 45-min CC-only cardiopulmonary resuscitation (CPR) training, participants performed 3 sessions of practices on days 1, 3, and 7 under the guidance of an instructor with (RP + AVF) or without (RP) the AVF device. CC quality was determined after each session and was retested at 3 and 12 months. RESULTS In total, ninety-seven third year university students participated in this study. CC quality was improved after 3 sessions in both the RP and RP + AVF groups. Retests at 3 months showed that the proportions of appropriate CC rate and correct hand position were significantly decreased in the RP group as compared with the last practice (p < 0.05). However, no significant changes in CC quality were observed in the RP + AVF group. However, the proportions of appropriate CC rate, depth, and complete recoil were significantly decreased after 12 months in both RP and RP + AVF groups (p < 0.05). There were no significant differences in these parameters between the RP and the RP + AVF groups at 12 months after RP. CONCLUSION With RP, the use of an AVF device further improves initial CC skill acquisition and short-term quality retention. However, long-term quality retention is not statistically different between rescuers who receive verbal human feedback only and those who receive additional AVF device feedback after RP.
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Affiliation(s)
- Xian-Long Zhou
- Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China
| | - Jing Wang
- Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China; Emergency Department, Wuhan Puai Hospital, 473 Hanzheng Street, Wuhan, Hubei 430033, China
| | - Xiao-Qing Jin
- Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China.
| | - Yan Zhao
- Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China.
| | - Rui-Ling Liu
- Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China
| | - Cheng Jiang
- Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China
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