View clinical trials related to Cardiopulmonary Resuscitation.
Filter by:The purpose of this study is to determine whether core muscle activation is effective in the increase of quality of cardiopulmonary resuscitation.
A prospective, randomized, controlled, parallel study was conducted in patients undergoing resuscitation with chest compression for in-hospital cardiac arrest (IHCA) in the mixed medical-surgical ICU's of 8 academic tertiary care hospitals in Iran. Patients randomized into 2 groups: 1) standard chest compression, 2) chest compression with real-time audio-visual feedback using the Cardio First Angel™ (CFA; INOTECH, Nubberg, Germany) device. The primary outcome was sustained return of spontaneous circulation (ROSC). Secondary outcomes were survival to ICU and hospital discharge, incidence of sternum and rib fractures.
The almost evidences of the optimal hand position during compression had been based on chest computed tomography (CT) or chest plain films of patients for investigating the effective location for compressing the left ventricle of the heart during cardiopulmonary resuscitation (CPR). However every study was conducted at full inspired state of respiration. A prospective cohort study to evaluate the proper hand position during CPR based on expired respiratory state CT as the health screening would be needed.
The aim of the study was to evaluate the new mechanical chest compression machine LifeLine ARM in healthcare professionals in simulated model of cardiac arrest.
In-hospital pediatric cardiac arrest is an important public health problem affecting almost 6000 children a year in the United States. As many as 3% of patients admitted to a children's hospital require cardiopulmonary resuscitation (CPR). Only a minority of children survive, of which around 35% go on to have a poor neurological outcome. International consensus guidelines on science and treatment recommendations for the management of pediatric resuscitation have existed for decades and are revised periodically by the International Liaison Committee on Resuscitation (ILCOR) based on available evidence. This consensus is then used by national councils such as the American Heart Association (AHA) and the Heart and Stroke Foundation of Canada (HSFC) to make guidelines for care. These guidelines focus on a structured approach to resuscitation, which emphasizes the rapid implementation of key interventions such as starting chest compressions, administering epinephrine and defibrillation. The goal of this study is to improve outcomes after cardiac arrest in children by improving adherence to consensus guidelines. The investigators aim to achieve this by conducting a multi-center, prospective, factorial randomized study with participating sites from the International Network for Simulation-based Pediatric Innovation, Research and Education (INSPIRE). The specific aims of this study are to: 1. To evaluate the effectiveness of knowledge-based cognitive aids, namely the Pediatric Advanced Life Support (PALS) algorithm cards, in healthcare teams. 2. To evaluate the effectiveness of teamwork-based cognitive aids, namely the Cognitive Aids with Roles Defined (CARD) system, in healthcare teams. 3. To determine if there is a synergistic effect when adding the CARD system to the use of knowledge-based cognitive aids or indeed whether using both these tools together has unintended consequences and reduces the added value of each technique. 4. To identify whether additional simulation-based team training in the use of cognitive aids results in a significant improvement in performance over an e-learning module. The investigators hypothesize that (i) knowledge-based cognitive aids will significantly improve the performance of healthcare teams in providing PALS in a simulated setting, (ii) that teamwork-based cognitive aids (CARD) will significantly improve the performance of healthcare teams in providing PALS in a simulated setting, and that (iii) adding the CARD system to knowledge-based aids will have an added and synergistic effect, (iv) that the team performance in all study arms will improve after simulation based training, but that the groups with cognitive aids will continue to out-perform the groups without cognitive aids.
Cardiac arrest is a public health problem and is the leading cause of death in many parts of the world. Cardiac arrest can occur inside the hospital and outside it. In the United States and Canada occur in approximately 350,000 cases of cardiac arrest a year , who receive CPR , Half of them outside the hospital. Treatment of cardiac arrest is performing Cardio Pulmonary Resuscitation (CPR) and early defibrillation. Performing compressions is the essential part of performing CPR until the arrival of defibrillation. Efforts are being made to simplify the implementation of basic CPR and make it accessible to everyone. Method "hands only CPR" offers CPR with compressions only without ventilations, Studies have shown a similar survival rate between" hands only CPR" method and CPR with ventilations. Patient's chances of survival are higher if a bystander begins performing CPR until trained medical staff arrives. Chances of survival decreases by 7-10% every passing minute past moment of collapse if not performed CPR. MDA survey carried out in 1984-5 reported at the start of CPR by a bystander at 8% Another survey in 2000 reported 14%, In a recent study in Jerusalem found a rate of only 15% of performing compressions by bystanders- A very low rate compared to 33% reported in the United States 41.3% in Japan and 44.9% in Denmark. The average time of arrival of the medical team in Israel is 10.3 minutes, so it is very important to begin performing CPR by those present before the arrival of medical staff. Most cases of cardiac arrest were the result of a previous cardiac disease, Therefore patients with cardiac disease are at higher risk of cardiac arrest and cardiac death. Place cardiac arrest is 72% percent of the time at home, and the likely presence of family members. The general population should know basic resuscitation to save a life, knowledge is needed especially among families of heart patients who are way more likely that such an event will occur in their presence. Therefore, one can relate to families of heart patients dedicated to increasing population as a basic knowledge of CPR. There is no other organized plan to study family members of patients with heart disease basic knowledge of CPR Despite the importance of it Attempts have been published in previous studies from around the world to create a focus group study of CPR among close relatives of heart patients. An attempt was made to incorporate as part of the proposed cardiac rehabilitation patients after MI Through self-study kit given at discharge from the hospital and more Difficult to evaluate the success of these efforts over the long term, but short-term study of short workshops yielded sufficient knowledge about basic CPR This study should serve as a catalyst as a first step towards building a suitable program nationwide and hopefully save many lives
Objectives: The primary objective of this project is to assess whether the implementation of a new cardiopulmonary resuscitation (CPR) training program (longitudinal training with real-time feedback) can improve CPR quality of healthcare providers compared with traditional training method. The secondary objective is to identify whether the implementation of the new training program will result in cost-effectiveness. Design: Randomized trial to compare new training program with tradition training method and cost-effectiveness alongside this trial Participants and setting: Paediatric healthcare providers in Emergency Department at Alberta Children's Hospital. Subjects will be enrolled in either intervention (new training program) or control (traditional training program) by random. Statistical analysis: Investigators will conduct chi-square test and independent t-test to compare the proportion of excellent CPR and 3 metrics of CPR quality of intervention group with control group at the end of 12-month interval. A multi-level logistic regression and linear regression models will be used to assess the effect of training method and time on proportion of excellent CPR and 3 metrics of CPR quality. Investigators will also conduct a full-economic evaluation in a health care system prospective. cost-effectiveness will be expressed as cost per increased CPR excellence according to incremental cost-effectiveness ratio (ICER). A one-way sensitivity analysis and a probabilistic sensitivity analysis will be conducted to deal with uncertainty in effects and costs. Conclusion: The new CPR training program will serve as an example of competency-based psychomotor skill training program and help healthcare providers to improve quality of CPR, and potentially improve the survival of children with cardiac arrest. The results of the studies might provide evidence to inform and update in resuscitation education guideline to change the way of CPR training and improve the cost-effectiveness of CPR training program.
In an attempt to enhance OHCA survival by increasing bystander CPR rate, this study will assess the effectiveness of the new basic life support with dispatch assistance (DA-BLS) education program through a simulation experiment. This study aims to determine whether the new DA-BLS program for possible home bystanders is associated with improved CPR quality. We expect home bystanders who were trained with new DA-BLS education program to show better compliance with CPR instructions given by dispatcher via telephone along with improved CPR quality.
The current method of teaching Basic Life Support (BLS) courses involves a practice schedule where learners rotate through each station once, without repetition. Laypeople learning within this blocked schedule may experience poor skill retention, resulting in suboptimal delivery of Cardiopulmonary Resuscitation (CPR). Implementing a Contextual Interference (CI) practice scheduling method to BLS training would involve presenting each station multiple times within the same timeframe. CI is known to lead to better retention in other domains, such as sport and engineering. Our project will test the effect of CI on the long-term retention of BLS skills. We hypothesize that participants trained in BLS using CI techniques will have superior skill retention at 3 months compared to those trained with the conventional BLS course.
The aim of the study was to compare time and success rates of four intubation devices ( in a cardiopulmonary scenario with uninterrupted chest compressions with a standardized manikin model. The investigators hypothesized that fiberoscope laryngoscopes may improve success rates.