Cardiopulmonary Resuscitation Clinical Trial
Official title:
Optimizing Integration of CPR Feedback Technology With CPR Coaching for Cardiac Arrest
Verified date | June 2017 |
Source | Express Collaborative |
Contact | Adam Cheng, MD |
Phone | 403-955-2623 |
chenger[@]me.com | |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
There is significant data showing that the quality of CPR performed is quite poor. Recent
studies have shown that when real-time visual corrective feedback is available to CPR
providers, quality (compression depth and rate) improves.
Pilot work at John's Hopkins Children's Hospital indicates that providing a CPR Coach whose
role it is to provide real-time coaching during cardiac arrest, further improves the quality
of CPR. This study will assess the impact of a CPR Coach for improving CPR quality and CPR
perception in a team of healthcare providers during simulated CPA.
Status | Not yet recruiting |
Enrollment | 180 |
Est. completion date | January 2019 |
Est. primary completion date | January 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Team Members: (i) Pediatric healthcare providers: such as nurses, nurse practitioners, respiratory therapists and residents (pediatric, emergency medicine, anesthesia, family medicine); and (ii) Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) or Advanced Cardiac Life Support (ACLS) certification within the past two years; - Team Leaders: (i) Residents (Year 3 or 4) in pediatrics, family medicine, anesthesia, or emergency medicine training programs or fellows in pediatric emergency medicine, pediatric critical care or pediatric anesthesia subspecialty training programs; (ii) Attending physicians from pediatric intensive care, pediatric emergency medicine, general pediatrics; and (iii) PALS certification in the past two years or are PALS Exclusion Criteria: - Not BLS certified |
Country | Name | City | State |
---|---|---|---|
Canada | University of Calgary | Calgary | Alberta |
Canada | University of Alberta | Edmonton | Alberta |
United States | University of Alabama at Birmingham | Birmingham | Alabama |
United States | Columbia University Hospital | New York | New York |
United States | Hasbro Children's Hospital | Providence | Rhode Island |
Lead Sponsor | Collaborator |
---|---|
Express Collaborative | KidSIM-ASPIRE |
United States, Canada,
Cheng A, Brown LL, Duff JP, Davidson J, Overly F, Tofil NM, Peterson DT, White ML, Bhanji F, Bank I, Gottesman R, Adler M, Zhong J, Grant V, Grant DJ, Sudikoff SN, Marohn K, Charnovich A, Hunt EA, Kessler DO, Wong H, Robertson N, Lin Y, Doan Q, Duval-Arnould JM, Nadkarni VM; International Network for Simulation-Based Pediatric Innovation, Research, & Education (INSPIRE) CPR Investigators. Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial. JAMA Pediatr. 2015 Feb;169(2):137-44. doi: 10.1001/jamapediatrics.2014.2616. — View Citation
Cheng A, Overly F, Kessler D, Nadkarni VM, Lin Y, Doan Q, Duff JP, Tofil NM, Bhanji F, Adler M, Charnovich A, Hunt EA, Brown LL; International Network for Simulation-based Pediatric Innovation, Research, Education (INSPIRE) CPR Investigators. Perception of CPR quality: Influence of CPR feedback, Just-in-Time CPR training and provider role. Resuscitation. 2015 Feb;87:44-50. doi: 10.1016/j.resuscitation.2014.11.015. Epub 2014 Nov 26. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | CPR Depth | Proportion of 1 minute epochs of CPR with depth of 5cm to 6cm | During simulation scenario -Day 1 | |
Secondary | CPR Rate | Proportion of 1 minute epochs of CPR with rate of 100-120 beats per minute | During simulation scenario - Day 1 | |
Secondary | Chest Compression Fraction | Percentage of time that compressions are provided during pulselessness | During simulation scenario - Day 1 | |
Secondary | Perception of CPR Quality - Depth | Perceived quality of CPR depth will be collected by survey following the simulated cardiac arrest event. Survey data will be compared with measured quality of CPR depth from the defibrillator | Data collected immediately following the simulation session - Day 1 | |
Secondary | Perception of CPR Quality - Rate | Perceived quality of CPR rate will be collected by survey following the simulated cardiac arrest event. Survey data will be compared with measured quality of CPR rate from the defibrillator | Data collected immediately following the simulation session - Day 1 | |
Secondary | Perception of CPR Quality - Chest compression fraction | Perceived chest compression fraction will be collected by survey following the simulated cardiac arrest event. Survey data will be compared with measured chest compression fraction from the defibrillator | Data collected immediately following the simulation session -Day 1 | |
Secondary | Adherence to Pediatric Advanced Life Support Guidelines | To assess clinical performance, the investigators will use a tool that assesses the team's performance during the simulated scenario. There will be no baseline performance measurement, and performance will be measured via retrospective video review after the simulation session is complete. Raters will be trained in the use of the Clinical Performance Tool (CPT). The tool scores items on a three point scale, with 0 = task not done, 1 = task done but not completely or 2 = task done correctly. The tool examines clinical performance specifically and not psychomotor performance. The CPT also accounts for tasks done in the incorrect sequence or done too late. This instrument has been found to produce valid data for clinical performance during PALS scenarios. For this current study, the version of this tool that will be used was modified slightly and validated in a previous multi centre trial carried out by this research team. | Day 1 (baseline performance) | |
Secondary | Airway Management Performance | In order to assess airway management, the investigators will measure time to successfully intubate the manikin during the simulated scenario. There will be no baseline measurement, but rather just a report of the time to intubation during the one cardiac arrest simulation scenario (as collected by retrospective video review) | Day 1 (Baseline performance) |
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