Rescuer Fatigue During CPR Clinical Trial
Official title:
Effect of Rescuer Fatigue on Chest Compression Effectiveness
This prospective, randomized experimental trial to determine whether the quality of healthcare provider/rescuer chest compressions (CC) deteriorates at the same rate in pediatric models as compared to adult models. To determine the relationship between physiologic/metabolic markers of work in rescuers and chest compression deterioration, and to determine the effect of stepstool use on the quality of chest compressions and metabolic demand. To determine whether the quality of chest compressions deteriorates at the same rate in participants using a stepstool compared to those not using a stepstool.
Status | Completed |
Enrollment | 106 |
Est. completion date | July 2012 |
Est. primary completion date | August 2008 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 22 Years to 65 Years |
Eligibility |
Inclusion Criteria: 1. Males or females age 22 to 65 years. 2. Resident physicians, fellows, attendings, nurses and emergency medical technicians (EMTs) who routinely perform chest compressions in the Critical Care units and Emergency Department. Exclusion Criteria: 1. Lay practitioners 2. Pregnant women 3. Chronic medical Condition limiting exertional capacity |
Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Country | Name | City | State |
---|---|---|---|
United States | Children's Hospital of Philadelphia | Phila. | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Children's Hospital of Philadelphia |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Compression Quality | The primary endpoint will be the difference in mean number of effective compressions per minute in each manikin at times 1, 2, 5 and 10 minutes. | 2 years | No |
Primary | Metabolic expenditure | The endpoint will be the difference between mean time to ineffective compressions (defined as 10 consecutive compressions that fail to meet AHA guidelines for depth and rate) and mean time to anaerobic threshold in each manikin. | 2 years | No |
Primary | Effect of Step stool use | The endpoint will be the difference between mean time to ineffective compressions (defined as 10 consecutive compressions that fail to meet AHA guidelines for depth and rate) and mean time to anaerobic threshold in each experimental group. | 3 years | No |
Secondary | Visual Analogue Scale (VAS) Score | Correlation between VAS score and time to ineffective compressions | 3 years | No |
Secondary | Physiologic measures and CC quality | Correlation between physiologic measures [anaerobic threshold, Minute oxygen consumption (VO2), Minute carbon dioxide production (VCO2), Oxygen pulse (O2P), Maximal minute ventilation (VE) and Respiratory Exchange Ratio (RER)] and time to ineffective compressions; | 3 years | No |
Secondary | Effect of stepstool use on duration of effective compressions. | 3 yrs | No | |
Secondary | • Correlation of subjective reviewer rating and quantitative objective chest compression quality. | 3 years | No |