Three Different Cardiopulmonary Resuscitation (CPR) Training Methods

NCT01361919 | Completed Results

• 1 other identifier: PLP 6534
• Study Type: interventional
• Target: 298
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to compare three methods of teaching medical and nursing students basic life saving skills. The standard method will teach students how to push on the chest and to analyze the heart rhythm using a regular monitor. The newer approach will teach the same skills but use a special heart monitor that provides both visual and verbal reminders. The third approach will combine both the standard and newer approaches to teaching. Our study would like to find out the better way to teach these skills and to create a standard way to grade how well students perform. This study will measure how deep and how fast the students push on the manikin's chest in a certain amount of time. Other goals include measuring how well the students use the heart monitor to deliver shocks and analyze the heart rhythm, how many breaths per minute they give, how long their hands are off the manikin and how well they think they performed overall.

Conditions

Cardiopulmonary Resuscitation

Keywords

compressions; quality; teaching method; feedback; CPR performance; Cardiopulmonary resuscitation (CPR)

Outcome Measures

Primary Outcomes (2)

• CPR Depth

  Depth of chest compressions measured in millimeters

  baseline

• CPR Rate

  rate of chest compression per minute

  baseline

Secondary Outcomes (1)

• Ventilations

  baseline

Study Arms (3)

Feedback During CPR Training and Testing

EXPERIMENTAL

A "feedback" defibrillator (ZOLL R series) will be used at teaching, immediate testing and 12 week (retention) testing. A simulation manikin with an attached accelerometer pad on its sternum will be used to collect CPR performance data. Subjects will be told to perform compressions on top of the accelerometer pad and will be taught to use and follow the audio and visual feedback to optimize their CPR performance. After training, the raw data collected by the accelerometer will be used as a demonstration and training tool, to correct the subjects' performance by visually demonstrating the difference between ideal and suboptimal CPR performance. Testing will be carried out with the use of a "feedback" defibrillator.

Procedure: Feedback During CPR Training and Testing; Procedure: Feedback during CPR Training Not Testing

Feedback during CPR Training Not Testing

ACTIVE COMPARATOR

A "feedback" defibrillator will be used for teaching, with a standard no "feedback" defibrillator used at immediate and 12 week (retention) testing to assess if the techniques the students' learned during training are transferable to devices without "feedback". In order to collect CPR performance data, a simulation manikin with an attached accelerometer pad hidden from view within its chest will be used. Subjects will be told to perform compressions on top of the manikin's chest.

Procedure: Feedback During CPR Training and Testing

No Feedback Group

PLACEBO COMPARATOR

A standard no "feedback" defibrillator (ZOLL M series) will be used for teaching, immediate testing and 12 week (retention) testing. In order to collect CPR performance data, a simulation manikin with an attached accelerometer pad hidden from view within its chest will be used. Subjects will be told to perform compressions on top of the manikin's chest. During the test, subjects will be informed that data on their performance will be recorded but they will not be told how this will occur.

Procedure: No Feedback Group

Interventions

Feedback During CPR Training and Testing PROCEDURE

Students in this group will receive training in BLS skills according to the 2005 AHA/ILCOR guidelines, using the ZOLL R Series™ defibrillator with an attached accelerometer pad that will be placed on the sternum of the manikin and visible to the user. Participants will be taught to use and follow the audio and visual feedback provided by the accelerometer and defibrillator to optimize their CPR performance (depth, rate, and minimal "hands-off" time). After the simulated cardiac arrest scenario, a data card containing the raw data collected from the accelerometer and defibrillator will be downloaded onto a laptop and used as a demonstration and training tool.

Feedback During CPR Training and Testing; Feedback during CPR Training Not Testing

No Feedback Group PROCEDURE

A standard no "feedback" defibrillator (ZOLL M series) will be used for teaching, immediate testing and 12 week (retention) testing. In order to collect CPR performance data, a simulation manikin with an attached accelerometer pad hidden from view within its chest will be used. Subjects will be told to perform compressions on top of the manikin's chest. During the test, subjects will be informed that data on their performance will be recorded but they will not be told how this will occur.

Also known as: simulation CPR training

No Feedback Group

Feedback during CPR Training Not Testing PROCEDURE

Students in this group will be tested using a five minute basic vfib arrest scenario and an R-series defibrillator and told to perform compressions on top of the accelerometer pad. The hexagonal icon will be visible but no prompting on its usage will be delivered during testing.

Also known as: Feedback during simulation testing

Feedback During CPR Training and Testing

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• medical or nursing students aged \>= 18

You may not qualify if:

• unwilling to sign consent, or
• unable to return in 3 months time for follow up

Sponsors & Collaborators

• Unity Health Toronto: lead
• Heart and Stroke Foundation of Canada: collaborator
• Zoll Medical Corporation: collaborator

Study Sites (1)

St. Michael's Hospital

Toronto, Ontario, M5B 1W8, Canada

Location

Limitations and Caveats

Participants' resuscitation skills were not assessed prior to providing training. The study was conducted in a simulation environment and performance in a real cardiac arrest would need to be assessed to determine the true impact of our intervention.

Results Point of Contact

• Title: Dr. Paul Dorian
• Organization: St. Michael's Hospital

dorianp@smh.ca

416-864-5104

Study Officials

• Paul Dorian, MD, FRCPC

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

• Natalie Wong, MD, FRCPC

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 3, 2010
• First Posted: May 27, 2011
• Study Start: September 1, 2008
• Primary Completion: September 1, 2009
• Study Completion: September 1, 2010
• Last Updated: July 15, 2019
• Results First Posted: July 15, 2019

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)