The Rescuer Fatigue During Cardiopulmonary Resuscitation in Manikin by Using Personal Protective Equipment.
The Impact of Rescuer Fatigue and Quality During Cardiopulmonary Resuscitation by Using Personal Protective Equipment. A Randomized Controlled Crossover Trial.
1 other identifier
interventional
40
1 country
1
Brief Summary
Background: High-quality cardiopulmonary resuscitation is the key to recovering patients with sudden cardiac death. However, when the environment is exposure to biologic hazard, the medical personnel need to use different personal protective equipment while doing CPR, and this difficulty is greatly increased. The research on this part is quite limited, and the results need to be further analyzed. Purpose: Compare the effects of CPR wearing different levels of personal protective equipment on CPR quality and rescue fatigue. Material \& Methods: This study is designed as a prospective randomized crossover trial with an expected total of 40 volunteer participants, performed during 2021 April 1 to 2021 June 30. Each participant is required to perform a five-minute CPR in kneeling position using three different types of personal protective equipment. These three modes are Level D protective equipment with surgical mask, Level C protective equipment with N-95 mask, and Level-C protective equipment with Powered Air Purifying Respirator. Participants are physicians or nurses at the hospital. The participation are randomly assigned to the order of the three modes, and each mode can be rested for 120 minutes. Laerdal Skillreporter is used for CPR and quality measurement. The main results were effective chest compression ratio, correct chest depth ratio, correct chest recoil ratio and chest compression number per minute. The secondary results were personal blood pressure before and after the CPR, heartbeat, pulse oximeter, number of breaths, and subjective fatigue index (VAS 1 \~ 100 points), Questionnaire for the opinion of wearing personal protective equipment and using the porta count test to test the N-95 face mask for its quantitative fitness factor before and during CPR, and infrared detector for qualitative fitness test.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2021
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 14, 2021
CompletedFirst Posted
Study publicly available on registry
March 17, 2021
CompletedStudy Start
First participant enrolled
April 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2021
CompletedMarch 15, 2022
March 1, 2022
3 months
March 14, 2021
March 13, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
effective chest compression ratio
each chest compression that deep greater than 5 cm, around 100\~120 times per minutes and recoil during each chest compression
5 minutes
Secondary Outcomes (1)
quantitative fitness factor of face mask
5 minutes
Study Arms (3)
CPR with level D PPE
PLACEBO COMPARATORThe participant doing CPR for 5 minutes with wearing level D personal protective equipment with surgical face mask
CPR with level C PPE
EXPERIMENTALThe participant doing CPR for 5 minutes with Level C personal protective equipment with N-95 face mask
CPR with Level C PPE + PAPR
EXPERIMENTALThe participant doing CPR for 5 minutes with Level C personal protective equipment with Powered Air-Purifying Respiratory.
Interventions
rubber gloves + surgical face mask + general isolation clothing
C-level protective clothing+ N95 mask + disposable protective clothing ("Ten Quin" Medial Apparel) + foot cover + rubber gloves + mask + general isolation clothing
C-level protective clothing+ N95 mask + disposable protective clothing ("Ten Quin" Medial Apparel) + foot cover + rubber gloves + mask + general isolation clothing+Powered Air-Purifying Respiratory
Eligibility Criteria
You may qualify if:
- Physicians and nurses at An Nan Hospital, with more than one year of work experience, with Advanced cardiac life support or basic life support certificate
You may not qualify if:
- back pain in the past, spine surgery, sciatica, coronary heart disease, and lung diseases such as asthma or chronic obstructive pulmonary disease. Pregnant women are also excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
An Nan Hospital, China Medical University
Tainan, 709204, Taiwan
Related Publications (1)
Cheng CH, Cheng YY, Yuan MK, Juang YJ, Zeng XY, Chen CY, Foo NP. Impact of Personal Protective Equipment on Cardiopulmonary Resuscitation and Rescuer Safety. Emerg Med Int. 2023 Nov 30;2023:9697442. doi: 10.1155/2023/9697442. eCollection 2023.
PMID: 38077106DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Ning-Ping Foo, PhD
Director of Department of Emergency Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- It is impossible to masking the participant, care provider during the CPR study.
- Purpose
- OTHER
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 14, 2021
First Posted
March 17, 2021
Study Start
April 1, 2021
Primary Completion
June 30, 2021
Study Completion
June 30, 2021
Last Updated
March 15, 2022
Record last verified: 2022-03
Data Sharing
- IPD Sharing
- Will not share