One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR

NCT07624851 | Completed

• 1 other identifier: SBA24-1093
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to compare one-minute and two-minute compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation, also called CPR. The study will include healthcare professionals who perform chest compressions on a pediatric manikin in a simulated resuscitation setting. The main questions this study aims to answer are: Does one-minute compressor rotation improve chest compression quality compared with two-minute compressor rotation? Does one-minute compressor rotation reduce participant fatigue compared with two-minute compressor rotation? Participants will perform chest compressions during two simulated pediatric CPR sessions. In one session, compressors will rotate every one minute. In the other session, compressors will rotate every two minutes. Researchers will compare CPR performance measures and participant-reported fatigue between the two rotation intervals.

Conditions

Resuscitation; Chest Compression Quality; Pediatrics; Fatigue Symptom; Simulated Pediatric Cardiopulmonary Resuscitation

Keywords

Pediatric Cardiopulmonary Resuscitation; Compressor Rotation; Simulation Training; Fatigue; Randomized Crossover Study

Outcome Measures

Primary Outcomes (3)

• Chest Compression Rate During Simulated Pediatric CPR

  Chest compression rate was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session. The rate was compared between the one-minute and two-minute compressor rotation conditions.

  From 0 to 20 minutes after the start of each simulated CPR session

• Chest Recoil Velocity During Simulated Pediatric CPR

  Chest recoil velocity was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session and compared between the one-minute and two-minute compressor rotation conditions.

  From 0 to 20 minutes after the start of each simulated CPR session

• Proportion of Adequate Chest Compressions

  The proportion of adequate chest compressions was defined as the proportion of compressions meeting the pre-specified rate and depth targets. Adequate compressions were defined as compressions delivered at a rate of 100 to 120 compressions per minute and a target depth of at least 5 cm

  From 0 to 20 minutes after the start of each simulated CPR session

Secondary Outcomes (3)

• Participant-Reported Fatigue

  At 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session

• Blood Pressure Response Before and After Simulated Pediatric CPR

  At baseline and immediately after completion of each simulated CPR session

• Heart Rate Response During Simulated Pediatric CPR

  At baseline and at 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session

Study Arms (2)

One-Minute Then Two-Minute Rotation Sequence

EXPERIMENTAL

Participants in this arm first performed simulated pediatric CPR with compressor rotation every one minute. After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every two minutes.

Other: One-Minute Compressor Rotation; Other: Two-Minute Compressor Rotation

Two-Minute Then One-Minute Rotation Sequence

EXPERIMENTAL

Participants in this arm first performed simulated pediatric CPR with compressor rotation every two minutes. After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every one minute.

Other: One-Minute Compressor Rotation; Other: Two-Minute Compressor Rotation

Interventions

One-Minute Compressor Rotation OTHER

During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every one minute. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.

One-Minute Then Two-Minute Rotation Sequence; Two-Minute Then One-Minute Rotation Sequence

Two-Minute Compressor Rotation OTHER

During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every two minutes. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.

One-Minute Then Two-Minute Rotation Sequence; Two-Minute Then One-Minute Rotation Sequence

Eligibility Criteria

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

You may qualify if:

• Volunteer pediatric residents
• Previous cardiopulmonary resuscitation training
• Prior clinical cardiopulmonary resuscitation experience
• Ability to participate in both simulated pediatric CPR sessions
• Written informed consent provided before study participation

You may not qualify if:

• No previous Pediatric Advanced Life Support course attendance
• No prior clinical cardiopulmonary resuscitation experience
• Currently rotating in the pediatric emergency department or pediatric ward during the study period
• Emergency medicine residents
• Presence of a chronic medical condition that could affect physical performance during chest compressions

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Ankara, 06230, Turkey (Türkiye)

Location

Related Publications (4)

• Sawee C, Churuangsuk C, Vattanavanit V. Effect of Compression Rotation Intervals on Cardiopulmonary Resuscitation Quality: A Systematic Review and Meta-Analysis. Arch Acad Emerg Med. 2025 Jun 25;13(1):e58. doi: 10.22037/aaemj.v13i1.2704. eCollection 2025.

  PMID: 40727595 BACKGROUND

• Kim DH, Seo YW, Jang TC. CPR quality with rotation of every 1 versus 2 minutes as characteristics of rescuers: A randomized crossover simulation study. Medicine (Baltimore). 2023 Mar 10;102(10):e33066. doi: 10.1097/MD.0000000000033066.

  PMID: 36897706 BACKGROUND

• Pechaksorn N, Vattanavanit V. CPR Compression Rotation Every One Minute Versus Two Minutes: A Randomized Cross-Over Manikin Study. Emerg Med Int. 2020 Sep 1;2020:5479209. doi: 10.1155/2020/5479209. eCollection 2020.

  PMID: 32953180 BACKGROUND

• Topjian AA, Raymond TT, Atkins D, Chan M, Duff JP, Joyner BL Jr, Lasa JJ, Lavonas EJ, Levy A, Mahgoub M, Meckler GD, Roberts KE, Sutton RM, Schexnayder SM; Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. No abstract available.

  PMID: 33081526 BACKGROUND

MeSH Terms

Conditions

Fatigue

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator,

Model Details: Participants completed two simulated pediatric CPR sessions using both compressor rotation strategies. In one session, compressors rotated every one minute, and in the other session, compressors rotated every two minutes. The order of the two strategies was randomized.

Study Record Dates

• First Submitted: May 21, 2026
• First Posted: June 3, 2026
• Study Start: July 1, 2024
• Primary Completion: July 30, 2024
• Study Completion: September 1, 2024
• Last Updated: June 3, 2026

Record last verified: 2026-05

Locations

TU (1)