Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest

Resuscitation Plus

Russell Griffin¹  Mary Kate Abbadessa²  Debra Heard³  Shannon Gaines⁴  Vinay Nadkarni⁵  Sage Myers⁶  Dana Niles⁶  Aaron Donoghue⁷  Richard Hanna⁸  John Erbayri⁸  Sangmo Je⁹ 

[1] Center for Simulation, Innovation, and Advanced Education, Children’s Hospital of Philadelphia, PA, United States;Corresponding author at: Division of Critical Care Medicine, Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States.;Division of Emergency Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States;American Heart Association, Dallas, TX, United States;;Center for Life Support Education &Center for Simulation, Innovation, and Advanced Education, Children’s Hospital of Philadelphia, PA, United States;Division of Critical Care Medicine, Department of Anesthesia and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States;Division of Emergency Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States;RQI Partners, LLC, Dallas, TX, United States;

关键词: Pediatrics;    Basic life support;    Cardiopulmonary resuscitation, cardiac arrest;   

DOI  :  

来源: DOAJ

【 摘 要 】

Study aim: To determine the impact of high-frequency CPR training on performance during simulated and real pediatric CPR events in a pediatric emergency department (ED). Methods: Prospective observational study. A high-frequency CPR training program (Resuscitation Quality Improvement (RQI)) was implemented among ED providers in a children’s hospital. Data on CPR performance was collected longitundinally during quarterly retraining sessions; scores were analyzed between quarter 1 and quarter 4 by nonparametric methods. Data on CPR performance during actual patient events was collected by simultaneous combination of video review and compression monitor devices to allow measurement of CPR quality by individual providers; linear mixed effects models were used to analyze the association between RQI components and CPR quality. Results: 159 providers completed four consecutive RQI sessions. Scores for all CPR tasks during retraining sessions significantly improved during the study period. 28 actual CPR events were captured during the study period; 49 observations of RQI trained providers performing CPR on children were analyzed. A significant association was found between the number of prior RQI sessions and the percent of compressions meeting guidelines for rate (β coefficient -0.08; standard error 0.04; p = 0.03). Conclusions: Over a 15 month period, RQI resulted in improved performance during training sessions for all skills. A significant association was found between number of sessions and adherence to compression rate guidelines during real patient events. Fewer than 30% of providers performed CPR on a patient during the study period. Multicenter studies over longer time periods should be undertaken to overcome the limitation of these rare events.

【 授权许可】

Unknown