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The use of CPR feedback/prompt devices during training and CPR performance : a systematic review

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Yeung, Joyce, Meeks, Reylon, Edelson, Dana, Smith, F. Gao (Fang Gao), Soar, Jasmeet and Perkins, Gavin D. (2009) The use of CPR feedback/prompt devices during training and CPR performance : a systematic review. Resuscitation, Vol.80 (No.7). pp. 743-751. ISSN 0300-9572

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Official URL: http://dx.doi.org/10.1016/j.resuscitation.2009.04....

Abstract

Objectives: In lay persons and health care providers performing cardiopulmonary resuscitation (CPR), does the use of CPR feedback/prompt devices when compared to no device improve CPR skill acquisition, retention, and real life performance? Methods: The Cochrane database of systematic reviews; Medline (1950-Dec 2008): EmBASE (1988-Dec 2008) and Psychinfo (1988-Dec 2008) were searched using ("Prompt$" or "Feedback" as text words) AND ("Cardiopulmonary Resuscitation" [Mesh] OR "Heart Arrest" [Mesh]). Inclusion criteria were articles describing the effect of audio or visual feedback/prompts on CPR skill acquisition, retention or performance. Results: 509 papers were identified of which 33 were relevant. There were no randomised controlled studies in humans (LOE 1). Two non-randomised cross-over studies (LOE 2) and four with retrospective controls (LOE 3) in humans and 20 animal/manikin (LOE 5) studies contained data supporting the use of feedback/prompt devices. Two LOE 5 studies were neutral. Six LOE 5 manikin studies provided opposing evidence. Conclusions: There is good evidence supporting the use of CPR feedback/prompt devices during CPR training to improve CPR skill acquisition and retention. Their use in clinical practice as part of an overall strategy to improve the quality of CPR may be beneficial. The accuracy of devices to measure compression depth should be calibrated to take account of the stiffness of the support surface upon which CPR is being performed (e.g. floor/mattress). Further studies are needed to determine if these devices improve patient outcomes.

Item Type:	Journal Item
Subjects:	R Medicine > RC Internal medicine
Divisions:	Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	CPR (First aid) -- Technological innovations, CPR (First aid) -- Study and teaching, CPR (First aid) -- Methodology, Medical technology
Journal or Publication Title:	Resuscitation
Publisher:	Elsevier Ireland Ltd
ISSN:	0300-9572
Date:	July 2009
Volume:	Vol.80
Number:	No.7
Number of Pages:	9
Page Range:	pp. 743-751
Identification Number:	10.1016/j.resuscitation.2009.04.012
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	National Institute for Health Research (Great Britain) (NIHR)
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URI:	http://wrap.warwick.ac.uk/id/eprint/27634