The Library
Training approaches for the deployment of a mechanical chest compression device : a randomised controlled manikin study
Tools
Couper, Keith, Velho, Rochelle Marian, Quinn, Tom, Devrell, Anne, Lall, Ranjit, Orriss, Barry, Yeung, Joyce and Perkins, Gavin D. (2018) Training approaches for the deployment of a mechanical chest compression device : a randomised controlled manikin study. BMJ Open, 8 . e019009. doi:10.1136/bmjopen-2017-019009 ISSN 2044-6055.
|
PDF
WRAP-Training-approaches-deployment-randomised-manikin-Couper-2017.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (746Kb) | Preview |
|
PDF
Training-approaches-deployment-chest-compression-Couper-2017.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (933Kb) |
Official URL: http://dx.doi.org/10.1136/bmjopen-2017-019009
Abstract
Objectives:
To evaluate the effect of training strategy on team deployment of a mechanical chest compression device.
Design:
Randomised controlled manikin trial.
Setting:
Large teaching hospital in the UK
Participants:
Twenty teams, each comprising three clinicians. Participating individuals were health professionals with intermediate or advanced resuscitation training.
Interventions:
Teams were randomised in a 1:1 ratio to receive either standard mechanical chest compression device training or pit-crew device training. Training interventions lasted up to one hour. Performance was measured immediately after training in a standardised simulated cardiac arrest scenario in which teams were required to deploy a mechanical chest compression device.
Primary and secondary outcome measures:
Primary outcome was chest compression flow-fraction in the minute preceding the first mechanical chest compression. Secondary outcomes included cardiopulmonary resuscitation quality and mechanical device deployment metrics, and non-technical skill performance. Outcomes were assessed using video recordings of the test scenario.
Results:
In relation to the primary outcome of chest compression flow-fraction in the minute preceding the first mechanical chest compression, we found that pit-crew training was not superior to standard training (0.76 (95% CI 0.73 to 0.79) v 0.77 (95% CI 0.73 to 0.82), Mean difference -0.01 (95% CI -0.06 to 0.03), p=0.572). There was also no difference between groups in performance in relation to any secondary outcome.
Item Type: | Journal Article | ||||||
---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RC Internal medicine | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||
Library of Congress Subject Headings (LCSH): | Cardiac arrest -- Treatment -- Testing, Clinical trials | ||||||
Journal or Publication Title: | BMJ Open | ||||||
Publisher: | BMJ | ||||||
ISSN: | 2044-6055 | ||||||
Official Date: | 1 February 2018 | ||||||
Dates: |
|
||||||
Volume: | 8 | ||||||
Article Number: | e019009 | ||||||
DOI: | 10.1136/bmjopen-2017-019009 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 8 January 2018 | ||||||
Date of first compliant Open Access: | 22 February 2018 | ||||||
RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year