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Training approaches for the deployment of a mechanical chest compression device : a randomised controlled manikin study

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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

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Official URL: http://dx.doi.org/10.1136/bmjopen-2017-019009

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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 Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology
Faculty of 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:
DateEvent
1 February 2018Published
19 December 2017Accepted
Volume: 8
Article Number: e019009
DOI: 10.1136/bmjopen-2017-019009
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
PDF 2015-08-109National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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