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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
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 |
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| 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: |
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| 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: |
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