Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator

Background: It has been shown that a computer-based audible feedback system can improve acquisition and retention of basic life support (BLS) skills. This system is being developed to work in association with an automated external defibrillator (AED). Aim: To determine if such a feedback system is l...

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Bibliographic Details
Published in:Resuscitation 2003-04, Vol.57 (1), p.57-62
Main Authors: Handley, Anthony J., Handley, Simon A.J.
Format: Article
Language:English
Subjects:
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Automated external defibrillator
Automation
Basic life support
Biological and medical sciences
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Cardiopulmonary Resuscitation - instrumentation
Cardiopulmonary Resuscitation - methods
Defibrillation
Desfibrilación
Desfibrilador automático externo
Desfibrilhador automático externo
Desfibrilhação
Educación
Education
Education, Nursing, Continuing
Educação
Electric Countershock - instrumentation
Electric Countershock - methods
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Feedback
Female
Humans
Intensive care medicine
Male
Manikins
Medical sciences
Middle Aged
Probability
Reanimación cardiopulmonar (RCP)
Reanimação cardio-pulmonar
Reference Values
Sensitivity and Specificity
Soporte vital básico
Statistics, Nonparametric
Suporte básico de vida
Therapy, Computer-Assisted
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Description
Summary:Background: It has been shown that a computer-based audible feedback system can improve acquisition and retention of basic life support (BLS) skills. This system is being developed to work in association with an automated external defibrillator (AED). Aim: To determine if such a feedback system is likely to improve the quality of CPR performed by trained nurses whilst using an AED. Method: Thirty-six general nurses performed 3 min of BLS on a manikin connected to a laptop computer running an experimental software program. After initial testing they were randomly allocated to control or ‘feedback’ groups. Both groups then performed a further 3 min of BLS, but those in the feedback group received audible corrective instructions from the computer when errors of technique were detected. Results: The group receiving feedback were significantly better than the control group at performing inflations ( P=0.004) and achieving the correct depth of chest compression ( P
ISSN:0300-9572
1873-1570
DOI:10.1016/S0300-9572(02)00400-8