COMPARISON OF STANDARD CPR AND CPR FEEDBACK METHODS IN TERMS OF THE EFFECTIVENESS OF CHEST COMPRESSIONS DURING CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED STUDY

Objectives & BackgroundThe primary purpose of the study was to compare the metrics on the effectiveness of chest compressions obtained through an advanced CPR (cardiopulmonary resuscitation) manikin and a real-time CPR feedback device during simulated CPR.MethodsThis was a prospective, randomize...

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Veröffentlicht in:Emergency medicine journal : EMJ 2016-12, Vol.33 (12), p.917-917
Hauptverfasser: Akbuga Ozel, B, Ozel, G, Mamak Ekinci, EB, Goger, B, Delikanli, C, Ersoy, EC, Karademir, LN, Gursoy, M, Kocalar, UG
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container_end_page 917
container_issue 12
container_start_page 917
container_title Emergency medicine journal : EMJ
container_volume 33
creator Akbuga Ozel, B
Ozel, G
Mamak Ekinci, EB
Goger, B
Delikanli, C
Ersoy, EC
Karademir, LN
Gursoy, M
Kocalar, UG
description Objectives & BackgroundThe primary purpose of the study was to compare the metrics on the effectiveness of chest compressions obtained through an advanced CPR (cardiopulmonary resuscitation) manikin and a real-time CPR feedback device during simulated CPR.MethodsThis was a prospective, randomized controlled study. The study group consisted of 21 medical school and 62 paramedic students who were already trained in BLS skills. A five-question pretest on high-quality CPR was administered to all participants and they all performed a two-minute chest compression on an advanced CPR manikin. No statistically significant relationship was found in terms of pretest results, basal compression rates and depths between the two groups (p>0.05). The population was then randomly divided into two groups. The control group, consisting of 43 students, performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR session with a simple metronome feedback. The study group performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR using a TrueCPR real-time feedback device. We analyzed the compression rate and depth of both techniques.ResultsThe compression rate during CPR with a simple metronome feedback was significantly higher compared to that obtained during standard CPR (108±6.2 vs 119.0±18.2/min;p0.05). Use of the TrueCPR feedback device resulted in significant improvement in both the compression rate (106.2±4.8 vs 121.6±13.1/min;p
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The study group consisted of 21 medical school and 62 paramedic students who were already trained in BLS skills. A five-question pretest on high-quality CPR was administered to all participants and they all performed a two-minute chest compression on an advanced CPR manikin. No statistically significant relationship was found in terms of pretest results, basal compression rates and depths between the two groups (p&gt;0.05). The population was then randomly divided into two groups. The control group, consisting of 43 students, performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR session with a simple metronome feedback. The study group performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR using a TrueCPR real-time feedback device. We analyzed the compression rate and depth of both techniques.ResultsThe compression rate during CPR with a simple metronome feedback was significantly higher compared to that obtained during standard CPR (108±6.2 vs 119.0±18.2/min;p&lt;0.05). However there was no significant difference in compression depth between the techniques (p&gt;0.05). Use of the TrueCPR feedback device resulted in significant improvement in both the compression rate (106.2±4.8 vs 121.6±13.1/min;p&lt;0.05) and the compression depth (56.5±5.8 mm vs 53.6±7.0 mm; p&lt;0.05) compared to standard CPR without feedback. When CPR performance obtained by using both feedback methods was compared, there was no statistical difference between compression rates (p&gt;0.05), whereas the TrueCPR device yielded significantly deeper compression depth compared to the simple metronome (56.5±5.8 vs 53.3±6.5 mm; p&lt;0.05).ConclusionFeedback with a device during CPR is an effective method to achieve adequate compression rate and depth. The real-time feedback device can be particularly effective and offer advantages during the actual CPR procedure based on the more effective CPR metric achieved by its use. However, further studies to show the clinical effectiveness of the real-time CPR feedback devices are needed.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emermed-2016-206402.35</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><ispartof>Emergency medicine journal : EMJ, 2016-12, Vol.33 (12), p.917-917</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b1703-f3ff7d03f61628e6b1c05722118bd38197429927ac32987360ff13d8b34260dc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://emj.bmj.com/content/33/12/917.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://emj.bmj.com/content/33/12/917.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids></links><search><creatorcontrib>Akbuga Ozel, B</creatorcontrib><creatorcontrib>Ozel, G</creatorcontrib><creatorcontrib>Mamak Ekinci, EB</creatorcontrib><creatorcontrib>Goger, B</creatorcontrib><creatorcontrib>Delikanli, C</creatorcontrib><creatorcontrib>Ersoy, EC</creatorcontrib><creatorcontrib>Karademir, LN</creatorcontrib><creatorcontrib>Gursoy, M</creatorcontrib><creatorcontrib>Kocalar, UG</creatorcontrib><title>COMPARISON OF STANDARD CPR AND CPR FEEDBACK METHODS IN TERMS OF THE EFFECTIVENESS OF CHEST COMPRESSIONS DURING CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED STUDY</title><title>Emergency medicine journal : EMJ</title><description>Objectives &amp; BackgroundThe primary purpose of the study was to compare the metrics on the effectiveness of chest compressions obtained through an advanced CPR (cardiopulmonary resuscitation) manikin and a real-time CPR feedback device during simulated CPR.MethodsThis was a prospective, randomized controlled study. The study group consisted of 21 medical school and 62 paramedic students who were already trained in BLS skills. A five-question pretest on high-quality CPR was administered to all participants and they all performed a two-minute chest compression on an advanced CPR manikin. No statistically significant relationship was found in terms of pretest results, basal compression rates and depths between the two groups (p&gt;0.05). The population was then randomly divided into two groups. The control group, consisting of 43 students, performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR session with a simple metronome feedback. The study group performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR using a TrueCPR real-time feedback device. We analyzed the compression rate and depth of both techniques.ResultsThe compression rate during CPR with a simple metronome feedback was significantly higher compared to that obtained during standard CPR (108±6.2 vs 119.0±18.2/min;p&lt;0.05). However there was no significant difference in compression depth between the techniques (p&gt;0.05). Use of the TrueCPR feedback device resulted in significant improvement in both the compression rate (106.2±4.8 vs 121.6±13.1/min;p&lt;0.05) and the compression depth (56.5±5.8 mm vs 53.6±7.0 mm; p&lt;0.05) compared to standard CPR without feedback. When CPR performance obtained by using both feedback methods was compared, there was no statistical difference between compression rates (p&gt;0.05), whereas the TrueCPR device yielded significantly deeper compression depth compared to the simple metronome (56.5±5.8 vs 53.3±6.5 mm; p&lt;0.05).ConclusionFeedback with a device during CPR is an effective method to achieve adequate compression rate and depth. The real-time feedback device can be particularly effective and offer advantages during the actual CPR procedure based on the more effective CPR metric achieved by its use. However, further studies to show the clinical effectiveness of the real-time CPR feedback devices are needed.</description><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNUU1vnDAQRVUrNU37FypLOZN6bDAmN2JM1grglW0qpRdrWUDqqptNoDnkN-VPxpuNeu5l5mnmfRxeFH0HfAlA2Y9xP877cYgJBhYGSzC5pOmH6AySjMSYAP34D-P0c_RlWXYYQ5on_Cx6EbpZF0ZZ3SJdIeuKtixMicTaoADfdiVleV2IW9RIt9KlRapFTprGHhVuJZGsKimc-ilbad-OYiWtQ0drEy5KtxaVnVHtDRLBXOl1Vze6LcwdCv_OCuUKF1hXqEAmpOpG_ZIhW7fO6LoO0LquvPsafZo2f5bx2_s-j7pKOrGKa32jRFHHPWSYxhOdpmzAdGLACB9ZD1ucZoQA8H6gHPIsIXlOss2WkpxnlOFpAjrwniaE4WFLz6OLk-_DfHh8Gpe_fnd4mu9DpAeepIRyjmlgsRNrOx-WZR4n_zD_3m_mZw_YH4vx78X4YzH-VIynaRDCSdjvd_-reQXxE4P7</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Akbuga Ozel, B</creator><creator>Ozel, G</creator><creator>Mamak Ekinci, EB</creator><creator>Goger, B</creator><creator>Delikanli, C</creator><creator>Ersoy, EC</creator><creator>Karademir, LN</creator><creator>Gursoy, M</creator><creator>Kocalar, UG</creator><general>BMJ Publishing Group LTD</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>U9A</scope></search><sort><creationdate>201612</creationdate><title>COMPARISON OF STANDARD CPR AND CPR FEEDBACK METHODS IN TERMS OF THE EFFECTIVENESS OF CHEST COMPRESSIONS DURING CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED STUDY</title><author>Akbuga Ozel, B ; Ozel, G ; Mamak Ekinci, EB ; Goger, B ; Delikanli, C ; Ersoy, EC ; Karademir, LN ; Gursoy, M ; Kocalar, UG</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1703-f3ff7d03f61628e6b1c05722118bd38197429927ac32987360ff13d8b34260dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akbuga Ozel, B</creatorcontrib><creatorcontrib>Ozel, G</creatorcontrib><creatorcontrib>Mamak Ekinci, EB</creatorcontrib><creatorcontrib>Goger, B</creatorcontrib><creatorcontrib>Delikanli, C</creatorcontrib><creatorcontrib>Ersoy, EC</creatorcontrib><creatorcontrib>Karademir, LN</creatorcontrib><creatorcontrib>Gursoy, M</creatorcontrib><creatorcontrib>Kocalar, UG</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career &amp; Technical Education Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>Emergency medicine journal : EMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akbuga Ozel, B</au><au>Ozel, G</au><au>Mamak Ekinci, EB</au><au>Goger, B</au><au>Delikanli, C</au><au>Ersoy, EC</au><au>Karademir, LN</au><au>Gursoy, M</au><au>Kocalar, UG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COMPARISON OF STANDARD CPR AND CPR FEEDBACK METHODS IN TERMS OF THE EFFECTIVENESS OF CHEST COMPRESSIONS DURING CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED STUDY</atitle><jtitle>Emergency medicine journal : EMJ</jtitle><date>2016-12</date><risdate>2016</risdate><volume>33</volume><issue>12</issue><spage>917</spage><epage>917</epage><pages>917-917</pages><issn>1472-0205</issn><eissn>1472-0213</eissn><abstract>Objectives &amp; BackgroundThe primary purpose of the study was to compare the metrics on the effectiveness of chest compressions obtained through an advanced CPR (cardiopulmonary resuscitation) manikin and a real-time CPR feedback device during simulated CPR.MethodsThis was a prospective, randomized controlled study. The study group consisted of 21 medical school and 62 paramedic students who were already trained in BLS skills. A five-question pretest on high-quality CPR was administered to all participants and they all performed a two-minute chest compression on an advanced CPR manikin. No statistically significant relationship was found in terms of pretest results, basal compression rates and depths between the two groups (p&gt;0.05). The population was then randomly divided into two groups. The control group, consisting of 43 students, performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR session with a simple metronome feedback. The study group performed two-minute CPR on an advanced CPR manikin, followed by a two-minute CPR using a TrueCPR real-time feedback device. We analyzed the compression rate and depth of both techniques.ResultsThe compression rate during CPR with a simple metronome feedback was significantly higher compared to that obtained during standard CPR (108±6.2 vs 119.0±18.2/min;p&lt;0.05). However there was no significant difference in compression depth between the techniques (p&gt;0.05). Use of the TrueCPR feedback device resulted in significant improvement in both the compression rate (106.2±4.8 vs 121.6±13.1/min;p&lt;0.05) and the compression depth (56.5±5.8 mm vs 53.6±7.0 mm; p&lt;0.05) compared to standard CPR without feedback. When CPR performance obtained by using both feedback methods was compared, there was no statistical difference between compression rates (p&gt;0.05), whereas the TrueCPR device yielded significantly deeper compression depth compared to the simple metronome (56.5±5.8 vs 53.3±6.5 mm; p&lt;0.05).ConclusionFeedback with a device during CPR is an effective method to achieve adequate compression rate and depth. The real-time feedback device can be particularly effective and offer advantages during the actual CPR procedure based on the more effective CPR metric achieved by its use. However, further studies to show the clinical effectiveness of the real-time CPR feedback devices are needed.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/emermed-2016-206402.35</doi><tpages>1</tpages></addata></record>
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title COMPARISON OF STANDARD CPR AND CPR FEEDBACK METHODS IN TERMS OF THE EFFECTIVENESS OF CHEST COMPRESSIONS DURING CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED STUDY
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