MIHS Emergency Department CPR Quality Improvement Project

Not Applicable

Completed

• Conditions: Cardiac Arrest
• Interventions: Behavioral: scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing

• Registration Number: NCT01245699
• Lead Sponsor: Valleywise Health

Brief Summary

The investigators will quantify the quality of chest compressions provided in the Emergency Department and determine whether the quality of chest compressions is related to patient outcome. The quality of chest compressions and patient outcomes will be assessed both before and after the introduction of audiovisual feedback in real time.

Detailed Description

The Emergency Department will be using E-series unit manufactured by ZOLL Medical Group (Chelmsford, MA). These units are equipped with an accelerometer-based system that allows for measurement of chest compression depth and rate. These units are also equipped with RealCPRHelp, and FDA-approved technology that provides real-time audiovisual feedback to providers on the quality of chest compressions.

In the first phase of the project, the ED providers will utilize the E-series units to treat all patients requiring chest compressions.

Study Timeline

• Study Start: 2010-06-09
• Study First Submitted: 2010-11-19
• Study First Submitted QC: 2010-11-19
• Study First Posted: 2010-11-22
• Primary Completion: 2015-11-05
• Study Completion: 2016-03-09
• Results First Submitted: 2017-10-12
• Status Verified: 2019-01
• Results First Submitted QC: 2019-04-25
• Last Update Submitted: 2019-04-25
• Results First Posted: 2019-04-26
• Last Update Posted: 2019-04-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 115

Inclusion Criteria

• 18 years old or older

Exclusion Criteria

• less than 18 years old

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
After RTAVF and post-event debriefing	scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing	After scenario-based training, real-time audiovisual CPR feedback, and post-event debriefing

Primary Outcome Measures

Name	Time	Method
CPR Quality	during CPR	Chest Compression Release Velocity
CPR Quality- Pre-shock Pause	During CPR	Pre-shock pause: time from cessation of CPR to shock delivery
CPR Quality-compression Depth	during CPR	Measurement of chest compression depth
CPR Quality-compression Fraction	During CPR	Chest Compression Fraction indicating the percentage of time in which chest compressions are done by rescuers during a cardiac arrest
CPR Quality-percent of >51mm Compressions	during CPR	Percent of Chest Compressions greater than 51mm
CPR Quality-Chest Compression Rate	During CPR	Mean Chest Compression Rate

Trial Locations

Locations (1)

Maricopa Integrated Health System; 🇺🇸 Phoenix, Arizona, United States