OBJECTIVES: In lay persons and health care providers performing cardiopulmonary resuscitation (CPR), does the use of CPR feedback/prompt devices when compared to no device improve CPR skill acquisition, retention, and real life performance? METHODS: The Cochrane database of systematic reviews; Medline (1950-Dec 2008); EmBASE (1988-Dec 2008) and Psychinfo (1988-Dec 2008) were searched using ("Prompt$" or "Feedback" as text words) AND ("Cardiopulmonary Resuscitation" [Mesh] OR "Heart Arrest" [Mesh]). Inclusion criteria were articles describing the effect of audio or visual feedback/prompts on CPR skill acquisition, retention or performance. RESULTS: 509 papers were identified of which 33 were relevant. There were no randomised controlled studies in humans (LOE 1). Two non-randomised cross-over studies (LOE 2) and four with retrospective controls (LOE 3) in humans and 20 animal/manikin (LOE 5) studies contained data supporting the use of feedback/prompt devices. Two LOE 5 studies were neutral. Six LOE 5 manikin studies provided opposing evidence. CONCLUSIONS: There is good evidence supporting the use of CPR feedback/prompt devices during CPR training to improve CPR skill acquisition and retention. Their use in clinical practice as part of an overall strategy to improve the quality of CPR may be beneficial. The accuracy of devices to measure compression depth should be calibrated to take account of the stiffness of the support surface upon which CPR is being performed (e.g. floor/mattress). Further studies are needed to determine if these devices improve patient outcomes.
OBJECTIVES: In lay persons and health care providers performing cardiopulmonary resuscitation (CPR), does the use of CPR feedback/prompt devices when compared to no device improve CPR skill acquisition, retention, and real life performance? METHODS: The Cochrane database of systematic reviews; Medline (1950-Dec 2008); EmBASE (1988-Dec 2008) and Psychinfo (1988-Dec 2008) were searched using ("Prompt$" or "Feedback" as text words) AND ("Cardiopulmonary Resuscitation" [Mesh] OR "Heart Arrest" [Mesh]). Inclusion criteria were articles describing the effect of audio or visual feedback/prompts on CPR skill acquisition, retention or performance. RESULTS: 509 papers were identified of which 33 were relevant. There were no randomised controlled studies in humans (LOE 1). Two non-randomised cross-over studies (LOE 2) and four with retrospective controls (LOE 3) in humans and 20 animal/manikin (LOE 5) studies contained data supporting the use of feedback/prompt devices. Two LOE 5 studies were neutral. Six LOE 5 manikin studies provided opposing evidence. CONCLUSIONS: There is good evidence supporting the use of CPR feedback/prompt devices during CPR training to improve CPR skill acquisition and retention. Their use in clinical practice as part of an overall strategy to improve the quality of CPR may be beneficial. The accuracy of devices to measure compression depth should be calibrated to take account of the stiffness of the support surface upon which CPR is being performed (e.g. floor/mattress). Further studies are needed to determine if these devices improve patient outcomes.
Authors: Robert M Sutton; Dana Niles; Benjamin French; Matthew R Maltese; Jessica Leffelman; Joar Eilevstjønn; Heather Wolfe; Akira Nishisaki; Peter A Meaney; Robert A Berg; Vinay M Nadkarni Journal: Resuscitation Date: 2013-08-29 Impact factor: 5.262
Authors: Alexander E White; Han Xian Ng; Wai Yee Ng; Eileen Kai Xin Ng; Stephanie Fook-Chong; Phek Hui Jade Kua; Marcus Eng Hock Ong Journal: Singapore Med J Date: 2017-07 Impact factor: 1.858
Authors: Marion Leary; David G Buckler; Daniel J Ikeda; Daiane A Saraiva; Robert A Berg; Vinay M Nadkarni; Audrey L Blewer; Benjamin S Abella Journal: World J Emerg Med Date: 2017
Authors: A Wutzler; S von Ulmenstein; M Bannehr; K Völk; J Förster; C Storm; W Haverkamp Journal: Med Klin Intensivmed Notfmed Date: 2017-04-04 Impact factor: 0.840
Authors: Heather Wolfe; Matthew R Maltese; Dana E Niles; Elizabeth Fischman; Veronika Legkobitova; Jessica Leffelman; Robert A Berg; Vinay M Nadkarni; Robert M Sutton Journal: Pediatr Emerg Care Date: 2015-11 Impact factor: 1.454
Authors: V Wenzel; S G Russo; H R Arntz; J Bahr; M A Baubin; B W Böttiger; B Dirks; U Kreimeier; M Fries; C Eich Journal: Anaesthesist Date: 2010-12 Impact factor: 1.041