Dailys Garcia-Jorda1, Andrew Walker2, Jenna Camphaug3, Wendy Bissett4, Tanya Spence5, Dori-Ann Martin6, Yiqun Lin7, Adam Cheng7, Meagan Mahoney8, Elaine Gilfoyle9. 1. Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: dailys.garciajorda@ucalgary.ca. 2. Department of Anesthesia, Cumming School of Medicine, 1403 29 Street NW Calgary, AB T2N 2T9, Canada. Electronic address: Andrew.Walker@albertahealthservices.ca. 3. Pediatric Intensive Care Unit, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Jenna.Camphaug@albertahealthservices.ca. 4. Pediatric Intensive Care Unit, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Wendy.Bissett@albertahealthservices.ca. 5. Pediatric Intensive Care Unit, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Tanya.Spence@albertahealthservices.ca. 6. Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Dori-Ann.Martin@albertahealthservices.ca. 7. KidSIM-ASPIRE Simulation Research Program, Departments of Pediatrics and Emergency Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. 8. Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: Meagan.Mahoney@albertahealthservices.ca. 9. Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address: elaine.gilfoyle@albertahealthservices.ca.
Abstract
PURPOSE: To assess the effects of a real-time feedback device and refresher sessions in acquiring and retaining chest compression skills. METHODS: Healthcare providers participated in refresher sessions at 3-time points (blocks) over 1-year. At each block, chest compression (CC) skills were assessed on an infant and adult task trainer, in one 2-min trial without feedback (blinded), and up to three 2-min trials with feedback (unblinded). Skills retention over time was explored at three time lags: 1-3, 3-6, >6 months. Data collected included chest compression rate (100-120/min), depth (4 cm for infants and 5 cm for adults), and recoil between compressions. RESULTS: Among 194 participants, achievement of excellent CC (≥90% of adequate compressions for all parameters) increased with feedback. Linear mixed models found significant (p < 0.05) improvement in rate, depth, and recoil. Performance between last unblinded trial in block 1 with the following blinded trial in block 2 significantly decayed in rate on both task trainers irrespective of time passed, while depth and recoil performance were maintained only for infants. CONCLUSIONS: A real-time visual feedback device improved CC skills with better results in infants. Skills decayed over time despite two refresher sessions with feedback.
PURPOSE: To assess the effects of a real-time feedback device and refresher sessions in acquiring and retaining chest compression skills. METHODS: Healthcare providers participated in refresher sessions at 3-time points (blocks) over 1-year. At each block, chest compression (CC) skills were assessed on an infant and adult task trainer, in one 2-min trial without feedback (blinded), and up to three 2-min trials with feedback (unblinded). Skills retention over time was explored at three time lags: 1-3, 3-6, >6 months. Data collected included chest compression rate (100-120/min), depth (4 cm for infants and 5 cm for adults), and recoil between compressions. RESULTS: Among 194 participants, achievement of excellent CC (≥90% of adequate compressions for all parameters) increased with feedback. Linear mixed models found significant (p < 0.05) improvement in rate, depth, and recoil. Performance between last unblinded trial in block 1 with the following blinded trial in block 2 significantly decayed in rate on both task trainers irrespective of time passed, while depth and recoil performance were maintained only for infants. CONCLUSIONS: A real-time visual feedback device improved CC skills with better results in infants. Skills decayed over time despite two refresher sessions with feedback.
Authors: Debora Almeida; Carol Clark; Michael Jones; Phillip McConnell; Jonathan Williams Journal: Scand J Trauma Resusc Emerg Med Date: 2020-09-10 Impact factor: 2.953