Introduction: The aim of the study is to investigate the effect of using Automated External Defibrillator (AED) audiovisual feedback on the quality of cardiopulmonary resuscitation (CPR) in a manikin training setting.Materials and Methods: Five cycles of 30 chest compressions were performed on a manikin without CPR prompts. After an interval of at least 5 minutes, the participants performed another 5 cycles with the use of real time audiovisual feedback via the ZOLL E-Series defibrillator. Performance data were obtained and analysed. Results: A total of 209 dialysis centre staff participated in the study. Using a feedback system resulted in a statistically significant improvement from 39.57% to 46.94% (P = 0.009) of the participants being within the target compression depth of 4 cm to 5 cm and a reduction in those below target from 16.45% to 11.05% (P = 0.004). The use of feedback also produced a significant improvement in achieving the target for rate of chest compression (90 to 110 compressions per minute) from 41.27% to 53.49%; (P <0.001). The mean depth of chest compressions was 4.85 cm (SD = 0.79) without audiovisual feedback and 4.91 (SD = 0.69) with feedback. For rate of chest compressions, it was 104.89 (SD = 13.74) vs 101.65 (SD = 10.21) respectively. The mean depth of chest compression was less in males than in females (4.61 cm vs 4.93 cm, P = 0.011), and this trend was reversed with the use of feedback. Conclusion: In conclusion, the use of feedback devices helps to improve the quality of CPR during training. However more studies involving cardiac arrest patients requiring CPR need to be done to determine if these devices improve survival.
There is increasing evidence to show that good quality cardiopulmonary resuscitation (CPR) is important in achieving better resuscitative outcomes. One of the determinants for successful defibrillation is the effectiveness of chest compressions.
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