None listed
Conditions
Brief summary
The chest compressions (CCs) and adequate ventilation are crucial techniques to save lives in basic life support (BLS) and in advanced cardiac life support (ACLS) procedures for cardiopulmonary arrest cases. This open-label RCT simulation study aims to investigate the effectiveness of students’ performance in medical and allied health programs and examine the effectiveness of two different instant CC feedback technologies on the students' CPR performance: effective CCs and the fatigue level. We hypothesize that different feedback technologies and counting loudly increase the proportions of the effective chest compressions during CPR. The study will utilize a randomized controlled trial design where three matched samples (intervention 1 intervention 2 and control) of students from four medical sciences programs at a large university in the western region of Saudi Arabia will be recruited in this study to investigate their chest compression performance and ventilation according to BLS guidelines on a manikin. A crossover design is nested in the RCT to measure and control the effect of a secondary technique during CPR. The analyses will investigate the baseline CPR performance among different determinants (e.g., students’ study programs knowledge retention on BLS practice exposure physical fitness and sex). Then, the effect of feedback devices will be analyzed with controlling those determinants. The expected study findings could help the researchers and academic program designers about the efficacy of feedback on improving chest compression performance. The expected findings could inform us on the factors that either challenge or enhance the individuals’ performance in CPR.
Interventions
This is an open-label trial. The primary intervention includes:
Intervention 1: Subjects (Basic Life Support [BLS] certified) perform CPR on a simulation CPR manikins using the TrueCPR device for CPR feedback.
Intervention 2: Subjects (BLS certified) perform CPR on a simulation CPR manikins using TCPR Link app for CPR feedback. Each subject should aim to perform CPR for five cycles of adult CPR (30 chest compressions: 2 rescue breaths).
TrueCPR is a device that provides live feedback on chest
This is an open-label trial. The primary intervention includes: Intervention 1: Subjects (Basic Life Support [BLS] certified) perform CPR on a simulation CPR manikins using the TrueCPR device for CPR feedback. Intervention 2: Subjects (BLS certified) perform CPR on a simulation CPR manikins using TCPR Link app for CPR feedback. Each subject should aim to perform CPR for five cycles of adult CPR (30 chest compressions: 2 rescue breaths). TrueCPR is a device that provides live feedback on chest compression and consists of two pieces; one to be placed underneath the patient and another to be placed on the sternum. On the other hand, TCPR Link is a smartphone application that provides live feedback on chest compression rates. There will be a 30-minute washout period for each subject to take reset before he/she crossovers to the next CPR performance. The secondary intervention is that the subjects (BLS certified) are instructed to count the chest compression loudly during CPR in a crossover design. As in the primary intervention, each subject should aim to perform CPR five cycles of adult CPR (30 chest compressions: 2 rescue breaths) for this intervention. For the counting loudly approach, each subject will be kept with the same group of intervention (e.g., subjects who do CPR with TrueCPR and count loudly their chest compressions will do it again with the same feedback technology [TrueCPR in this case] but not loudly count their chest compression). A BLS instructor with a note sheet will supervise and monitor the subject's performance and instruct him/her to count loudly for the secondary intervention as well as to make sure that the QCPR simulation manikin (Little Anne® QCPR® manikin - adult size) is monitoring the performance of the subject for both interventions. Another data collector will obtain the vital signs of the subject immediately before and after the CPR session.
Sponsors
Umm Al-Qura University
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
A medical student of one of the following bachelor-level programs: Medicine and Surgery, Nursing, Emergency Medical Services, and Respiratory Care who has a valid BLS, Advanced Cardiovascular Life Support (ACLS), or Paediatric Advanced Life Support (PALS) certificate from either the American Heart Association (AHA) or the Saudi Heart Association (SHA).
Exclusion criteria
1. Candidate is unable to sign the consent form or collaborate in the study. 2. Candidate do not have a life support certificate (BLS, ACLS, or PALS) or have an expired one. 3. Pregnant candidates.
Outcome results
None listed