Accuracy of instructor assessment of chest compression quality during simulated resuscitation

CJEM
Erin E BrennanSteven C Brooks

Abstract

The 2010 American Heart Association Guidelines stress the importance of high quality cardiopulmonary resuscitation (CPR) as a predictor of survival from cardiac arrest. However, resuscitation training is often facilitated and evaluated by instructors without access to objective measures of CPR quality. This study aims to determine whether instructors experienced in the area of adult resuscitation (emergency department staff and senior residents) can accurately assess the quality of chest compressions as a component of their global assessment of a simulated resuscitation scenario. This is a prospective observational study in which objective chest compression quality data (rate, depth, and fraction) were collected from the simulation manikin and compared to subjective instructor assessment. Data were collected during weekly simulation training sessions for residents, medical students, and nursing students. We included data from 24 simulated resuscitation scenarios assessed by 1 of 15 instructors. Subjective assessment of chest compression quality identified an adequate compression rate (100-120 compressions per minute) with a sensitivity of 0.17 (confidence interval [CI] 0.02-0.32) and specificity of 0.06 (CI -0.04-0.15), adequat...Continue Reading

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Citations

Jul 23, 2016·Nursing & Health Sciences·So Sun Kim, Young Sook Roh
Sep 7, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Camilla HansenBo Løfgren
Feb 8, 2020·Journal for Nurses in Professional Development·Suzan Kardong-EdgrenJanice A Sarasnick
Nov 20, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Ron EshelDagan Schwartz
Jan 5, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Katsuya NagafuchiYasuhiro Kuroda
Apr 15, 2019·Prehospital and Disaster Medicine·Erkman Sanri, Sinan Karacabey
Dec 15, 2020·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Christopher PicardMatthew J Douma
May 1, 2021·International Journal of Environmental Research and Public Health·Patrycja Misztal-OkońskaAmir Khorram-Manesh
Jul 6, 2021·Resuscitation Plus·Anna AbelssonKevin Mackie
Aug 23, 2021·Enfermería intensiva·S Ballesteros-PeñaJ Domínguez-García

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