Visual assessment of CPR quality during pediatric cardiac arrest: does point of view matter?

Resuscitation
Angela JonesAdam Cheng

Abstract

In many clinical settings, providers rely on visual assessment when delivering feedback on CPR quality. Little is known about the accuracy of visual assessment of CPR quality. We aimed to determine how accurate pediatric providers are in their visual assessment of CPR quality and to identify the optimal position relative to the patient for accurate CPR assessment. We videotaped high-quality CPR (based on 2010 American Heart Association guidelines) and 3 variations of poor quality CPR in a simulated resuscitation, filmed from the foot, head and the side of the manikin. Participants watched 12 videos and completed a questionnaire to assess CPR quality. One hundred and twenty-five participants were recruited. The overall accuracy of visual assessment of CPR quality was 65.6%. Accuracy was better from the side (70.8%) and foot (68.8%) of the bed when compared to the head of the bed (57.2%; p<0.001). The side was the best position for assessing depth (p<0.001). Rate assessment was equivalent between positions (p=0.58). The side and foot of the bed were superior to the head when assessing chest recoil (p<0.001). Factors associated with increased accuracy in visual assessment of CPR quality included recent CPR course completion (p=0.0...Continue Reading

Associated Clinical Trials

References

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Sep 16, 2009·Circulation·Jim ChristensonUNKNOWN Resuscitation Outcomes Consortium Investigators
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Citations

Sep 7, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Camilla HansenBo Løfgren
Apr 6, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Adam ChengUNKNOWN International Network for Simulation-based Pediatric Innovation, Research and Education (INSPIRE) CPR Investigators
May 8, 2018·European Journal of Pediatrics·Mathijs BinkhorstMarije Hogeveen
Nov 18, 2018·Nursing & Health Sciences·Eun Jin Kim, Young Sook Roh
Jan 10, 2021·Nurse Education in Practice·Lorena Gutiérrez-PuertasGabriel Aguilera-Manrique
Jul 6, 2021·Resuscitation Plus·Anna AbelssonKevin Mackie
May 3, 2019·Pediatric Emergency Care·Stephen PfeifferUNKNOWN Pediatric Resuscitation Quality Collaborative Investigators
Jan 9, 2020·Pediatric Emergency Care·Joo Lee SongAlan L Nager
Jul 19, 2019·Pediatric Emergency Care·Mathijs BinkhorstJos M Th Draaisma

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