• Jonathan P Duff, Farhan Bhanji, Yiqun Lin, Frank Overly, Linda L Brown, E Alexis Bragg, David Kessler, Nancy M Tofil, Ilana Bank, Elizabeth A Hunt, Vinay Nadkarni, Adam Cheng, and INSPIRE CPR Investigators.
• From the University of Alberta, Edmonton, Canada.
• Pediatr Emerg Care. 2021 Mar 1; 37 (3): 133137133-137.

ObjectivesEffective cardiopulmonary resuscitation (CPR) is critical to ensure optimal outcomes from cardiac arrest, yet trained health care providers consistently struggle to provide guideline-compliant CPR. Rescuer fatigue can impact chest compression (CC) quality during a cardiac arrest event, although it is unknown if visual feedback or just-in-time training influences change of CC quality over time. In this study, we attempt to describe the changes in CC quality over a 12-minute simulated resuscitation and examine the influence of just-in-time training and visual feedback on CC quality over time.MethodsWe conducted secondary analysis of data collected from the CPRCARES study, a multicenter randomized trial in which CPR-certified health care providers from 10 different pediatric tertiary care centers were randomized to receive visual feedback, just-in-time CPR training, or no intervention. They participated in a simulated cardiac arrest scenario with 2 team members providing CCs. We compared the quality of CCs delivered (depth and rate) at the beginning (0-4 minutes), middle (4-8 minutes), and end (8-12 minutes) of the resuscitation.ResultsThere was no significant change in depth over the 3 time intervals in any of the arms. There was a significant increase in rate (128 to 133 CC/min) in the no intervention arm over the scenario duration (P < 0.05).ConclusionsThere was no significant drop in CC depth over a 12-minute cardiac arrest scenario with 2 team members providing compressions.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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