• Paul Davey, Chris Whatman, and Bridget Dicker.
• From the Auckland University of Technology, Department of Paramedicine, School of Clinical Sciences, Faculty of Health and Environmental Science (P.D., C.W., B.D.), Auckland, New Zealand.
• Simul Healthc. 2015 Oct 1; 10 (5): 257-62.

IntroductionThere has been an increased emphasis on the quality of chest compressions as a part of the cardiopulmonary resuscitation (CPR) bundle of care for recent times. During CPR training, chest compression quality parameters can be measured directly from sensors within a manikin or from external devices placed on the manikin chest that use accelerometer-based technology. The aim of this study was to compare external chest compression data from the manikin-based Laerdal Skill Reporter (LSR) and the accelerometer-based Q-CPR technology, incorporated into the Philips MRx defibrillator, during CPR on a single Resusci Anne Simulator manikin.MethodsEach paramedic (n = 15) performed 2 sessions of 2 minutes of chest compressions, with a 2-minute rest period in between sessions. Both over-the-head and from-the-side positions were used on a single manikin. The quality of chest compressions were concurrently measured using both LSR and Philips MRx Q-CPR accelerometer with audiovisual feedback disabled.ResultsThere was no significant difference in the measurement of the number of chest compressions performed in 2 minutes, the compression rate, total number of compressions of adequate depth, or the number of compressions exhibiting leaning between the LSR and the Phillips Q-CPR devices. There was a significant difference in measurement of compression depth (P < 0.0001) and duty cycle (P < 0.0001) with the MRx Q-CPR accelerometer demonstrating both lower compression depth and duty cycle compared with LSR.ConclusionsThere was no significant difference in most chest compression quality metrics measured between the LSR and the Phillips Q-CPR devices when measured on a manikin. However, there were significant differences in the measurement of duty cycle and also the depth of compressions between the 2 devices with the Phillips Q-CPR device measuring lower depth of compression and duty cycle compared with the LSR device.

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