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10–2 Improving quality of chest compressions amongst medical and nursing staff through deliberate in-situ simulated practice with feedback: the impact of repeated training
  1. C Korb1,
  2. L Lofton1,
  3. C Balnta2,
  4. H MacGloin3,
  5. K Goodliffe1,
  6. C Buckle1,
  7. J McGee1,
  8. M Lane1,
  9. M Burmester1
  1. 1Paediatric Intensive Care, Royal Brompton Hospital, London, UK
  2. 2Paediatric Intensive Care, Evelina London Children’s Hospital, London, UK
  3. 3Paediatrics, Queen Elizabeth Hospital, London, UK

Abstract

Background Quality of chest compressions underpins resuscitation outcomes with poorer performance leading to lower survival rates.1 We aimed to analyse whether deliberate practice of chest compressions with real-time feedback improves quality of compression amongst PICU nursing and medical staff and the impact of repeated training at 2, 4 and 6 months.

Methods Prospective, longitudinal study with in-situ workshops utilising Resusci Baby® QCPR®. Hand position, correct & average rate, depth and recoil were recorded and resulted in overall summative scores. Study protocol and consent procedure were approved by the Trusts Research Office.

Results 56 participants (14 doctors, 42 nurses) of which 49 (87.5%) completed all workshops. There was significant improvement on overall, depth, recoil and rate scores immediately after feedback for all workshops (Table 1). A significant improvement was also noted on baseline scores over time: complete recoil from 2nd session (72%, IQR 20–98% vs. 98%, IQR 82–100%, p=0.003); overall score, depth, correct and average rate at 4 months in comparison to the first session (84%, IQR 49–94% vs. 95%, IQR 87–98%, p<0.001; 97%, IQR 45–100% vs. 100%, IQR 98–100%, p<0.001; 14%, IQR 1–83% vs. 65%, IQR 30–90%, p=0.002; 119bpm, IQR 113–129bpm vs. 112bpm, IQR 101–118bpm, p=0.01, respectively). Hand position baseline scores did not significantly change over time.

Conclusion Deliberate practice of chest compressions with continuous real-time feedback improves quality of compressions amongst PICU nursing and medical staff. This improvement is noted immediately and continues over time with repeated training.

Reference

  1. D Yannopoulos, TP Aufderheide, BS Abella, et al. Quality of CPR: An important effect modifier in cardiac arrest clinical outcomes and intervention effectiveness trials. Resuscitation 2015;94:106–13.

Abstract 10–2 Table 1

Assessment at baseline and after feedback for each workshop

Abstract 10–6 Figure 1

Time taken for satisfactory anaesthesia for a category 1 caesarean section in minutes

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