Improving the Quality of Cardiopulmonary Resuscitation (CPR) During Pediatric Cardiac Arrest
NCT ID: NCT02075450
Last Updated: 2015-08-19
Study Results
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Basic Information
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COMPLETED
NA
324 participants
INTERVENTIONAL
2012-07-31
2015-07-31
Brief Summary
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We hypothesize that:
H1: The use of a CPR visual feedback device will improve compliance with current HSFC CPR and resuscitation guidelines during a simulated pediatric in-hospital cardiac arrest scenario compared with standard CPR with no visual feedback.
H2: A JIT CPR Training Video, viewed by healthcare providers 2-4 weeks prior to the resuscitation event, will improve compliance with current HSFC CPR and resuscitation guidelines during simulated pediatric cardiac arrest compared with those healthcare providers with no prior exposure to the JIT CPR Training Video.
H3: That there is poor correlation between providers' perception of CPR quality and actual measured CPR quality H4: That task load varies depending on provider role and type of clinical scenario
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Detailed Description
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Aim 2 - To evaluate the effectiveness of a "Just in Time" CPR Training Video to improve compliance with current HSFC CPR and resuscitation guidelines during simulated pediatric cardiac arrest for a team of healthcare providers.
Aim 3 - To determine if there is a synergistic effect when adding Just in Time CPR Training Video with the use of the CPR visual feedback device to improve compliance with current HSFC CPR and resuscitation guidelines during a simulated pediatric cardiac arrest scenario.
Aim 4 - To determine the degree to which provider's perception of CPR quality matches actual quality of CPR
Aim 5 - To describe the task load of healthcare providers in sepsis and cardiac arrest scenarios
Participants will be recruited from ten pediatric tertiary care centers in Canada, the United States, and the United Kingdom using the methodology already piloted and studied in our existing EXPRESS investigators collaborative. Participants recruited to participate in the study will be asked to perform as members of a pediatric resuscitation team. Each team of healthcare providers will be randomized into one of four study arms. In study arm 1, resuscitation teams will participate in a simulated pediatric cardiac arrest scenario, and provide standard CPR without prior JIT training and blinded to any feedback from the CPR card during the scenario. Instead, the CPR card will be placed on the chest during compressions to collect real-time data, but the feedback lights on the card will be covered by black tape and thus, not visible to the members of the resuscitation team. In study arm 2, resuscitation teams will participate in the same scenario without prior JIT training, but provide chest compressions with the CPR card placed on the chest (and providing visual feedback) during compressions. In study arm 3, participants will be given a CPR card and asked to view the JIT training video. Following practice, they will be asked to participate in the simulated cardiac arrest scenario, and provide standard CPR without feedback from the CPR card. As in study arm 1, the CPR card will still be placed on the chest, but the feedback lights will be covered and not visible to the resuscitation team members. Finally, participants in study arm 4 will received JIT training prior to the simulated scenario, and have the CPR card in place during chest compressions to provide immediate visual feedback.
Conditions
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Study Design
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RANDOMIZED
FACTORIAL
SINGLE
Study Groups
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Arm 1
Practice CPRcard lights not visible, Practice Just in Time Video - not provided to study participants, CPRcard lights not visible during study scenario
No interventions assigned to this group
Arm 2
Practice CPRcard light- not visible, Practice CPR Just in Time Video- not provided, CPRcard light visible during study scenario.
CPRcard
CPR Card in place during chest compressions to provide immediate visual feedback.
Arm 3
Practice CPRcard light- visible, Practice Just in Time Video- watched by study participant, CPRcard light- not visible during study scenario.
Just in Time Video
CPR Just in Time training video administered before the simulation case
Arm # 4
Practice CPRcard visible and the study participants watch the Just in Time Video,CPRcard light visible during study scenario
CPRcard
CPR Card in place during chest compressions to provide immediate visual feedback.
Just in Time Video
CPR Just in Time training video administered before the simulation case
Interventions
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CPRcard
CPR Card in place during chest compressions to provide immediate visual feedback.
Just in Time Video
CPR Just in Time training video administered before the simulation case
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Team Member: No prior experience with CPR feedback devices
* Team Member: Basic Life Support, Pediatric Advanced Life Support or Advanced Cardiac Life Support certifications within the past two years
* Team Leader: Residents (Year 2,3, or 4) in pediatrics, family medicine, anesthesia, emergency medicine training programs
* Team Leader: fellows in pediatric emergency medicine, pediatric critical care or pediatric anesthesia sub specialty training programs, attending in-patient pediatricians.
* Team Leader: No prior experience with CPR feedback devices
* Team Leader: Pediatric Advanced Life Support in the past 2 years or are Pediatric Advanced Life Support instructors
Exclusion Criteria
* Team Member and Leader: No Basic Life Support, Pediatric Advance Life Support or Adult Cardiac Life Support Certification
18 Years
ALL
Yes
Sponsors
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Canadian Institutes of Health Research (CIHR)
OTHER_GOV
Heart and Stroke Foundation of Canada
OTHER
KidSIM Simulation Program
NETWORK
Responsible Party
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Principal Investigators
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Vinay Nadkarni, MD
Role: STUDY_CHAIR
Children's Hospital of Philadelphia
Locations
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University of Alabama at Birmingham
Birmingham, Alabama, United States
Yale University Hospital
New Haven, Connecticut, United States
Children's Memorial Hospital Chicago
Chicago, Illinois, United States
John Hopkins Children's Hospital
Baltimore, Maryland, United States
Columbia University Hospital
New York, New York, United States
Hasbro Children's Hosptial
Providence, Rhode Island, United States
Children's Medical Center of Dallas
Dallas, Texas, United States
Alberta Children's Hosptial
Calgary, Alberta, Canada
Jon Duff
Edmonton, Alberta, Canada
Montreal Children's Hospital
Montreal, Quebec, Canada
Bristol Royal Hospital for Children
Bristol, Bristol, United Kingdom
Countries
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References
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Sutton RM, Maltese MR, Niles D, French B, Nishisaki A, Arbogast KB, Donoghue A, Berg RA, Helfaer MA, Nadkarni V. Quantitative analysis of chest compression interruptions during in-hospital resuscitation of older children and adolescents. Resuscitation. 2009 Nov;80(11):1259-63. doi: 10.1016/j.resuscitation.2009.08.009. Epub 2009 Sep 4.
Cheng A, Hunt EA, Grant D, Lin Y, Grant V, Duff JP, White ML, Peterson DT, Zhong J, Gottesman R, Sudikoff S, Doan Q, Nadkarni VM, Brown L, Overly F, Bank I, Bhanji F, Kessler D, Tofil N, Davidson J, Adler M, Bragg A, Marohn K, Robertson N, Duval-Arnould J, Wong H, Donoghue A, Chatfield J, Chime N; International Network for Simulation-based Pediatric Innovation, Research, and Education CPR Investigators. Variability in quality of chest compressions provided during simulated cardiac arrest across nine pediatric institutions. Resuscitation. 2015 Dec;97:13-9. doi: 10.1016/j.resuscitation.2015.08.024. Epub 2015 Sep 28.
Cheng A, Brown LL, Duff JP, Davidson J, Overly F, Tofil NM, Peterson DT, White ML, Bhanji F, Bank I, Gottesman R, Adler M, Zhong J, Grant V, Grant DJ, Sudikoff SN, Marohn K, Charnovich A, Hunt EA, Kessler DO, Wong H, Robertson N, Lin Y, Doan Q, Duval-Arnould JM, Nadkarni VM; International Network for Simulation-Based Pediatric Innovation, Research, & Education (INSPIRE) CPR Investigators. Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial. JAMA Pediatr. 2015 Feb;169(2):137-44. doi: 10.1001/jamapediatrics.2014.2616.
Other Identifiers
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E-23697
Identifier Type: -
Identifier Source: org_study_id
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