The Effect of Fatigue on CPR

NCT ID: NCT06280118

Last Updated: 2024-02-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 84 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-04-20
• Study Completion Date: 2023-10-25

Brief Summary

Background: This study, in contrast to the previous studies, generated a scenario of fatigue in an earthquake scenario and aimed to measure the effect of fatigue on the quality of cardiopulmonary resuscitation (CPR) performed by paramedics in a debris course.

Methods: The study was designed as a randomized controlled trial. The sample, consisting of 84 paramedic students, was randomly assigned as 42 control and 42 experimental groups. Fatigue was created in the participants by rehearsing the process of removing and transporting earthquake victims from the rubble through the prepared track. A personal information form and a CPR measurement form were used to obtain the data. The simulator was used to evaluate the accuracy of CPR. The collected data were analysed with the statistical program.

Detailed Description

Introduction Cardiopulmonary Arrest (CPA) is among the leading cause of death worldwide. Each year, 375,000 people are reported to die in Europe and 250,000 in the United States due to CPA. Early diagnosis of arrest and Cardiopulmonary Resuscitation is life-saving. However, earthquakes, one of the deadliest disasters, are among the most challenging situations that people around the world have to face. The rate of rescue of survivors from earthquake or collapsed structures is reported to decrease by 50% following 24 hours. Therefore, the first 72 hours are crucial for search and rescue operations in disasters. In earthquakes, while some of the disaster victims experience arrest at the scene due to trauma, others experience arrest in early or late periods depending on the injury site and localization. Thus, search and rescue operations should be initiated quickly, effectively and swiftly in disaster areas. Properly and efficiently administered CPR is among the most crucial life-saving emergency medical care methods. In Turkey, paramedics are also deployed to National Medical Rescue Team (NMRT) units to support search and rescue activities and provide emergency medical care. Paramedics have difficulties in maintaining chest compressions in arrest cases, especially in challenging cases in tight spaces outside the hospital. Since chest compressions are considered the essential element of CPR, their quality is thought to be affected under harsh conditions. 2015 International Liaison Committee on Resuscitation (ILCOR) recommended the compression depth as 5-6 cm and stated that 1/3 of the sternum should be compressed owing to the body mass differences of the rescuers. However, effective CPR depends on many parameters such as the number of rescuers, elapsed time, physical characteristics and muscle strength of the rescuer, high level of fitness, fatigue, weight of the rescuer, physical fitness, having a higher maximum oxygen consumption, position of the rescuer, difficult and confined space rescues. This study aimed in this context, to measure the effects of fatigue on CPR using high-quality simulators.

Conditions

Resuscitation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SCREENING
• Blinding Strategy: NONE

Study Groups

Pre-test (Control group)

Group Type: NO_INTERVENTION

No interventions assigned to this group

Post test (Control group)

Group Type: NO_INTERVENTION

No interventions assigned to this group

Pre test (experimental group)

Group Type: NO_INTERVENTION

No interventions assigned to this group

Post test (experimental group)

Group Type: EXPERIMENTAL

Fatigue

Intervention Type: OTHER

Fatigue was created in the participants by rehearsing the process of removing and transporting earthquake victims from the rubble through the prepared track.

Interventions

Fatigue

Fatigue was created in the participants by rehearsing the process of removing and transporting earthquake victims from the rubble through the prepared track.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Being a paramedic student.
• Having taken a resuscitation course.

Exclusion Criteria

• None

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 24 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Artvin Coruh University

OTHER

Sponsor Role: lead

Responsible Party

Kadir Cavus

Lecturer (Phd-c)

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Oğuzhan Tiryaki, Expert Nursing

Role: PRINCIPAL_INVESTIGATOR

Artvin State Hospital

Elif Tiryaki, Lecturer

Role: PRINCIPAL_INVESTIGATOR

Artvin Çoruh University

Suat Çelik, Lecturer

Role: PRINCIPAL_INVESTIGATOR

Artvin Çoruh University

Hüseyin Bora Saçar, Lecturer

Role: PRINCIPAL_INVESTIGATOR

Artvin Çoruh University

Locations

Resuscitation simulation laboratory of Artvin Çoruh University Health Services Vocational School

Artvin, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Pan DF, Li ZJ, Ji XZ, Yang LT, Liang PF. Video-assisted bystander cardiopulmonary resuscitation improves the quality of chest compressions during simulated cardiac arrests: A systemic review and meta-analysis. World J Clin Cases. 2022 Nov 6;10(31):11442-11453. doi: 10.12998/wjcc.v10.i31.11442.

Reference Type: BACKGROUND

PMID: 36387811 (View on PubMed)

Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, Gazmuri RJ, Travers AH, Rea T. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015 Nov 3;132(18 Suppl 2):S414-35. doi: 10.1161/CIR.0000000000000259. No abstract available.

Reference Type: BACKGROUND

PMID: 26472993 (View on PubMed)

Other Identifiers

EFCPR008

Identifier Type: -

Identifier Source: org_study_id