iCPR: a new application of high-quality cardiopulmonary resuscitation training.

OBJECTIVES The present study evaluates a new CPR feedback application for the iPhone (iCPR) designed to improve chest compression performance tested in a cardiac arrest simulation to evaluate performance and acceptance by healthcare professionals and lay people. METHODS We built an application specifically dedicated to self-directed CPR training through a tutorial that includes a simple feedback module to guide training in order to improve the quality of chest compressions. We tested it in a sample of 50 users to evaluate the effect of iCPR on performance and it is acceptance. The participants were randomly assigned to one of the study groups and were asked to perform a trial of 2 min of chest compressions (CC), to answer a predefined set of questions and then to perform two more minutes of CC. The first group performing the sequence of CC with iCPR - questions - CC without feedback, and the second the sequence CC without feedback - questions CC with iCPR. RESULTS The mean compression rate was 101±2.8 min(-1) when CC were performed with iCPR and 107.8±20.5 min(-1) when performed without iCPR (p<0.01). Overall, the participants considered iCPR useful to maintain CC at the desired rate of 100 compressions per minute. CONCLUSIONS The iCPR feedback tool was able to significantly improve the performance of chest compressions in terms of the compression rate in a simulated cardiac arrest scenario. The participants also believed that iCPR helped them to achieve the correct chest compression rate and most users found this device easy to use.

[1]  S. Handley,et al.  Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. , 2003, Resuscitation.

[2]  J. Stross.  Maintaining competency in advanced cardiac life support skills. , 1983, JAMA.

[3]  Johannes Bickenbach,et al.  CPREzy improves performance of external chest compressions in simulated cardiac arrest. , 2007, Resuscitation.

[4]  C W Otto,et al.  A study of chest compression rates during cardiopulmonary resuscitation in humans. The importance of rate-directed chest compressions. , 1992, Archives of internal medicine.

[5]  Gavin D Perkins,et al.  CPREzy: an evaluation during simulated cardiac arrest on a hospital bed. , 2005, Resuscitation.

[6]  N. Mann,et al.  A randomized controlled trial to assess decay in acquired knowledge among paramedics completing a pediatric resuscitation course. , 2000, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[7]  H. Chung,et al.  Animation-assisted CPRII program as a reminder tool in achieving effective one-person-CPR performance. , 2009, Resuscitation.

[8]  S. Yoo,et al.  The effectiveness of cardiopulmonary resuscitation instruction: animation versus dispatcher through a cellular phone. , 2008, Resuscitation.

[9]  P. Baskett,et al.  The study of the effectiveness of chest compressions using the CPR-plus. , 1998, Resuscitation.

[10]  Gavin D Perkins,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. , 2010, Resuscitation.

[11]  Hubertus Feussner,et al.  Evaluation of M-AID, a first aid application for mobile phones. , 2007, Resuscitation.

[12]  Maaret Castrén,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators , 2010, Resuscitation.

[13]  C. Lester,et al.  Assessing with CARE: an innovative method of testing the approach and casualty assessment components of basic life support, using video recording. , 1997, Resuscitation.

[14]  P. Steen,et al.  An automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training. , 2001, Resuscitation.

[15]  C. Lester,et al.  Evaluating CPR performance in basic life support: the VIDRAP protocol. , 1998, Resuscitation.

[16]  J. Soar,et al.  The use of CPR feedback/prompt devices during training and CPR performance: A systematic review. , 2009, Resuscitation.

[17]  Matthew Huei-Ming Ma,et al.  Better adherence to the guidelines during cardiopulmonary resuscitation through the provision of audio-prompts. , 2005, Resuscitation.

[18]  Jo Kramer-Johansen,et al.  Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest , 2005 .

[19]  G A Ewy,et al.  Chest compression and ventilation rates during cardiopulmonary resuscitation: the effects of audible tone guidance. , 1995, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[20]  B. Abella,et al.  Chest Compression Rates During Cardiopulmonary Resuscitation Are Suboptimal: A Prospective Study During In-Hospital Cardiac Arrest , 2005, Circulation.