Three Different Cardiopulmonary Resuscitation (CPR) Training Methods (BLS Pilot)

This study has been completed.
Sponsor:
Collaborators:
Heart and Stroke Foundation of Canada
Zoll Medical Corporation
Information provided by:
St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT01361919
First received: August 3, 2010
Last updated: May 26, 2011
Last verified: May 2011
  Purpose

The goal of this study is to compare three methods of teaching medical and nursing students basic life saving skills. The standard method will teach students how to push on the chest and to analyze the heart rhythm using a regular monitor. The newer approach will teach the same skills but use a special heart monitor that provides both visual and verbal reminders. The third approach will combine both the standard and newer approaches to teaching. Our study would like to find out the better way to teach these skills and to create a standard way to grade how well students perform. This study will measure how deep and how fast the students push on the manikin's chest in a certain amount of time. Other goals include measuring how well the students use the heart monitor to deliver shocks and analyze the heart rhythm, how many breaths per minute they give, how long their hands are off the manikin and how well they think they performed overall.


Condition Intervention
Cardiopulmonary Resuscitation
Procedure: Feedback during CPR training
Procedure: No Feedback during CPR Testing or Training
Procedure: Feedback During CPR Testing
Procedure: No Feedback During CPR Testing

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Official Title: The Benefits of a Simplified Method for CPR Training of Medical Professionals: A Randomized Controlled Study

Resource links provided by NLM:

MedlinePlus related topics: CPR
Drug Information available for: Menthol
U.S. FDA Resources

Further study details as provided by St. Michael's Hospital, Toronto:

Primary Outcome Measures:
  • CPR performance [ Time Frame: baseline and at 3 months retest ] [ Designated as safety issue: No ]
    integrated synthesis of depth of compressions, rate of compressions and hands-off time of compressions


Secondary Outcome Measures:
  • ventilations [ Time Frame: baseline and at 3 months retest ] [ Designated as safety issue: No ]
    ventilations per minute over 5 minute test sequence and overall number for 5 minutes

  • Anesthesia Non Technical Skills [ Time Frame: baseline and at 3 months retest ] [ Designated as safety issue: No ]
    Task Management Team Working Situation Awareness Decision Making

  • comfort levels [ Time Frame: baseline and at 3 months retest ] [ Designated as safety issue: No ]
    measured baseline characteristics of participants and comfort levels with participating in cardiac arrests as participant and observer


Enrollment: 298
Study Start Date: September 2008
Study Completion Date: September 2010
Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Feedback During CPR Training and Testing
A "feedback" defibrillator (ZOLL R series) will be used at teaching, immediate testing and 12 week (retention) testing. A simulation manikin with an attached accelerometer pad on its sternum will be used to collect CPR performance data. Subjects will be told to perform compressions on top of the accelerometer pad and will be taught to use and follow the audio and visual feedback to optimize their CPR performance. After training, the raw data collected by the accelerometer will be used as a demonstration and training tool, to correct the subjects' performance by visually demonstrating the difference between ideal and suboptimal CPR performance. Testing will be carried out with the use of a "feedback" defibrillator.
Procedure: Feedback during CPR training
Students in this group will receive training in BLS skills according to the 2005 AHA/ILCOR guidelines, using the ZOLL R Series™ defibrillator with an attached accelerometer pad that will be placed on the sternum of the manikin and visible to the user. Students will be told to perform compressions on top of the accelerometer pad. Participants will be taught to use and follow the audio and visual feedback provided by the accelerometer and defibrillator to optimize their CPR performance (depth, rate, and minimal "hands-off" time). After the simulated cardiac arrest scenario, a data card containing the raw data collected from the accelerometer and defibrillator will be downloaded onto a laptop and used as a demonstration and training tool. This data will be used to correct the students' performance by visually demonstrating the difference between ideal and suboptimal CPR performance.
Procedure: Feedback During CPR Testing
Students in this group will be tested using a five minute basic vfib arrest scenario and an R-series defibrillator and told to perform compressions on top of the accelerometer pad. The hexagonal icon will be visible but no prompting on its usage will be delivered during testing.
Other Name: Feedback during simulation testing
Active Comparator: Feedback during CPR Training Not Testing
A "feedback" defibrillator will be used for teaching, with a standard no "feedback" defibrillator used at immediate and 12 week (retention) testing to assess if the techniques the students' learned during training are transferable to devices without "feedback". In order to collect CPR performance data, a simulation manikin with an attached accelerometer pad hidden from view within its chest will be used. Subjects will be told to perform compressions on top of the manikin's chest.
Procedure: Feedback during CPR training
Students in this group will receive training in BLS skills according to the 2005 AHA/ILCOR guidelines, using the ZOLL R Series™ defibrillator with an attached accelerometer pad that will be placed on the sternum of the manikin and visible to the user. Students will be told to perform compressions on top of the accelerometer pad. Participants will be taught to use and follow the audio and visual feedback provided by the accelerometer and defibrillator to optimize their CPR performance (depth, rate, and minimal "hands-off" time). After the simulated cardiac arrest scenario, a data card containing the raw data collected from the accelerometer and defibrillator will be downloaded onto a laptop and used as a demonstration and training tool. This data will be used to correct the students' performance by visually demonstrating the difference between ideal and suboptimal CPR performance.
Procedure: No Feedback During CPR Testing
A standard no "feedback" defibrillator (ZOLL M series) will be used for immediate testing and 12 week (retention) testing.
Placebo Comparator: No Feedback Group
A standard no "feedback" defibrillator (ZOLL M series) will be used for teaching, immediate testing and 12 week (retention) testing. In order to collect CPR performance data, a simulation manikin with an attached accelerometer pad hidden from view within its chest will be used. Subjects will be told to perform compressions on top of the manikin's chest. During the test, subjects will be informed that data on their performance will be recorded but they will not be told how this will occur.
Procedure: No Feedback during CPR Testing or Training
A standard no "feedback" defibrillator (ZOLL M series) will be used for teaching, immediate testing and 12 week (retention) testing. In order to collect CPR performance data, a simulation manikin with an attached accelerometer pad hidden from view within its chest will be used. Subjects will be told to perform compressions on top of the manikin's chest. During the test, subjects will be informed that data on their performance will be recorded but they will not be told how this will occur.
Other Name: simulation CPR training

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • medical or nursing students aged >= 18

Exclusion Criteria:

  • unwilling to sign consent, or
  • unable to return in 3 months time for follow up
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01361919

Locations
Canada, Ontario
St. Michael's Hospital
Toronto, Ontario, Canada, M5B 1W8
Sponsors and Collaborators
St. Michael's Hospital, Toronto
Heart and Stroke Foundation of Canada
Zoll Medical Corporation
Investigators
Principal Investigator: Paul Dorian, MD, FRCPC St. Michael's Hospital, Toronto
Principal Investigator: Natalie Wong, MD, FRCPC St. Michael's Hospital, Toronto
  More Information

No publications provided

Responsible Party: Dr. Paul Dorian and Dr. Natalie Wong, St. Michael's Hospital
ClinicalTrials.gov Identifier: NCT01361919     History of Changes
Other Study ID Numbers: PLP 6534
Study First Received: August 3, 2010
Last Updated: May 26, 2011
Health Authority: Canada: Health Canada

Keywords provided by St. Michael's Hospital, Toronto:
compressions
quality
teaching method
feedback
CPR performance - how well do students perform CPR when taught with feedback?
Cardiopulmonary resuscitation (CPR)

ClinicalTrials.gov processed this record on July 22, 2014