Introduction: CPR Instructor-Coordinator (CPRIC) adherence to published guidelines during resuscitation and learner assessment for basic life support CPR skills has not been experimentally studied. These videos can be used by educators, researchers, and health care institutions as a calibrating "gold standard" to educate CPR learners and CPRICs in chest-compression performance. It may also be used to assist CPRICs in the assessment of proper chest-compression technique. Methods: This module is a video library of 12 videos that have been objectively validated to portray adequate chest compressions (six videos) and inadequate compressions (six videos). The videos were scripted and recorded with specific, designated chest-compression parameters encompassing a range of hand positions, rates, depths, and chest releases in combinations that proportionately reflect typical learner cohort performances. The videos may be viewed individually, but videos of adequate and inadequate compressions are placed side-by-side for comparison in a series of PowerPoint presentations. Results: This resource was evaluated with a randomized experimental design involving 30 CPRICs. As proof of concept and of utility, analysis of study data revealed the widespread prevalence at baseline of: (1) suboptimal CPRIC subject CPR chest-compression skills (i.e., inadequate hand position, compression depth, chest release/decompression, and overall performance [total correct compressions delivered during simulated CPR session]) and (2) suboptimal CPRIC assessment skills (i.e., pervasively poor accuracy relative to objective parameter specifications during review of the CIRRUS videos). In addition, All CPRIC subjects compressed suboptimally at baseline but real-time feedback improved the proportion of subjects with >77% correct compressions to 0.53 (p < 0.01). Discussion: CPRIC adherence to published guidelines during resuscitation and learner assessment for basic life support CPR skills had not been experimentally studied. This resource provides real-time compression feedback which may improve CPR chest-compression skills.
By the end of this session, facilitators will be able to:
- Promote standardized basic life support/CPR instruction for improved learner performance.
- Consistently display correct chest compressions as well as suboptimal chest compressions to allow objective determination of CPRIC/other observer assessment skills (as well as intra- /interobserver comparisons).
- Utilize quality-assuring materials that can calibrate CPRICs for maximal sensitivity, specificity, and accuracy during learner chest-compression examination.
- Advance the investigative understanding of basic life support/CPR instructional infrastructure.
By the end of this session, learners will be able to:
- View instructional materials demonstrating correct chest-compression performance (videos 2,4,6,8,10,12).
- View instructional materials demonstrating common mistakes in chest-compression performance (videos 1,3,5,7,9,11).
- View instructional materials that allow side-by-side comparison of adequate and inadequate chest compressions (split videos 1-2, 3-2, 5-2, 7-2, 9-2, 11-2).
Video copyright is held by Rhode Island Hospital- authors have written permission for dissemination through MedEdPORTAL.
CIRRUS study and video development were supported through a fellowship research seed grant from the Rhode Island Hospital Medical Simulation Center.
Al-Rasheed RS, Devine J, Dunbar-Viveiros JA, Jones MS, Dannecker M, Jay GD, Kobayashi L. Development of manikin-based simulated chest compression videos for objective evaluation and training of instructor / coordinators in CPR learner performance assessment. Presented at: Society for Academic Emergency Medicine New England Regional Meeting; 2012.
Al-Rasheed RS, Devine J, Dunbar-Viveiros JA, Jones MS, Dannecker M, Jay GD, Kobayashi L. Application of manikin-based objective metrics to evaluate and improve cardiopulmonary resuscitation instructor-coordinator assessment of learner chest compression performance. Presented at: American Heart Association Resuscitation Science Symposium (AHA ReSS); 2012.
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