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{
    "pk": 10692,
    "title": "Addition of Audiovisual Feedback During Standard Compressions Is Associated with Improved Ability",
    "subtitle": null,
    "abstract": "Introduction: \nA benefit of in-hospital cardiac arrest is the opportunity for rapid initiation of “high-quality” chest compressions as defined by current American Heart Association (AHA) adult guidelines as a depth 2-2.4 inches, full chest recoil, rate 100 -120 per minute, and minimal interruptions with a chest compression fraction (CCF) ≥ 60%. The goal of this study was to assess the effect of audiovisual feedback on the ability to maintain high-quality chest compressions as per 2015 updated guidelines.\nMethods:\n Ninety-eight participants were randomized into four groups. Participants were randomly assigned to perform chest compressions with or without use of audiovisual feedback (+/- AVF). Participants were further assigned to perform either standard compressions with a ventilation ratio of 30:2 to simulate cardiopulmonary resuscitation (CPR) without an advanced airway or continuous chest compressions to simulate CPR with an advanced airway. The primary outcome measured was ability to maintain high-quality chest compressions as defined by current 2015 AHA guidelines.\nResults: \nOverall comparisons between continuous and standard chest compressions (n=98) were without significant differences in chest compression dynamics (p’s >0.05). Overall comparisons between +/- AVF (n = 98) were significant for differences in average rate of compressions per minute (p= 0.0241) and proportion of chest compressions within guideline rate recommendations (p = 0.0084). There was a significant difference in the proportion of high quality-chest compressions favoring AVF (p = 0.0399). Comparisons between chest compression strategy groups +/- AVF were significant for differences in compression dynamics favoring AVF (p’s < 0.05). \nConclusion:\n Overall, AVF is associated with greater ability to maintain high-quality chest compressions per most-recent AHA guidelines. Specifically, AVF was associated with a greater proportion of compressions within ideal rate with standard chest compressions while demonstrating a greater proportion of compressions with simultaneous ideal rate and depth with a continuous compression strategy.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Cardiopulmonary Arrest"
        },
        {
            "word": "chest compressions"
        },
        {
            "word": "Simulation"
        },
        {
            "word": "Quality Improvement"
        }
    ],
    "section": "Critical Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8kk6q5bn",
    "frozenauthors": [
        {
            "first_name": "Steve",
            "middle_name": "A.",
            "last_name": "Aguilar",
            "name_suffix": "",
            "institution": "Kaiser Permanente Medical Center, San Diego, Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Asakawa",
            "name_suffix": "",
            "institution": "Kaiser Permanente Medical Center, San Diego, Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Cameron",
            "middle_name": "",
            "last_name": "Saffer",
            "name_suffix": "",
            "institution": "Kaiser Permanente Medical Center, San Diego, Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Christine",
            "middle_name": "",
            "last_name": "Williams",
            "name_suffix": "",
            "institution": "Kaiser Permanente Medical Center, San Diego, Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Steven",
            "middle_name": "",
            "last_name": "Chuh",
            "name_suffix": "",
            "institution": "Kaiser Permanente Medical Center, San Diego, Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Lewei",
            "middle_name": "",
            "last_name": "Duan",
            "name_suffix": "",
            "institution": "Kaiser Permanente Medical Center, San Diego, Emergency Medicine, San Diego, California",
            "department": "None"
        }
    ],
    "date_submitted": "2017-03-24T16:59:38-04:00",
    "date_accepted": "2017-03-24T16:59:38-04:00",
    "date_published": "2018-02-26T12:40:07-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/10692/galley/5841/download/"
        }
    ]
}