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Training approaches for the deployment of a mechanical chest compression device: a randomised controlled manikin study.


ABSTRACT: OBJECTIVES:To evaluate the effect of training strategy on team deployment of a mechanical chest compression device. DESIGN:Randomised controlled manikin trial. SETTING:Large teaching hospital in the UK. PARTICIPANTS:Twenty teams, each comprising three clinicians. Participating individuals were health professionals with intermediate or advanced resuscitation training. INTERVENTIONS:Teams were randomised in a 1:1 ratio to receive either standard mechanical chest compression device training or pit-crew device training. Training interventions lasted up to 1?h. Performance was measured immediately after training in a standardised simulated cardiac arrest scenario in which teams were required to deploy a mechanical chest compression device. PRIMARY AND SECONDARY OUTCOME MEASURES:Primary outcome was chest compression flow fraction in the minute preceding the first mechanical chest compression. Secondary outcomes included cardiopulmonary resuscitation quality and mechanical device deployment metrics, and non-technical skill performance. Outcomes were assessed using video recordings of the test scenario. RESULTS:In relation to the primary outcome of chest compression flow fraction in the minute preceding the first mechanical chest compression, we found that pit-crew training was not superior to standard training (0.76 (95% CI 0.73 to 0.79)?vs 0.77 (95% CI 0.73 to 0.82), mean difference -0.01 (95% CI -0.06 to 0.03), P=0.572). There was also no difference between groups in performance in relation to any secondary outcome. CONCLUSIONS:Pit-crew training, compared with standard training, did not improve team deployment of a mechanical chest device in a simulated cardiac arrest scenario. TRIAL REGISTRATION NUMBER:ISRCTN43049287; Pre-results.

SUBMITTER: Couper K 

PROVIDER: S-EPMC5879816 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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