Traditional Poster Round
Background: : Pauses in cardiopulmonary resuscitation (CPR) negatively impact clinical outcomes. (1) The addition of a CPR coach to focus on coordinating high quality CPR may help to reduce unnecessary pauses in chest compressions. (2)
Research Question: : How does the presence of a CPR coach effect the frequency, duration, and reasons for initiating pauses in compressions during a simulated pediatric cardiac arrest scenario?
Methodology: : This is a planned secondary analysis of video data collected from a prospective, randomized, multi-center trial evaluating the impact of a CPR Coach on CPR performance. Teams of five were randomized to have one member trained as a CPR coach vs keeping standard team roles prior to participating in an 18 minute simulated pediatric cardiac arrest scenario. CPR coach training focused on maintaining high-quality CPR and minimizing unnecessary interruptions in chest compressions by providing CPR quality feedback and coordinating pauses (e.g. for pulse checks, switching compressors, defibrillation, and intubation). A tool was developed to abstract variables from the video and pilot-tested by three independent reviewers who discussed and iterated the tool until ratings were well calibrated and reliable.
Results: : We are currently still in the analysis phase. Outcomes will be analyzed with descriptive statistics and confidence intervals to compare both categorical and continuous variables between both groups. Forty one teams (205 participants) were recruited with one team (5 participants) excluded from analysis due to protocol violation. Groups were similar in terms of participant age, experience level, and distributions of professions represented (RN, MD, RT). We plan to analyze for differences between groups with and without a CPR coach for the following: 1) frequency of pauses 2) median duration of pauses 3) reasons for pauses 4) initiator of the pauses 5) communication surrounding the pauses 6) number of tasks associated with each pause (coordination)
Discussion/Conclusions: : Pauses in CPR occur frequently during simulated pediatric cardiac arrest, with variable duration and underlying causes. The addition of a CPR coach to focus on quality and coordination of CPR may have an impact on the frequency, duration, and task coordination of pauses in compressions.