Effect of Face-to-Face vs Virtual Reality Training on Cardiopulmonary Resuscitation Quality: A Randomized Clinical Trial.
Joris Nas,Jos Thannhauser,Priya Vart,Robert-Jan van Geuns,Hella E C Muijsers,Jan Quinten Mol,Goaris W.A. Aarts,Lara S. F. Konijnenberg,Frank Gommans,Sandra G.A.M. Ahoud-Schoenmakers,J. Vos,Niels van Royen,Judith L. Bonnes,Marc A. Brouwer +13 more
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In this randomized noninferiority trial, VR training resulted in comparable chest compression rate but inferior compression depth compared with face-to-face training, and further development is needed to achieve the compression depth and overall CPR skills acquired by face- to- face training.Abstract:
Importance Bystander cardiopulmonary resuscitation (CPR) is crucial for survival after cardiac arrest but not performed in most cases. New, low-cost, and easily accessible training methods, such as virtual reality (VR), may reach broader target populations, but data on achieved CPR skills are lacking. Objective To compare CPR quality between VR and face-to-face CPR training. Design, Setting, and Participants Randomized noninferiority trial with a prospective randomized open blinded end point design. Participants were adult attendees from the science section of the Lowlands Music Festival (August 16 to 18, 2019) in the Netherlands. Analysis began September 2019. Interventions Two standardized 20-minute protocols on CPR and automated external defibrillator use: instructor-led face-to-face training or VR training using a smartphone app endorsed by the Resuscitation Council (United Kingdom). Main Outcomes and Measures During a standardized CPR scenario following the training, we assessed the primary outcome CPR quality, measured as chest compression depth and rate using CPR manikins. Overall CPR performance was assessed by examiners, blinded for study groups, using a European Resuscitation Council–endorsed checklist (maximum score, 13). Additional secondary outcomes were chest compression fraction, proportions of participants with mean depth (50 mm-60 mm) or rate (100 min−1-120 min−1) within guideline ranges, and proportions compressions with full release. Results A total of 381 participants were randomized: 216 women (57%); median (interquartile range [IQR]) age, 26 (22-31) years. The VR app (n = 190 [49.9%]) was inferior to face-to-face training (n = 191 [50.1%]) for chest compression depth (mean [SD], VR: 49 [10] mm vs face to face: 57 [5] mm; mean [95% CI] difference, −8 [−9 to −6] mm), and noninferior for chest compression rate (mean [SD]: VR: 114 [12] min−1vs face to face: 109 [12] min−1; mean [95% CI] difference, 6 [3 to 8] min−1). The VR group had lower overall CPR performance scores (median [IQR], 10 [8-12] vs 12 [12-13];P Conclusions and Relevance In this randomized noninferiority trial, VR training resulted in comparable chest compression rate but inferior compression depth compared with face-to-face training. Given the potential of VR training to reach a larger target population, further development is needed to achieve the compression depth and overall CPR skills acquired by face-to-face training. Trial Registration ClinicalTrials.gov identifier:NCT04013633read more
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2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.
Myra H. Wyckoff,Eunice M. Singletary,Jasmeet Soar,Theresa M. Olasveengen,Robert Greif,Helen G. Liley,David Zideman,Farhan Bhanji,Lars W. Andersen,Suzanne R Avis,Khalid Aziz,Jason C Bendall,David C. Berry,Vere Borra,Bernd W. Böttiger,Richard N Bradley,Janet Bray,Jan Breckwoldt,Jestin N. Carlson,Pascal Cassan,Maaret Castrén,Wei-Tien Chang,Nathan P. Charlton,Adam Cheng,Sung Phil Chung,Julie Considine,Daniela T Costa-Nobre,Keith Couper,Katie N. Dainty,Peter G Davis,Maria Fernanda Branco de Almeida,Allan R. de Caen,Edison F. Paiva,Charles D. Deakin,Therese Djärv,Matthew J. Douma,Ian R. Drennan,Jonathan P. Duff,Kathryn Eastwood,Jonathan L. Epstein,Raffo Escalante,Jorge Fabres,Joe Fawke,Judith Finn,Elizabeth E. Foglia,Fredrik Folke,Karoline Freeman,Elaine Gilfoyle,Craig A Goolsby,Amy Grove,Ruth Guinsburg,Tetsuo Hatanaka,Mary Fran Hazinski,George S Heriot,Karen G. Hirsch,Mathias J Holmberg,Shigeharu Hosono,Ming-Ju Hsieh,Kevin K C Hung,Cindy H. Hsu,Takanari Ikeyama,Tetsuya Isayama,Vishal S. Kapadia,Mandira Daripa Kawakami,Han Suk Kim,David Kloeck,Peter J. Kudenchuk,Anthony T Lagina,Kasper G Lauridsen,Eric J. Lavonas,Andrew Lockey,Carolina Malta Hansen,David Markenson,Tasuku Matsuyama,Christopher J D McKinlay,Amin Mehrabian,Raina M. Merchant,D. Meyran,Peter T. Morley,Laurie J. Morrison,Kevin Nation,Michael Nemeth,Robert W. Neumar,Tonia Nicholson,Susan Niermeyer,Nikolaos I. Nikolaou,Chika Nishiyama,Brian J. O'Neil,Aaron Orkin,Osokogu Osemeke,Michael Parr,Catherine Patocka,Jeffrey L. Pellegrino,Gavin D. Perkins,Jeffrey M. Perlman,Yacov Rabi,Joshua C. Reynolds,Giuseppe Ristagno,Charles Christoph Roehr,Tetsuya Sakamoto,Claudio Sandroni,Taylor Sawyer,Georg M. Schmölzer,Sebastian Schnaubelt,Federico Semeraro,Markus B. Skrifvars,Christopher M. Smith,Michael Smyth,Roger F Soll,Takahiro Sugiura,Sian Taylor-Phillips,Daniele Trevisanuto,Christian Vaillancourt,Tzong-Luen Wang,Gary M. Weiner,Michelle Welsford,Jane G. Wigginton,Jonathan Wyllie,Joyce Yeung,Jerry P. Nolan,Katherine Berg +120 more
TL;DR: The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science as mentioned in this paper, and the task forces listed priority knowledge gaps for further research.
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2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group
TL;DR: The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science as mentioned in this paper , and the task forces listed priority knowledge gaps for further research.
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Cardiopulmonary resuscitation (CPR) training strategies in the times of COVID-19: a systematic literature review comparing different training methodologies.
Daniyal Mansoor Ali,Butool Hisam,Natasha Shaukat,Noor Baig,Marcus Eng Hock Ong,Marcus Eng Hock Ong,Jonathan L. Epstein,Eric Goralnick,Paul Kivela,Bryan McNally,Junaid Abdul Razzak,Junaid Abdul Razzak +11 more
TL;DR: In this paper, the authors compared the learning outcomes of standard in-person CPR training with alternative methods of training such as hybrid or online-only training (AT) on CPR performance, quality, and knowledge among laypersons with no previous CPR training.
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Out of hospital cardiac arrest: Past, present, and future.
TL;DR: A review on past developments, present status, and future possibilities using the science-education-implementation framework of the Utstein Formula and the clinical framework of links in the chain of survival is presented in this paper.
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Virtual, Augmented, and Alternate Reality in Medical Education: Socially Distanced but Fully Immersed
TL;DR: The evidence base for use of emerging technologies in SBE is explored as well as the strengths and limitations of each modality in a variety of settings, including differences in equipment requirements, cost, and scalability.
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