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Estimation of CPR Chest Compression Depth

Primary Purpose

Cardiac Arrest

Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Compression depth
Sponsored by
University Hospital Southampton NHS Foundation Trust
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cardiac Arrest focused on measuring CPR, Basic life support

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • NHS professionals (staff or students), who have successfully completed a hospital-accredited basic life support (BLS) course, including a practical CPR component.

Exclusion Criteria:

  • Pregnancy, significant medical illness or injury that would impair delivery of chest compressions

Sites / Locations

  • University Hospital Southampton

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Target compression depth 4.0-5.0 cm

Target compression depth 4.5-5.5 cm

Target compression depth 5.0-6.0 cm

Arm Description

The rescuer is asked to perform two minutes of chest compressions on a manikin, aiming to compress to the target depth at a rate of 100-120/min

The rescuer is asked to perform two minutes of chest compressions on a manikin, aiming to compress to the target depth at a rate of 100-120/min

The rescuer is asked to perform two minutes of chest compressions on a manikin, aiming to compress to the target depth at a rate of 100-120/min

Outcomes

Primary Outcome Measures

Compression to target window depth
Mean compression depth

Secondary Outcome Measures

Compression to target rate
Mean compression rate

Full Information

First Posted
July 21, 2017
Last Updated
August 8, 2017
Sponsor
University Hospital Southampton NHS Foundation Trust
Collaborators
University of Southampton
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1. Study Identification

Unique Protocol Identification Number
NCT03230461
Brief Title
Estimation of CPR Chest Compression Depth
Official Title
Can Rescuers Accurately Deliver Subtle Changes to Chest Compression Depth if Recommended by Future Guidelines?
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
October 2016 (Actual)
Primary Completion Date
August 7, 2017 (Actual)
Study Completion Date
August 7, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital Southampton NHS Foundation Trust
Collaborators
University of Southampton

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Optimal chest compression depth during CPR is 4.56cm which is at variance with the current guidelines of 5.0-6.0cm. A change in guidelines is only worthwhile if healthcare professionals can accurately judge a subtle reduction in chest compression depth during CPR by a relatively small amount.
Detailed Description
Chest compression depth and rate during cardiopulmonary resuscitation (CPR) are important predictors of return of spontaneous circulation and survival following cardiac arrest. Stiell et al (2014) found optimal survival at a compression depth of 4.56cm, which is at variance with the current guidelines of 5.0-6.0cm. A change in guidelines is only likely to improve survival rates if healthcare professionals can accurately implement these subtle depth modifications into the basic life support (BLS) algorithm. This study aims to determine if healthcare professionals can accurately judge compression depth without real-time feedback.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cardiac Arrest
Keywords
CPR, Basic life support

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Model Description
Prospective, randomised.
Masking
ParticipantInvestigator
Masking Description
Participants and researchers are blinded to the actual depth achieved during each CPR run.
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Target compression depth 4.0-5.0 cm
Arm Type
Experimental
Arm Description
The rescuer is asked to perform two minutes of chest compressions on a manikin, aiming to compress to the target depth at a rate of 100-120/min
Arm Title
Target compression depth 4.5-5.5 cm
Arm Type
Experimental
Arm Description
The rescuer is asked to perform two minutes of chest compressions on a manikin, aiming to compress to the target depth at a rate of 100-120/min
Arm Title
Target compression depth 5.0-6.0 cm
Arm Type
Experimental
Arm Description
The rescuer is asked to perform two minutes of chest compressions on a manikin, aiming to compress to the target depth at a rate of 100-120/min
Intervention Type
Behavioral
Intervention Name(s)
Compression depth
Primary Outcome Measure Information:
Title
Compression to target window depth
Description
Mean compression depth
Time Frame
Two minutes
Secondary Outcome Measure Information:
Title
Compression to target rate
Description
Mean compression rate
Time Frame
Two minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: NHS professionals (staff or students), who have successfully completed a hospital-accredited basic life support (BLS) course, including a practical CPR component. Exclusion Criteria: Pregnancy, significant medical illness or injury that would impair delivery of chest compressions
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charles Deakin, MD
Organizational Affiliation
University Hospital Southampton NHS Foundation Trust
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital Southampton
City
Southampton
State/Province
Hampshire
ZIP/Postal Code
SO16 6YD
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
Available on request

Learn more about this trial

Estimation of CPR Chest Compression Depth

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