Evidence map›Paper›PMID 29391379›Full record

Trial reportBMJ open2018

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

Keith Couper, Rochelle M Velho, Tom Quinn, Anne Devrell, Ranjit Lall, Barry Orriss, Joyce Yeung, Gavin D Perkins

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. [Adult advanced life support].Notfall & rettungsmedizin · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Keith CouperWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0003-2123-2022
Rochelle M VelhoWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Tom QuinnFaculty of Health, Social Care and Education, Kingston University and St George's, University of London, London, UK.
Anne DevrellPatient and Public representative, University of Warwick, Coventry, UK.
Ranjit LallWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Barry OrrissPatient and Public representative, University of Warwick, Coventry, UK.
Joyce YeungWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0003-2950-4758
Gavin D PerkinsWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.

Funding

Department of Health PDF-2015-08-109
6 · The paper itself

Abstract

objectivesTo evaluate the effect of training strategy on team deployment of a mechanical chest compression device.

designRandomised controlled manikin trial.

settingLarge teaching hospital in the UK.

participantsTwenty teams, each comprising three clinicians. Participating individuals were health professionals with intermediate or advanced resuscitation training.

interventionsTeams 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.

resultsIn 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.

conclusionsPit-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.

Indexed as

Guideline AdherenceCardiopulmonary ResuscitationClinical CompetenceEmergency Medical TechniciansEquipment DesignHealth PersonnelHeart MassageHumansManikinsProgram EvaluationUnited KingdomVideo Recordingadult intensive and critical careclinical trials

Identifiers

PMID29391379
PMCPMC5879816

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.