Trial reportBMJ open2018
Evaluation of the quality of cardiopulmonary resuscitation according to vehicle driving pattern, using a virtual reality ambulance driving system: a prospective, cross-over, randomised study.
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 9 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Driving the ambulance: an essential component of emergency medical services: an integrative review.BMC emergency medicine · 2021Pooled it
- "Resuscitation on the go"- Musculoskeletal discomfort, CPR quality and provider experiences in a transit ambulance setting: A simulated, mixed-methods study.International journal of emergency medicine · 2026Article
- Evaluation of safety, comfort, and design ergonomics in ambulance retrieval vehicles: a survey in Southern India.International journal of emergency medicine · 2026Article
- Assessing Pediatric CPR Practices in the Prehospital Setting: EMS Clinician Experience, Perceptions, and Resource Utilization.Pediatric emergency care · 2026Article
- Efficacy of Virtual Reality Simulation in Teaching Basic Life Support and Its Retention at 6 Months.International journal of environmental research and public health · 2023Article
- Effect of Speed Humps on Ambulance Delay.Cureus · 2023Article
- Effect of Wearing Personal Protective Equipment (PPE) on CPR Quality in Times of the COVID-19 Pandemic-A Simulation, Randomised Crossover Trial.Journal of clinical medicine · 2021Article
- A Pilot Study of CPR Quality Comparing an Augmented Reality Application vs. a Standard Audio-Visual Feedback Manikin.Frontiers in digital health · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyse changes in the quality of cardiopulmonary resuscitation (CPR) according to driving patterns encountered during ambulance transport, using a virtual reality simulator.
designProspective, cross-over, randomised study.
settingThis study was conducted at the National Fire Service Academy, Cheonan-si, Korea.
participantsEmergency medical technicians (39 men and 9 women) attending the National Fire Service Academy for clinical training with ≥6 months field experience or having performed ≥10 CPR. Individuals who withdrew consent were excluded. OUTCOME MEASURES: CPR quality parameters (eg, chest compression depth and its variability).
resultsChest compressions were performed for 8 min each in a stationary and driving state. The mean chest compression depths were 54.8 mm and 55.3 mm during these two states, respectively (p=0.41). The SD of the chest compression depth was significantly higher while in the driving (7.6 mm) than in the stationary state (6.5 mm; p=0.04). The compression depths in the speed bump and sudden stop sections were 51.5 mm and 50.6 mm, respectively, which was shallower than those in all other sections (p<0.001). The correct hand position rate was low in the speed bump, sudden stop and right-hand cornering sections (65.4%, 71.5% and 72.5%, respectively; p=0.001)
conclusionsAlthough we found no differences in chest compression quality parameters between the stationary and driving states, the variability in the chest compression depth increased in the driving state. When comparing CPR quality parameters according to driving patterns, we noted a shallower compression depth, increased variability and decreased correct hand position rate in the speed bump, sudden stop and right-hand cornering sections. The clinical significance of these changes in CPR quality during ambulance transport remains to be determined. Future studies on how to reduce changes in the quality of CPR (including research on equipment development) are needed.
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