ArticleResuscitation plus2021
The impact of introducing real time feedback on ventilation rate and tidal volume by ambulance clinicians in the North East in cardiac arrest simulations.
Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled 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.
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
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- The effectiveness and perceived value of feedback used in cardiac arrest simulation education: a mixed-method systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Real-world adoption and use of a ventilation feedback device during out-of-hospital cardiac arrest: a population-based observational study from a French prehospital system.Resuscitation plus · 2026Article
- Agreement and Reliability of a Newly Developed Tidal Volume Monitoring Device in Bag-Valve Ventilation and Intubation Scenarios: A Simulation-Based Study.Bioengineering (Basel, Switzerland) · 2026Article
- Pediatric versus adult self-inflating bags for cardiopulmonary resuscitation of adult patients with cardiac arrest - a non-randomized controlled trial.Resuscitation plus · 2026Article
- Performance Indicators in Emergency Medical Services: A Scoping Review of Dashboard Applications in the Context of Crisis Management.Archives of academic emergency medicine · 2026Review
- Real-time ventilation quality feedback devices efficacy in out-of-hospital cardiac arrest: a scoping review.Resuscitation plus · 2025Review
- Exploratory study comparing a single episode of feedback with regular feedback and no feedback on BVM ventilation during a simulated cardiac arrest over a six-month time frame: a research protocol.British paramedic journal · 2025Article
- Real-time ventilation feedback devices for out-of-hospital cardiac arrest: a review of the literature.British paramedic journal · 2025Article
- Evaluation of "Real BVM Help" for Improving Manual Ventilation Quality in the Prehospital Setting: A Before-After Manikin Study.Open access emergency medicine : OAEM · 2025Article
- Ventilation and Oxygenation During and After Adult Cardiopulmonary Resuscitation: Changing Paradigms.Respiratory care · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch suggests rescuers deliver ventilations outside of recommendations during out of hospital cardiac arrest (OHCA), which can be deleterious to survival. We aimed to determine if ambulance clinician compliance with ventilation recommendations could be improved using the Zoll Accuvent real time ventilation feedback device (VFD).
methodsParticipants simulated a two-minute cardiac arrest scenario using a mannequin and defibrillator without ventilation feedback. Eligible for inclusion were all clinicians aged ≥18 years who perform cardiopulmonary resuscitation (CPR) as part of their role, who had completed an internal advanced life support (ALS) refresher. Following familiarisation of a few minutes with the VFD, participants repeated the two-minute scenario with ventilation feedback. Ventilation rate and volume and CPR quality were recorded. Primary outcome was % difference in ventilation compliance with and without feedback. Secondary outcomes were differences between paramedic and non-paramedic clinicians and compliance with chest compression guidelines.
resultsOne hundred and six participants completed the study. Median ventilation rate without feedback was 10 (IQR 8-14, range 4-30) compared to 9 (IQR 9-9, range 6-17) with feedback; median tidal volume without feedback was 630 mls (IQR 518-725, range 201-1114) compared to 546 mls (IQR 531-560, range 490-750) with feedback. Proportion of clinicians ≥50% compliant with European Resuscitation Council ventilation recommendations were significantly greater with ventilation feedback compared to without, 91% vs. 9%, (McNemars test
conclusionsAmbulance clinician baseline ventilation quality was frequently outside of recommendations, but a VFD can ensure treatment is within evidence-based recommendations. Further research is required to validate the use of the VFD in true clinical practice and to evaluate the relationship between improved ventilation quality during OHCA and patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.