Evidence map›Paper›PMID 37438023›Full record

Trial reportThe Journal of emergency medicine2023

Pediatric Chest Compression Improvement Via Augmented Reality Cardiopulmonary Resuscitation Feedback in Community General Emergency Departments: A Mixed-Methods Simulation-Based Pilot Study.

Keith Kleinman, Tai Hairston, Brittany Smith, Emma Billings, Sean Tackett, Eisha Chopra, Nicholas Risko, Daniel Swedien, Blake A Schreurs, James L Dean and 3 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07778823 (AR-CPR), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% of its field
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.

NCT07778823 narecruitingnot on this mapstarted 2025, after this paper: background citation

AR-CPR: Large-Scale Simulation-Based Testing of a Novel Augmented Reality Point of Care Chest Compression Feedback System

TypeinterventionalSponsorJohns Hopkins UniversityRan2025 to 2028Enrolled252ConditionsCardiac Arrest (CA), Pediatric Cardiac Arrest (Simulated), Cardiopulmonary Resuscitation (CPR)ArmsAR-CPR
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

13 authors at 2 institutions in 1 country.

Keith KleinmanDepartment of Pediatrics, The Johns Hopkins University, Baltimore, Maryland. Electronic address: kkleinm3@jh.edu.
Tai HairstonThe Harriet Lane Pediatric Residency Program, The Johns Hopkins University, Baltimore, Maryland.
Brittany SmithDepartment of Pediatrics, The Johns Hopkins University, Baltimore, Maryland.
Emma BillingsDepartment of Pediatrics, The Johns Hopkins University, Baltimore, Maryland.
Sean TackettBiostatistics, Epidemiology, and Data Management Core, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.
Eisha ChopraDepartment of Emergency Medicine, The Johns Hopkins University, Baltimore, Maryland.
Nicholas RiskoDepartment of Emergency Medicine, The Johns Hopkins University, Baltimore, Maryland.
Daniel SwedienDepartment of Emergency Medicine, The Johns Hopkins University, Baltimore, Maryland.
Blake A SchreursThe Johns Hopkins University Applied Physics Laboratory, LLC, The Johns Hopkins University, Laurel, Maryland.
James L DeanThe Johns Hopkins University Applied Physics Laboratory, LLC, The Johns Hopkins University, Laurel, Maryland.
Brandon ScottThe Johns Hopkins University Applied Physics Laboratory, LLC, The Johns Hopkins University, Laurel, Maryland.
Therese CanaresDepartment of Pediatrics, The Johns Hopkins University, Baltimore, Maryland.
Justin M JeffersDepartment of Pediatrics, The Johns Hopkins University, Baltimore, Maryland.
Johns Hopkins University · USJohns Hopkins University Applied Physics Laboratory · US

Funding

Training for Clinician Scientists in Pediatric Critical Cardiopulmonary DiseaseT32HL125239 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BEMBEA, MELANIA MARIA, EVERETT, ALLEN D · 2015 to 2024
$3.0M
NHLBI NIH HHS T32 HL125239
6 · The paper itself

Abstract

backgroundYearly, more than 20,000 children experience a cardiac arrest. High-quality pediatric cardiopulmonary resuscitation (CPR) is generally challenging for community hospital teams, where pediatric cardiac arrest is infrequent. Current feedback systems are insufficient. Therefore, we developed an augmented reality (AR) CPR feedback system for use in many settings.

objectiveWe aimed to evaluate whether AR-CPR improves chest compression (CC) performance in non-pediatric-specialized community emergency departments (EDs).

methodsWe performed an unblinded, randomized, crossover simulation-based study. A convenience sample of community ED nonpediatric nurses and technicians were included. Each participant performed three 2-min cycles of CC during a simulated pediatric cardiac arrest. Participants were randomized to use AR-CPR in one of three CC cycles. Afterward, participants participated in a qualitative interview to inquire about their experience with AR-CPR.

resultsOf 36 participants, 18 were randomized to AR-CPR in cycle 2 (group A) and 18 were randomized to AR-CPR in cycle 3 (group B). When using AR-CPR, 87-90% (SD 12-13%) of all CCs were in goal range, analyzed as 1-min intervals, compared with 18-21% (SD 30-33%) without feedback (p < 0.001). Analysis of qualitative themes revealed that AR-CPR may be usable without a device orientation, be effective at cognitive offloading, and reduce anxiety around and enhance confidence in the CC delivered.

conclusionsThe novel CPR feedback system, AR-CPR, significantly changed the CC performance in community hospital non-pediatric-specialized general EDs from 18-21% to 87-90% of CC epochs at goal. This study offers preliminary evidence suggesting AR-CPR improves CC quality in community hospital settings.

Indexed as

Augmented RealityCardiopulmonary ResuscitationHeart ArrestChildEmergency Service, HospitalFeedbackHumansPilot Projectsaugmented realitycardiac arrestcardiopulmonary resuscitationcommunity hospitalCPR coachpediatric emergency medicinepediatrics

Identifiers

PMID37438023
PMCPMC10360435
OpenAlexW4353055655

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.