Real-time Feedback for Cardiac Arrest

(VENT-SIM Trial)

KN
BY
Overseen ByBetty Yang, MD MS
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: University of Texas Southwestern Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if real-time visual feedback can help emergency responders enhance their rescue breathing skills during CPR. Researchers are testing whether immediate feedback improves the accuracy of air delivery by rescuers. They are also exploring whether different CPR methods, such as continuous versus interrupted chest compressions, affect the feedback's effectiveness. The trial seeks active EMS professionals to participate. As an unphased trial, it offers EMS professionals the chance to contribute to potentially life-saving advancements in CPR techniques.

Do I need to stop my current medications for this trial?

The trial does not specify whether you need to stop taking your current medications.

What prior data suggests that this real-time feedback method is safe for improving CPR performance?

Research shows that real-time feedback during CPR is safe and helpful. Studies have found that feedback systems, such as those on smartwatches, improve CPR quality by helping rescuers maintain the correct compression depth and speed. This enhances the effectiveness and accuracy of rescue efforts.

A review found that real-time feedback during CPR links to better patient outcomes. Feedback devices, especially those with sound and visuals, have been associated with improved results for people experiencing cardiac arrest.

Overall, evidence suggests that real-time feedback is well-tolerated and can help save lives by making CPR more effective. While studies focused on CPR quality, they did not report any major safety concerns with these feedback systems.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores the impact of real-time feedback on CPR techniques during cardiac arrest. Real-time feedback offers immediate information on the quality of chest compressions, potentially improving the effectiveness of CPR by guiding adjustments in speed and depth. While traditional CPR relies on consistent technique and periodic checks without feedback, this trial seeks to find out if live adjustments can enhance patient outcomes. By examining both continuous and interrupted chest compressions with and without feedback, the trial could redefine CPR protocols, making life-saving efforts more effective.

What evidence suggests that real-time feedback is effective for improving ventilation performance during CPR?

Research shows that real-time feedback during CPR can enhance rescue efforts. In this trial, some participants will receive continuous chest compressions with feedback, while others will receive standard CPR with interrupted compressions and feedback. Studies have found that immediate feedback helps rescuers improve crucial CPR actions, such as the depth and speed of chest compressions. When rescuers receive instant information, they can adjust to be more effective. One study showed that this feedback improved outcomes for individuals who experienced cardiac arrests outside hospitals, aiding rescuers in delivering the correct amount of air during rescue breaths. Another study found that feedback tools, like those on smartwatches, improved CPR quality among healthcare workers. These findings suggest that real-time feedback could be a valuable tool for enhancing CPR during emergencies.12678

Are You a Good Fit for This Trial?

This trial is for Emergency Medical Services (EMS) responders who will participate in a simulation of out-of-hospital cardiac arrest. The study aims to evaluate their performance in delivering rescue breaths during CPR with and without real-time visual feedback.

Inclusion Criteria

Credentialed EMS
I am 18 years old or older.

Exclusion Criteria

Inactive EMS role
EMS Instructor

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week

Simulation Session

Participants deliver assisted ventilation breaths to a mannequin with and without feedback using two different CPR strategies in one session.

1 session
1 visit (in-person)

Survey

Participants fill out a survey about their experience level.

Immediately after simulation

Follow-up

Participants are monitored for adherence to specific targets and performance feedback.

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • Real-time feedback

Trial Overview

The trial investigates the impact of real-time visual feedback on ventilation performance during CPR. EMS responders will be randomly assigned to perform rescue breathing on a mannequin using two different strategies, one with pauses for breaths and one without, both with and without feedback.

How Is the Trial Designed?

4

Treatment groups

Experimental Treatment

Active Control

Group I: Standard CPR with interrupted compressions with feedbackExperimental Treatment1 Intervention
Group II: Continuous chest compressions with feedbackExperimental Treatment1 Intervention
Group III: Continuous chest compressions without feedbackActive Control1 Intervention
Group IV: Standard CPR with interrupted compressions without feedbackActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Texas Southwestern Medical Center

Lead Sponsor

Trials
1,102
Recruited
1,077,000+

American Heart Association

Collaborator

Trials
352
Recruited
6,196,000+

Citations

Association of Real‐Time Feedback and Cardiopulmonary ...

This study investigated the association between emergency medical service CPR quality and real‐time CPR feedback for out‐of‐hospital cardiac arrest.

Effectiveness of a smartwatch-based feedback system in ...

Conclusion The use of a feedback-enabled smartwatch improved CPR quality metrics, including compression depth and rate, among healthcare professionals.

Chest compression quality and patient outcomes with the ...

CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system. Resuscitation 73, 54–61. https ...

The System-Wide Effect of Real-Time Audiovisual Feedback ...

For each cardiac arrest, a core dataset of demographic, CPR quality, and outcome data was collected. Standardized definitions for each variable were used (15, ...

Real-time feedback for CPR quality – A scoping review

Addition of real-time CPR feedback improves immediate outcomes for out-of-hospital cardiac arrest. Circulation. 2014;130:A72-A. [Google ...

The Effect of a Real-time Audiovisual Feedback System on ...

The investigators will evaluate the effect of a real-time audiovisual feedback system on CPR quality during in-hospital cardiac arrest. Official Title. The ...

Real-time feedback for CPR quality – A scoping review

This scoping review exploring the impact of real-time feedback for cardiopulmonary resuscitation (CPR) quality on patient outcomes identified 60 studies that ...

The Role of Different Feedback Devices in the Survival ...

Conclusions: Feedback devices, particularly audiovisual ones, are associated with improved clinical outcomes in cardiac arrest patients. Their use should be ...