Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest : A randomised controlled trial. / Lyngby, Rasmus Meyer; Clark, Lyra; Kjoelbye, Julie Samsoee; Oelrich, Roselil Maria; Silver, Annemarie; Christensen, Helle Collatz; Barfod, Charlotte; Lippert, Freddy; Nikoletou, Dimitra; Quinn, Tom; Folke, Fredrik.

In: Resuscitation Plus, Vol. 5, 100082, 2021, p. 1-10.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Lyngby, RM, Clark, L, Kjoelbye, JS, Oelrich, RM, Silver, A, Christensen, HC, Barfod, C, Lippert, F, Nikoletou, D, Quinn, T & Folke, F 2021, 'Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial', Resuscitation Plus, vol. 5, 100082, pp. 1-10. https://doi.org/10.1016/j.resplu.2021.100082

APA

Lyngby, R. M., Clark, L., Kjoelbye, J. S., Oelrich, R. M., Silver, A., Christensen, H. C., Barfod, C., Lippert, F., Nikoletou, D., Quinn, T., & Folke, F. (2021). Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial. Resuscitation Plus, 5, 1-10. [100082]. https://doi.org/10.1016/j.resplu.2021.100082

Vancouver

Lyngby RM, Clark L, Kjoelbye JS, Oelrich RM, Silver A, Christensen HC et al. Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial. Resuscitation Plus. 2021;5:1-10. 100082. https://doi.org/10.1016/j.resplu.2021.100082

Author

Lyngby, Rasmus Meyer ; Clark, Lyra ; Kjoelbye, Julie Samsoee ; Oelrich, Roselil Maria ; Silver, Annemarie ; Christensen, Helle Collatz ; Barfod, Charlotte ; Lippert, Freddy ; Nikoletou, Dimitra ; Quinn, Tom ; Folke, Fredrik. / Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest : A randomised controlled trial. In: Resuscitation Plus. 2021 ; Vol. 5. pp. 1-10.

Bibtex

@article{8ed8d3e04157467a90385f7a6cec3dba,
title = "Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial",
abstract = "OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines.DESIGN: Non-blinded randomised controlled simulation trial.SETTING: One Emergency Medical Service trust in Copenhagen.PARTICIPANTS: 32 ambulance crews consisting of 64 on-duty basic or advanced life support paramedics from Copenhagen Emergency Medical Service.INTERVENTION: Participant exposure to real-time ventilation feedback during simulated out-of-hospital cardiac arrest.MAIN OUTCOME MEASURES: The primary outcome was ventilation quality, defined as ventilation guideline-adherence to ventilation rate (8-10 bpm) and tidal volume (500-600 ml) delivered simultaneously.RESULTS: The intervention group performed ventilations in adherence with ventilation guideline recommendations for 75.3% (Interquartile range (IQR) 66.2%-82.9%) of delivered ventilations, compared to 22.1% (IQR 0%-44.0%) provided by the control group. When controlling for participant covariates, adherence to ventilation guidelines was 44.7% higher in participants receiving ventilation feedback. Analysed separately, the intervention group performed a ventilation guideline-compliant rate in 97.4% (IQR 97.1%-100%) of delivered ventilations, versus 66.7% (IQR 40.9%-77.9%) for the control group. For tidal volume compliance, the intervention group reached 77.5% (IQR 64.9%-83.8%) of ventilations within target compared to 53.4% (IQR 8.4%-66.7%) delivered by the control group.CONCLUSIONS: Real-time ventilation feedback increased guideline compliance for both ventilation rate and tidal volume (combined and as individual parameters) in a simulated OHCA setting. Real-time feedback has the potential to improve manual ventilation quality and may allow providers to avoid harmful hyperventilation.",
author = "Lyngby, {Rasmus Meyer} and Lyra Clark and Kjoelbye, {Julie Samsoee} and Oelrich, {Roselil Maria} and Annemarie Silver and Christensen, {Helle Collatz} and Charlotte Barfod and Freddy Lippert and Dimitra Nikoletou and Tom Quinn and Fredrik Folke",
note = "{\textcopyright} 2021 The Authors.",
year = "2021",
doi = "10.1016/j.resplu.2021.100082",
language = "English",
volume = "5",
pages = "1--10",
journal = "Resuscitation Plus",
issn = "2666-5204",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest

T2 - A randomised controlled trial

AU - Lyngby, Rasmus Meyer

AU - Clark, Lyra

AU - Kjoelbye, Julie Samsoee

AU - Oelrich, Roselil Maria

AU - Silver, Annemarie

AU - Christensen, Helle Collatz

AU - Barfod, Charlotte

AU - Lippert, Freddy

AU - Nikoletou, Dimitra

AU - Quinn, Tom

AU - Folke, Fredrik

N1 - © 2021 The Authors.

PY - 2021

Y1 - 2021

N2 - OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines.DESIGN: Non-blinded randomised controlled simulation trial.SETTING: One Emergency Medical Service trust in Copenhagen.PARTICIPANTS: 32 ambulance crews consisting of 64 on-duty basic or advanced life support paramedics from Copenhagen Emergency Medical Service.INTERVENTION: Participant exposure to real-time ventilation feedback during simulated out-of-hospital cardiac arrest.MAIN OUTCOME MEASURES: The primary outcome was ventilation quality, defined as ventilation guideline-adherence to ventilation rate (8-10 bpm) and tidal volume (500-600 ml) delivered simultaneously.RESULTS: The intervention group performed ventilations in adherence with ventilation guideline recommendations for 75.3% (Interquartile range (IQR) 66.2%-82.9%) of delivered ventilations, compared to 22.1% (IQR 0%-44.0%) provided by the control group. When controlling for participant covariates, adherence to ventilation guidelines was 44.7% higher in participants receiving ventilation feedback. Analysed separately, the intervention group performed a ventilation guideline-compliant rate in 97.4% (IQR 97.1%-100%) of delivered ventilations, versus 66.7% (IQR 40.9%-77.9%) for the control group. For tidal volume compliance, the intervention group reached 77.5% (IQR 64.9%-83.8%) of ventilations within target compared to 53.4% (IQR 8.4%-66.7%) delivered by the control group.CONCLUSIONS: Real-time ventilation feedback increased guideline compliance for both ventilation rate and tidal volume (combined and as individual parameters) in a simulated OHCA setting. Real-time feedback has the potential to improve manual ventilation quality and may allow providers to avoid harmful hyperventilation.

AB - OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines.DESIGN: Non-blinded randomised controlled simulation trial.SETTING: One Emergency Medical Service trust in Copenhagen.PARTICIPANTS: 32 ambulance crews consisting of 64 on-duty basic or advanced life support paramedics from Copenhagen Emergency Medical Service.INTERVENTION: Participant exposure to real-time ventilation feedback during simulated out-of-hospital cardiac arrest.MAIN OUTCOME MEASURES: The primary outcome was ventilation quality, defined as ventilation guideline-adherence to ventilation rate (8-10 bpm) and tidal volume (500-600 ml) delivered simultaneously.RESULTS: The intervention group performed ventilations in adherence with ventilation guideline recommendations for 75.3% (Interquartile range (IQR) 66.2%-82.9%) of delivered ventilations, compared to 22.1% (IQR 0%-44.0%) provided by the control group. When controlling for participant covariates, adherence to ventilation guidelines was 44.7% higher in participants receiving ventilation feedback. Analysed separately, the intervention group performed a ventilation guideline-compliant rate in 97.4% (IQR 97.1%-100%) of delivered ventilations, versus 66.7% (IQR 40.9%-77.9%) for the control group. For tidal volume compliance, the intervention group reached 77.5% (IQR 64.9%-83.8%) of ventilations within target compared to 53.4% (IQR 8.4%-66.7%) delivered by the control group.CONCLUSIONS: Real-time ventilation feedback increased guideline compliance for both ventilation rate and tidal volume (combined and as individual parameters) in a simulated OHCA setting. Real-time feedback has the potential to improve manual ventilation quality and may allow providers to avoid harmful hyperventilation.

U2 - 10.1016/j.resplu.2021.100082

DO - 10.1016/j.resplu.2021.100082

M3 - Journal article

C2 - 34223348

VL - 5

SP - 1

EP - 10

JO - Resuscitation Plus

JF - Resuscitation Plus

SN - 2666-5204

M1 - 100082

ER -

ID: 304780300