Effectiveness of Video-assisted Cardiopulmonary Resuscitation

Is Video-assisted Cardiopulmonary Resuscitation More Effective Than Telephone-assisted or Not-instructed Cardiopulmonary Resuscitation by Laypeople? - a Randomized Controlled Simulation Study

Sudden cardiac arrest is a major public health problem worldwide and it is one of the leading causes of death in industrialized countries. Emergency Medical Services (EMS) dispatchers play an important role to recognize cardiac arrest and give help to the lay first responder via telephone CPR (T-CPR) which improves survival rates. The current technology allows the live video connection between the scene and the dispatcher which provides the opportunity for video-assisted CPR (V-CPR) via the bystander smartphone.

Effectiveness of V-CPR has only been investigated to a limited extent. Comparing effectiveness of V-CPR (effectiveness of chest compression, time parameters eg. time to first chest compression) to T-CPR and non-instructed CPR can be useful to implement V-CPR technology.

Study Overview

• Status: Completed
• Conditions: Cardiac Arrest
• Intervention / Treatment: Other: Video-assisted CPR; Other: Telephone-assisted CPR

Detailed Description

Sudden cardiac arrest is a major public health problem worldwide and it is one of the leading causes of death in industrialized countries. EMS dispatchers play an important role to recognize cardiac arrest and give help to the lay first responder via telephone CPR (T-CPR) which improves survival rates. The current technology allows the live video connection between the scene and the dispatcher which provides the opportunity for video-assisted CPR (V-CPR) via the bystander smartphone.

Effectiveness of V-CPR has only been investigated to a limited extent. Comparing effectiveness of V-CPR (quality of chest compressions: depth, rate, hand position), time parameters: time to recognize cardiac arrest, time of check breathing, total no-flow time, to first chest compression) to T-CPR and non-instructed CPR can be useful to implement V-CPR technology.

• Study Type: Interventional
• Enrollment (Actual): 150
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Hungary
  • Pécs, Hungary, 7621
    • University of Pecs

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 30 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• healthy volunteer

Exclusion Criteria:

• healthcare professionals (paramedics, nurses, etc.)
• pregnant women
• people with cardio-pulmonary and musculoskeletal diseases or any other impairment that would risk harm for the volunteer while performing CPR for 2 minutes
• psychological disabilities

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: T-CPR; Participants perform telephone-assisted CPR based on the European Resuscitation Council (ERC) 2021 guidelines.	Other: Video-assisted CPR; Participants in V-CPR group get video-based (vocal and visual) instructions from the dispatcher.; Other: Telephone-assisted CPR; Participants in T-CPR group get voice-based (vocal) instructions from the dispatcher.
Experimental: V-CPR; Participants perform video-assisted CPR based on the European Resuscitation Council (ERC) 2021 guidelines.	Other: Video-assisted CPR; Participants in V-CPR group get video-based (vocal and visual) instructions from the dispatcher.; Other: Telephone-assisted CPR; Participants in T-CPR group get voice-based (vocal) instructions from the dispatcher.
No Intervention: Unassisted CPR; CPR without dispatcher instructions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of chest compressions (depth of chest compressions).	Chest compression depth will be evaluated by a manikin connected to a CPR software.	During procedure
Quality of chest compressions (rate of chest compressions).	Chest compression rate will be evaluated by a manikin connected to a CPR software.	During procedure
Quality of chest compressions (hand position of chest compressions).	Hand position during chest compression will be evaluated by observation.	During procedure

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time factors of CPR	Measuring the time of check breathing, time to recognize cardiac arrest, time to first chest compression, and cumulative time of no-flow time by the CPR software and observation.	During procedure
Attitude of bystanders.	Subjective feelings after performing CPR based on a short survey using Likert-scale based queries (lower numbers indicate worse, higher score indicates better opinion).	Immediately after the CPR procedure (within 15 minutes)

Collaborators and Investigators

• Sponsor: University of Pecs
• Investigators: Principal Investigator: Bálint Bánfai, PhD, University of Pecs

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2022
• Primary Completion (Actual): January 20, 2023
• Study Completion (Actual): January 23, 2023

Study Registration Dates

• First Submitted: November 14, 2022
• First Submitted That Met QC Criteria: December 2, 2022
• First Posted (Actual): December 6, 2022

Study Record Updates

• Last Update Posted (Estimate): January 24, 2023
• Last Update Submitted That Met QC Criteria: January 23, 2023
• Last Verified: January 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Heart Diseases; Cardiovascular Diseases; Heart Arrest
• Other Study ID Numbers: Upecs_V-CPR

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No