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Randomised controlled trial of a mobile phone infant resuscitation guide
Gavin A Hawkes1, Geraldine Murphy2, Eugene M Dempsey3
1Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Insights
A mobile phone resuscitation guide (MPRG) significantly improved emergency service calls and CPR sequence in simulated infant CPR. Further research is needed to confirm its in-vivo effectiveness.
Area of Science:
- Medical Education
- Emergency Medicine
- Mobile Health
Background:
- Cardiopulmonary resuscitation (CPR) skills are crucial for lay rescuers.
- Effective use of emergency services and correct CPR sequence are vital for patient outcomes.
- Mobile technology offers potential for accessible and immediate health guidance.
Purpose of the Study:
- To develop a mobile phone resuscitation guide (MPRG).
- To evaluate the efficacy of the MPRG in simulated infant CPR scenarios.
- To assess the impact of the MPRG on key resuscitation performance metrics.
Main Methods:
- Development of an MPRG using EpiSurveyor.
- A randomized controlled trial involving 15-16-year-old students trained in infant CPR.
- Re-assessment of CPR skills using validated checklists, comparing MPRG users to a control group.
Main Results:
- The MPRG group showed significantly higher rates of calling emergency services (80% vs. 36.4%, P=0.044).
- MPRG users were more likely to complete sufficient CPR cycles (90% vs. 45.5%, P=0.047) and follow the correct CPR sequence (60% vs. 9.1%, P=0.013).
- No significant difference was observed in overall resuscitation skills between the groups.
Conclusions:
- The MPRG enhances critical steps like emergency calls and CPR sequencing in simulated settings.
- Mobile phone guides show promise for improving lay rescuer performance.
- Further in-vivo trials are necessary to validate MPRG utility and sustained performance.
Aim:
The aim of this study was to develop a mobile phone resuscitation guide (MPRG) and to evaluate its use during simulated resuscitation of a mannequin.
Methods:
An MPRG was developed using EpiSurveyor. A randomised controlled trial was performed in school-going children aged 15-16 years. All subjects were taught infant CPR skills using the American Heart Association Infant CPR Anytime. Two weeks later, the students were randomised to use of MPRG or not, and their CPR skills were re-assessed. The assessment was conducted using previously validated checklists.
Results:
Twenty-one students participated in this trial. The MPRG group performed notably better in the areas of calling emergency services (80% vs. 36.4%, P = 0.044), completing sufficient CPR cycles (90% vs. 45.5%, P = 0.047) and following the correct CPR sequence (60% vs. 9.1%, P = 0.013). No difference in resuscitation skills of participants was observed.
Conclusions:
We have shown that participants were more likely to call emergency services if they were using the MPRG. Further trials are needed to investigate the utility of mobile phone guides and whether or not they can reduce the time taken to contact emergency services as well as if they can sustain correct CPR sequence in an in-vivo setting.
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