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Published on: December 11, 2019
Effectiveness of Smartwatch Guidance for High-Quality Infant Cardiopulmonary Resuscitation: A Simulation Study
Seong A Jeon1, Hansol Chang1,2, Sun Young Yoon2
1Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.
Insights
Smartwatch haptic feedback significantly improves infant cardiopulmonary resuscitation (CPR) quality. Medical professionals achieved better chest compression rates and depth, enhancing survival outcomes.
Area of Science:
- Pediatric Emergency Medicine
- Medical Simulation Technology
Background:
- Infant survival and neurological outcomes post-cardiopulmonary resuscitation (CPR) are critically dependent on resuscitation quality.
- High-quality CPR is essential for improving pediatric patient outcomes.
Purpose of the Study:
- To evaluate if a smartwatch can serve as a haptic feedback device to enhance the quality of infant CPR performed by medical professionals.
- To assess the impact of smartwatch-guided feedback on chest compression parameters during simulated infant CPR.
Main Methods:
- A prospective, randomized, case-crossover simulation study involving 36 medical professionals.
- Participants performed 2-minute chest compressions (CCs) using two-finger and two-thumb techniques, with and without smartwatch haptic feedback.
- Key metrics included optimal CC duration, compression rate, and compression depth.
Main Results:
- Smartwatch-assisted CPR demonstrated a significantly higher proportion of optimal chest compression duration compared to non-assisted CPR.
- The smartwatch group showed a smaller absolute difference from the target compression rate (218.02 vs. 226.59).
- Compression depth was also improved with smartwatch feedback.
Conclusions:
- Haptic feedback from a smartwatch effectively improves the quality of infant CPR.
- The system aids in maintaining appropriate compression speed and depth, irrespective of the technique used.
- This technology offers a promising tool for enhancing pediatric resuscitation training and practice.
Abstract:
Background and objectives: As in adults, the survival rates and neurological outcomes after infant Cardiopulmonary resuscitation (CPR) are closely related to the quality of resuscitation. This study aimed to demonstrate that using a smartwatch as a haptic feedback device increases the quality of infant CPR performed by medical professionals. Materials and methods: We designed a prospective, randomized, case-crossover simulation study. The participants (n = 36) were randomly allocated to two groups: control first group and smartwatch first group. Each CPR session consisted of 2 min of chest compressions (CCs) using the two-finger technique (TFT), 2 min of rest, and 2 min of CCs using the two-thumb encircling hands technique (TTHT). Results: The primary outcome was the variation in the "proportion of optimal chest compression duration" and "compression rate" between the smartwatch-assisted and non-smartwatch-assisted groups. The secondary outcome was the variation in the "compression depth" between two groups. The proportion of optimal CC duration was significantly higher in the smartwatch-assisted group than in the non-smartwatch-assisted group. The absolute difference from 220 was much smaller in the smartwatch-assisted group (218.02) than in the non-smartwatch-assisted group (226.59) (p-Value = 0.018). Conclusion: This study demonstrated the haptic feedback system using a smartwatch improves the quality of infant CPR by maintaining proper speed and depth regardless of the compression method used.
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