Augmented Reality-Cardiopulmonary Resuscitation Support for Pediatric Resuscitation
Purpose
This study evaluates whether an augmented reality cardiopulmonary resuscitation feedback system (AR-CPR) can support health care providers in delivering high-quality chest compressions during pediatric cardiac arrest. AR-CPR provides real-time visual feedback on chest compression rate, depth, and recoil through a head-mounted augmented reality display. In this randomized, multicenter, international, simulation-based non-inferiority study, health care providers perform chest compressions during an 18-minute simulated pediatric cardiac arrest. Participants are assigned to receive either real-time feedback from AR-CPR or coaching from a trained human CPR coach. The primary objective is to determine whether the percentage of chest compressions meeting guideline targets for both rate and depth with AR-CPR is non-inferior to that achieved with human CPR coaching.
Conditions
- Cardiac Arrest (CA)
- Pediatric Cardiac Arrest (Simulated)
- Cardiopulmonary Resuscitation (CPR)
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- Actively credentialed pediatric emergency department or pediatric intensive care unit nurse or clinical technician at a participating study site - Current American Heart Association (AHA) Pediatric Advanced Life Support (PALS) certification
Exclusion Criteria
- Inability to physically perform chest compressions - Need for prescription corrective lenses without having those corrective lenses available at the time of study participation
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Other
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
No Intervention Quality CPR Coaching |
Participants receive real-time CPR performance feedback from a trained human CPR coach during an 18-minute simulated pediatric cardiac arrest. The CPR coach uses real-time compression rate, depth, and recoil data to provide goal-directed prompts based on Pediatric Advanced Life Support (PALS) targets, positive reinforcement for high-quality CPR, and guidance for compressor changes. |
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|
Experimental AR-CPR |
Participants use the AR-CPR system during an 18-minute simulated pediatric cardiac arrest. AR-CPR provides real-time visual feedback on chest compression rate, depth, and recoil through a head-mounted augmented reality display. The system displays numerical values and visual cues and provides goal-directed instructions when CPR performance falls outside established targets. |
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Recruiting Locations
St. Petersburg, Florida 33701
Baltimore, Maryland 21287
New York, New York 10032
Philadelphia, Pennsylvania 19104
Providence, Rhode Island 02903
Dallas, Texas 75235
Houston, Texas 77030
More Details
- Status
- Recruiting
- Sponsor
- Johns Hopkins University
Detailed Description
This prospective, multicenter, international, randomized, unblinded, non-inferiority study evaluates an augmented reality cardiopulmonary resuscitation feedback system (AR-CPR) compared with traditional human-delivered quality CPR coaching during simulated pediatric cardiac arrest. The study uses a standardized 18-minute pediatric cardiopulmonary arrest simulation conducted across eight participating institutions in the United States and Canada. Participants are actively credentialed pediatric emergency department or intensive care unit nurses and clinical technicians with current Pediatric Advanced Life Support (PALS) certification and prior experience or training functioning as quality CPR coaches. Participants are organized into teams of one to three members and perform chest compressions on a standardized high-fidelity pediatric manikin during a simulated non-shockable cardiac arrest involving an intubated 7-year-old child. The simulation is limited to chest compression performance to isolate the effect of the feedback modality on CPR quality. Participants are randomized at the team level to one of two study arms. In the control arm, an experienced, trained CPR coach provides real-time, goal-directed feedback based on chest compression rate, depth, and recoil. In the intervention arm, participants use AR-CPR, a head-mounted augmented reality system that provides real-time visual feedback on these same CPR performance measures. AR-CPR displays numerical and visual feedback within the participant's field of view and provides escalating goal-directed guidance when CPR performance falls outside established targets. CPR performance data are collected using the same AR-CPR sensor system in both study arms to provide standardized objective measurement. The study evaluates whether CPR performance with AR-CPR is non-inferior to performance achieved with a trained human CPR coach. The primary measure of CPR performance is the percentage of compressions simultaneously meeting American Heart Association guideline targets for compression rate and depth. Additional assessments characterize other measures of CPR quality and participants' cognitive workload and experience with the augmented reality system.