Cardiac arrest & resuscitation

Integrated CPR coach and compressor training improves CPR quality in a pediatric emergency department

ResuscitationPublished Quality improvement study

Authors' conclusion

In a PED, a multimodal intervention incorporating CPR coach training, compressor training, and metronome guided feedback improved chest compression depth and rate compliance while maintaining CCF.

Study context

Population
Patients presenting in cardiac arrest to a pediatric ED106 included
Participants
140 patients
Comparison
Baseline vs Intervention
Outcome
Chest compression compliance with AHA recommendations for depth and rate (target >80%), maintaining CCF at 89%
Methodological detailssingle-centre, run charts, statistical control charts, video review and accelerometer-equipped defibrillator data, October 2022 to December 2025
  • Single-centre
  • Run charts
  • Statistical control charts
  • Video review and accelerometer-equipped defibrillator data
  • October 2022 to December 2025

Main finding

As reported in the abstract

Chest compression depth and rate compliance, CCF

Median percent depth compliance, all ages (baseline → intervention)

14% to 61%

Median percent rate compliance (baseline → intervention)

69% to 80%

Chest compression fraction (CCF) remained

89%

Further findings

Mean depth, infants

Mean depth increased
3.1 cm to 4.4 cm
  • 54 infants

Mean depth, children and adolescents

Mean depth did not increase; special cause variation observed in children

Consecutive encounters meeting American Heart Association's (AHA) mean rate target

Increased

Original publication

Integrated CPR coach and compressor training improves CPR quality in a pediatric emergency department. Resuscitation. Published 20 May 2026. doi:10.1016/j.resuscitation.2026.111141

Composed by AI from the published abstract and checked against it. How Briefs are made →

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