Development controller and feedback of Chiang Mai automated external defibrillation trainer and manikin for basic life support training

ประเมินเครื่องมือฟื้นคืนคลื่นหัวใจไฟฟ้ารุ่นเชียงใหม่

Authors

  • Laosuksri W Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Thailand
  • Chenthanakij B Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Thailand
  • Sutham K Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Thailand
  • Sruamsiri K Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Rangsri W Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Pongvuthitham R Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Rungsiyakull C Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Sucharitakul T Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Khunlertgit N Department of Computer Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Wittayachamnankul B Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Thailand

Keywords:

Basic Life Support, Automated External Defibrillation

Abstract

Objectives  Basic Life Support (BLS) should be taught to everyone; however, there is a lack of Automated External Defibrillation (AED) trainers in Thailand due to the cost of the imported equipment. An AED trainer, manikin, and manikin controller system was locally developed which can display training results to help reduce the cost.

Methods  This is a descriptive study of a locally developed controller and feedback system, the Chiang Mai AED trainer and manikin. The controller was examined by 5 BLS instructors using a 10-point scale questionnaire consisting of 3 questions to evaluate the efficacy of the device. Correlation among BLS instructors was also calculated.

Results  The controller and feedback system for the Chiang Mai AED trainer and manikin worked appropriately as intended. The instructor set up either a ‘shock advised’ or a ‘no shock advised’ scenario for 2 two-minute chest compressions. The AED trainer responded promptly when the electrode pads were attached to the manikin. The controller was also able to display compression depth, compression speed, chest recoils, rescue breaths, and time to first defibrillation. Evaluation of the controller using a 10-point scale resulted in a median of 27 (interquartile range 26-29) out of 30. Intraclass correlation was 0.97 (95% confidence interval 0.90-0.99, p < 0.001).

Conclusions  The controller for the Chiang Mai AED trainer and manikin is effective for use in BLS training.

References

Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopul-monary resuscitation and emergency cardio-vascular care. Circulation. 2015;132:S414–35.

National Statistical Office. Number of deaths by cause of death and sex across the King-dom of Thailand, 2007-2014 [Internet]. Bu-reau of International Health, Ministry of Public Health,Thailand. 2014. [cited 2017 February 1]. Available from: http://service.nso.go.th/nso/web/statseries/statseries09.html [in Thai]

ITEM3 3 Performance of the Emergency Medical Service System 2012-2017 [Internet]. National Institute of Emergency Medical Ser-vices Thailand. 2017. [cited 2017 February 1]. Available from: https://ws.niems.go.th/ITEMS_DWH/ [in Thai]

ITEM3 16 Event type 2012-2017 [Internet]. National Institute of Emergency Medical Services Thailand.2017 [cited 2017 February 1]. Available from: https://ws.niems.go.th/ITEMS_DWH/ [in Thai]

Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, et al. Part 4: Systems of care and continuous quality improvement: 2015 American Heart Association guidelines up-date for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132:S397–413.

Chan PS, McNally B, Tang F, Kellermann A. Recent trends in survival from out-of-hospital cardiac arrest in the United States. Circula-tion. 2014;130:1876–82.

Alfred Hallstrom PD (University of W, Seattle) and JPO, University MD (Virginia C, Medical Center R. Public-Access Defibrillation and Survival after Out-of-Hospital Cardiac Arrest. N Engl J Med. 2011;351:1991–2002.

Nielsen AM, Folke F, Lippert FK, Rasmussen LS. Use and benefits of public access defi-brillation in a nation-wide network. Resuscita-tion. 2013;84:430-4.

National Institute Emergency Medicine Ser-vice. Announcement of the National Institute Emergency Medicine Service Commission Subject: The use of an Automated External Defibrillator as first aid machine [Internet]. Announcement. 2015. [cited 2017 Febru-ary 14]. Available from: https://www.niems.go.th/1/Ebook/Detail/783?group=10 [in Thai]

National Institute Emergency Medicine Ser-vice. A public guide to the rescue of emer-gency patients with cardiac arrest by AED [In-ternet]. 1st ed. Nonthaburi: Srimuang Printing Company Limited; 2016 [cited 2017 February 14]. p. 29. Available from: https://www.niems.go.th/1/Ebook/Detail/788?group=21 [in Thai]

Thai resuscitaton councils. Manual for Basic Resuscitation and Automated External De-fibrillator (AED) for Citizens 2016 [Internet]. Bangkok: Panyamitr Printing; 2016. [cited 2016 February 11]. 40 p. Available from: https://www.thaicpr.org/?mod=knowledge&op=view&knowledge_id=14 [in Thai]

Bhanji F, Donoghue AJ, Wolff MS, Flores GE, Halamek LP, Berman JM, et al. Part 14: Education: 2015 American Heart Association guidelines update for cardiopulmonary resus-citation and emergency cardiovascular care. Circulation. 2015;132:S561–73.

Younas S, Raynes A, Morton S, Mackway-Jones K. An evaluation of the effectiveness of the Opportunities for Resuscitation and Citi-zen Safety (ORCS) defibrillator training pro-gramme designed for older school children. Resuscitation. 2006;71:222–8.

Lee JH, Cho Y, Kang KH, Cho GC, Song KJ, Lee CH. The Effect of the Duration of Basic Life Support Training on the Learners ’ Cardiopul-monary and Automated External Defibrillator Skills. Biomedial Res Int. 2016;2016:1–7.

Yeung J, Davies R, Gao F, Perkins GD. A ran-domised control trial of prompt and feed-back devices and their impact on quality of chest compressions--a simulation study. Re-suscitation. 2014;85:553–9.

Wik L, Thowsen J, Andreas Steen P. An au-tomated voice advisory manikin system for training in basic life support without an in-structor. A novel approach to CPR training. Resuscitation. 2001;50:167–72.

Wee JCP, Nandakumar M, Chan YH, Yeo RSL, Kaur K, Anantharaman V, et al. Effect of using an audiovisual CPR feedback device on chest compression rate and depth. Ann Acad Med Singapore. 2014;43:33–8.

Cheng A, Brown LL, Duff JP, Davidson J, Overly F, Tofil NM, et al. Improving cardio-pulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial. JAMA Pedi-atr. 2015;169:137–44.

Noordergraaf GJ, Drinkwaard BWPM, van Berkom PFJ, van Hemert HP, Venema A, Scheffer GJ, et al. The quality of chest com-pressions by trained personnel: The effect of feedback, via the CPREzy, in a randomized controlled trial using a manikin model. Re-suscitation. 2006;69:241–52.

Lynch B, Einspruch EL, Nichol G, Aufderheide TP. Assessment of BLS skills: Optimizing use of instructor and manikin measures. Resusci-tation. 2008;76:233–43.

Semeraro F, Frisoli A, Loconsole C, Bannò F, Tammaro G, Imbriaco G, et al. Motion detec-tion technology as a tool for cardiopulmo-nary resuscitation (CPR) quality training: a ran-domised crossover mannequin pilot study. Resuscitation. 2013;84:501–7.

Fischer H, Gruber J, Neuhold S, Frantal S, Hochbrugger E, Herkner H, et al. Effects and limitations of an AED with audiovisual feed-back for cardiopulmonary resuscitation: a randomized manikin study. Resuscitation. 2011;82:902–7.

Beckers S, Fries M, Bickenbach J, Derwall M, Kuhlen R, Rossaint R. Minimal instructions im-prove the performance of laypersons in the use of semiautomatic and automatic external defibrillators. Crit Care. 2005;9:R110–6.

Beckers SK, Fries M, Bickenbach J, Skorning MH, Derwall M, Kuhlen R, et al. Retention of skills in medical students following minimal theoretical instructions on semi and fully automated external defibrillators. Resuscita-tion. 2007;72:444–50.

Downloads

Published

2021-01-01

How to Cite

1.
W L, B C, K S, K S, W R, R P, C R, T S, N K, B W. Development controller and feedback of Chiang Mai automated external defibrillation trainer and manikin for basic life support training : ประเมินเครื่องมือฟื้นคืนคลื่นหัวใจไฟฟ้ารุ่นเชียงใหม่. BSCM [Internet]. 2021 Jan. 1 [cited 2024 Nov. 5];60(1):87-98. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/243152

Issue

Section

Original Article