Augmented Reality for Pediatric Cardiac Arrest

No longer recruiting at 1 trial location

Overseen By Johan N Siebert, MD, PD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Johan Siebert, MD

Disqualifiers: Decline consent, Previously enrolled, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether augmented reality (AR) tools help pediatric healthcare teams better follow advanced life support guidelines during simulated in-hospital cardiac arrest scenarios. The goal is to determine if AR improves performance and reduces medication errors compared to standard reference cards. Suitable participants include healthcare professionals, such as doctors and nurses with basic life support training, who work in pediatric emergency or critical care settings. As an unphased study, this trial allows healthcare professionals to explore innovative AR tools that could enhance their skills and patient care.

Will I have to stop taking my current medications?

The trial information does not specify whether participants must stop taking their current medications.

What prior data suggests that the augmented reality supportive tool is safe for pediatric cardiac arrest scenarios?

Research has shown that augmented reality (AR) tools in medical settings are generally safe. One study found that an AR app for CPR, a lifesaving technique used in emergencies, was easy to use and well-accepted by users, indicating comfort with the technology. Another study demonstrated that an electronic decision support tool helped healthcare providers better manage cardiac arrest scenarios, suggesting these tools do not introduce new risks or problems.

Overall, using AR in emergency care, like the tool under study, appears safe and user-friendly. Studies have not reported significant harmful effects or negative events linked to these tools. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about using augmented reality (AR) for pediatric cardiac arrest because it introduces a cutting-edge tool to enhance training and performance during critical situations. Unlike traditional methods, which rely solely on conventional simulation and practice, AR provides a dynamic, interactive environment that can offer real-time guidance and visualization. This technology allows medical professionals to see detailed overlays of patient information and step-by-step instructions during simulations, potentially leading to faster, more accurate responses in real emergencies. By integrating AR, the hope is to elevate the effectiveness of training, ultimately improving outcomes for young patients facing cardiac arrest.

What evidence suggests that this augmented reality supportive tool is effective for improving adherence to AHA guidelines in pediatric cardiac arrest scenarios?

Research shows that augmented reality (AR) tools can help healthcare teams better manage pediatric cardiac arrest. In this trial, participants in Arm A will use an augmented reality supportive tool during simulation-based pediatric scenarios. Studies have shown that interactive AR tools help teams follow guidelines more closely and reduce mistakes, especially in stressful situations. One specific tool, PediAppRREST, improved the handling of practice scenarios for cardiac arrest in hospitals. This tool serves as a mental aid, providing healthcare providers with quick access to important information when needed. Evidence suggests that AR tools can significantly enhance team performance and speed up crucial actions, such as administering medication. ^{6 7 8 9 10}

Who Is on the Research Team?

Johan N Siebert, MD, PD

Principal Investigator

Geneva Children's Hospital, Geneva, Switzerland

Adam Cheng, Prof

Principal Investigator

Alberta Children's Hospital, Calgary, Canada

Are You a Good Fit for This Trial?

This trial is for healthcare teams in pediatric emergency departments. Participants must be able to perform cardiopulmonary resuscitation (CPR) and use either augmented reality tools or a pocket reference card during simulated cardiac arrest scenarios.

Inclusion Criteria

I have completed basic life support training.

Inclusion criteria for the team leader include attending physician, fellow, or senior resident in emergency medicine, pediatric emergency medicine, pediatrics, pediatric critical care, or pediatric anesthesia

Participation agreement

Exclusion Criteria

I am unable to perform certain required tasks.

Decline to provide informed consent

Previously enrolled

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Orientation

Participants and actors view a CPR Coach orientation video to ensure understanding of the CPR Coach and Provider functions

1 week

1 visit (in-person)

Simulation-based Scenario

Participants engage in simulation-based pediatric in-hospital cardiac arrest scenarios using either an AR-assisted tool or conventional AHA pocket reference cards

20 minutes per scenario

Multiple sessions (in-person)

Follow-up

Participants complete various questionnaires to assess user experience, system usability, and stress levels after the resuscitation scenarios

15-20 minutes

1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

• Augmented Reality Supportive Tool

Trial Overview The study compares the effectiveness of an augmented reality tool versus a conventional AHA pocket reference card during CPR. It measures adherence to guidelines, performance, and medication errors in pediatric cardiac arrest situations.

How Is the Trial Designed?

Group I: Arm A (Augmented Reality) Experimental Treatment 1 Intervention

Participants that will use the augmented reality supportive tool during the simulation-based pediatric scenario.

Group II: Arm B (Conventional methods) Active Control 1 Intervention

Participants that will use conventional methods during the simulation-based pediatric scenario.

Who Is Running the Clinical Trial?

Johan Siebert, MD

Lead Sponsor

Trials

1

Recruited

70+

Geneva Children's Hospital, Geneva, Switzerland

Collaborator

Trials

1

Recruited

70+

Alberta Children's Hospital, Calgary, Canada

Collaborator

Trials

1

Recruited

70+

University Hospital, Geneva

Collaborator

Trials

522

Recruited

1,868,000+

Alberta Children's Hospital

Collaborator

Trials

58

Recruited

44,700+

Published Research Related to This Trial

The augmented reality (AR) CPR feedback system significantly improved chest compression performance in community emergency departments, with 87-90% of compressions meeting the goal range compared to only 18-21% without feedback.

Qualitative feedback from participants indicated that AR-CPR was easy to use, helped reduce anxiety, and increased confidence in delivering effective CPR, suggesting it could be a valuable tool in non-pediatric-specialized settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Pediatric Chest Compression Improvement Via Augmented Reality Cardiopulmonary Resuscitation Feedback in Community General Emergency Departments: A Mixed-Methods Simulation-Based Pilot Study. Kleinman, K., Hairston, T., Smith, B., et al.[2023]

Citations

1. reporter.nih.gov reporter.nih.gov/project-details/10815738

AR-CPR - NIH RePORTER ... AR-CPR by making this clinical lifesaving tool easier to use, accessible, and affordable and thus equitably supporting providers at the point of care to ...

2. jamanetwork.com jamanetwork.com/journals/jamanetworkopen/fullarticle/2807929

Effectiveness of a Novel Tablet Application in Reducing ... A comprehensive tool was needed to accurately assess the possible impacts of the use of the PediAppRREST on the management of pediatric cardiac ...

3. bmjopen.bmj.com bmjopen.bmj.com/content/11/7/e047208

PediAppRREST: effectiveness of an interactive cognitive ... Use of an electronic decision support tool improves management of simulated in-hospital cardiac arrest. Resuscitation 2014;85:138–42.doi:10.1016/j ...

4. withpower.com withpower.com/trial/augmented-reality-for-pediatric-cardiac-arrest-e2ea1

Augmented Reality for Pediatric Cardiac Arrest ... effectiveness of the treatment Augmented Reality Supportive Tool for Pediatric Cardiac Arrest? Research shows that augmented reality tools, like AR glasses ...

5. clinicaltrials.gov clinicaltrials.gov/study/NCT04619498

Effectiveness of an Interactive Cognitive Support Tablet ... By providing a quick reference tool, it serves as a cognitive aid for healthcare providers who either direct or participate in the management of pediatric ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC8319988/

PediAppRREST: effectiveness of an interactive cognitive ... Use of an electronic decision support tool improves management of simulated in-hospital cardiac arrest. Resuscitation 2014;85:138–42 ...

7. sciencedirect.com sciencedirect.com/science/article/pii/S1876139922000342

Comparison of Augmented Reality-assisted and Instructor- ... Conclusion. We found that the AR CPR app was an acceptable and usable tool both in real-time-assisted CPR and self-training CPR.

8. mhealth.jmir.org mhealth.jmir.org/2020/10/e19070

Development and Usability of a Novel Interactive Tablet App ... ... data on previously developed cognitive support tools which ... support tool improves management of simulated in-hospital cardiac arrest.

9. ahajournals.org ahajournals.org/doi/10.1161/CIR.0000000000000911

P-COSCA (Pediatric Core Outcome Set for Cardiac Arrest) ... The VABS-II has been used as a primary outcome assessment tool in pediatric cardiac arrest studies. The Steering Committee discussed ...

10. researchgate.net researchgate.net/publication/369467339_Pediatric_Chest_Compression_Improvement_via_Augmented_Reality_Cardiopulmonary_Resuscitation_Feedback_in_Community_General_Emergency_Departments_A_Mixed-Methods_Simulation-Based_Pilot_Study

A Mixed-Methods Simulation-Based Pilot Study Co-Designing Augmented Reality Tools for High-Stakes ... paediatric cardiac arrest case as measured by the Clinical Performance Tool (CPT).