Augmented Reality for Pediatric Cardiac Arrest

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

60 Participants Needed

Trial Summary

What is the purpose of this trial?

A prospective, multicenter, randomized clinical trial in two tertiary pediatric emergency department. It will assess, amongst pediatric healthcare teams, whether the use of augmented reality supportive devices improves adherence to American Heart Association (AHA) advanced life support guidelines and performance, while reducing medication errors, when compared to groups using the AHA pocket reference card (control) during standardized, simulation-based, pediatric in-hospital cardiac arrest (IHCA) scenarios. Seventy participants will be randomized. The primary endpoint is the time to first dose of epinephrine.

Will I have to stop taking my current medications?

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

What data supports the effectiveness of the treatment Augmented Reality Supportive Tool for Pediatric Cardiac Arrest?

Research shows that augmented reality tools, like AR glasses, can improve adherence to CPR guidelines, which is linked to better survival rates in pediatric cardiac arrest cases. Studies have demonstrated that these tools enhance the quality of chest compressions and provide real-time feedback, potentially increasing the chances of survival. ^{1 2 3 4 5}

How does the Augmented Reality Supportive Tool treatment differ from other treatments for pediatric cardiac arrest?

The Augmented Reality Supportive Tool is unique because it uses augmented reality (AR) technology to provide real-time feedback and guidance during CPR, helping caregivers adhere to established guidelines more effectively. This approach is different from traditional methods, which often lack immediate feedback and can result in suboptimal CPR quality. ^{1 2 3 5 6}

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

Eligibility Criteria

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

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)

Treatment Details

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.

Participant Groups

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+

Findings from Research

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]

References

1. Netherlands pubmed.ncbi.nlm.nih.gov

Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting. [2023]

2. Canada pubmed.ncbi.nlm.nih.gov

Adherence to AHA Guidelines When Adapted for Augmented Reality Glasses for Assisted Pediatric Cardiopulmonary Resuscitation: A Randomized Controlled Trial. [2022]

3. United States 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. [2023]

4. United States pubmed.ncbi.nlm.nih.gov

Google Glass for Residents Dealing With Pediatric Cardiopulmonary Arrest: A Randomized, Controlled, Simulation-Based Study. [2022]

5. Netherlands pubmed.ncbi.nlm.nih.gov

Adapting Guidelines for Google Glass: the Case of Pediatric CPR. [2022]

6. England pubmed.ncbi.nlm.nih.gov

Walking the line: balancing performance barriers and facilitators in an augmented reality mobile application for paediatric code cart training. [2022]