Background: Cardiac arrest remains a significant global cause of mortality, with survival strongly influenced by the quality of cardiopulmonary resuscitation (CPR). Historically, survival was associated with shockable rhythms like ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT), deemed more favourable than non-shockable rhythms (asystole and pulseless electrical activity) (Girotra et al., 2012). However, emerging evidence shows survival improvements across both rhythm types, suggesting factors beyond rhythm treatability, such as earlier recognition and improved resuscitation quality, play significant roles (Panchal et al., 2020).
High-quality chest compressions—defined by adequate depth (≥5 cm), rate (100–120/min), full recoil, and minimal interruptions—are critical for achieving neurologically intact survival (Nolan et al., 2010). Despite this, deviations in compression quality remain prevalent among healthcare providers (Abella et al., 2010). Real-time feedback devices offer an evidence-based solution to enhance performance and improve patient outcomes (Olasveengen et al., 2020).
Aim: This study assesses the impact of real-time feedback on chest compression quality and clinician confidence in CPR competence.
Methods: In a single-center mixed-methods study, 100 clinical staff were surveyed on their confidence in delivering high-quality CPR. Participants performed baseline chest compressions on a feedback mannequin, followed by compressions with real-time feedback. Compression quality was objectively measured, and scores ≥74% were deemed passing.
Results: Baseline compression quality averaged 73.76%, with 62% of participants meeting the passing threshold. With real-time feedback, scores improved significantly to 94.24%, and 100% of participants achieved passing performance. Confidence in CPR delivery also increased following feedback training.
Conclusion: High-quality chest compressions are crucial for optimal resuscitation outcomes. Feedback mannequins provide a valuable training and assessment tool, enabling clinicians to refine their skills and improve patient survival. Real-time guidance not only enhances technical performance but also bolsters provider confidence in critical situations.