Neo Automatic Code to Improve Quality of Cardiopulmonary Resuscitation (CPR) in Society
Main Article Content
Abstract
Background: The quality of cardiopulmonary resuscitation (CPR) in Indonesian society is poor. One solution is to give society a metronome called the Neo Automatic Code (NAC) to guide CPR when cardiac arrest patients are present. This study aims to analyze the effect of NAC on the compression depth and compression rate during CPR.
Methods: A quick experimental study with a control group design, where the population is chosen by simple random sampling to distinguish between odd and even. The population is health cadres and youth with an age range of 16-56 years. The intervention group gets training 2 times to do CPR with Neo Automatic Code, and the control group gets training in CPR using standard procedure. We use a CPR manikin to measure variables. Data analyzed used Mann Whitney.
Results: The Mann-Whitney test shows p = 0.001, concluding that there is a difference in the accuracy of depth and compression speed in CPR between the intervention and control groups. This means the NAC metronome can improve CPR performance in compression depth and compression rate. CPR uses a neo-automatic code metronome to ensure the user breathes regularly and helps the rescuer to constantly give compression.
Conclusion: Neo automatic code can improve the quality of CPR in Indonesian society. A study about how many times training must be given to society, considering age, level of education, and kinds of jobs, is needed.
Article Details
References
American Heart Association. (2020). A Race Against the Clock Out-of-Hospital Cardiac Arrest. https://cpr.heart.org/en/resources/cardiac-arrest-vs-heart-attack
Brophy, S. L., McCue, M. R., Reel, R. M., Jones, T. D., & Dias, R. D. (2023). The impact of a smartphone-based cognitive aid on clinical performance during cardiac arrest simulations: A randomized controlled trial. AEM Education and Training, 7(3). https://doi.org/10.1002/aet2.10880
Caliskan, D., Bildik, F., Aslaner, M. A., Kiliçaslan, I., Keles, A., & Demircan, A. (2021). Effects of metronome use on cardiopulmonary resuscitation quality. Turkish Journal of Emergency Medicine, 21(2), 51–55. https://doi.org/10.4103/2452-2473.309137
Darmawan, R. E., Sujianto, U., & Rochana, N. (2021). Neo Automatic Code (NAC) To Improve Return Of Spontaneus Circulation (ROSC) In Hospital Cardiac Arrest (IHCA) Patients. In Jendela Nursing Journal (Vol. 5, Issue 1). http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jnj/about/submissions#authorGuidelines
Goharani, R., Vahedian-Azimi, A., Pourhoseingholi, M. A., Amanpour, F., Rosano, G. M. C., & Sahebkar, A. (2021). Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device. ESC Heart Failure, 8(6), 4652–4660. https://doi.org/10.1002/ehf2.13628
Hessulf, F., Bhatt, D. L., Engdahl, J., Lundgren, P., Omerovic, E., Rawshani, A., Helleryd, E., Dworeck, C., Friberg, H., Redfors, B., Nielsen, N., Myredal, A., Frigyesi, A., Herlitz, J., & Rawshani, A. (2023). Predicting survival and neurological outcome in out-of-hospital cardiac arrest using machine learning: the SCARS model. www.thelancet.com
Hölzing, C. R., Brinkrolf, P., Metelmann, C., Metelmann, B., Hahnenkamp, K., & Baumgarten, M. (2023). Potential to enhance telephone cardiopulmonary resuscitation with improved instructions - findings from a simulation-based manikin study with lay rescuers. BMC Emergency Medicine, 23(1). https://doi.org/10.1186/s12873-023-00810-0
Kennedy, J., Machado, K., Maynard, C., Walker, R. G., Sayre, M. R., & Counts, C. R. (2023). Metronome use improves achievement of a target compression rate in out-of-hospital cardiac arrest: A retrospective analysis. Resuscitation Plus, 15. https://doi.org/10.1016/j.resplu.2023.100417
Liou, F. Y., Lin, K. C., Chien, C. S., Hung, W. T., Lin, Y. Y., Yang, Y. P., Lai, W. Y., Lin, T. W., Kuo, S. H., & Huang, W. C. (2021). The impact of bystander cardiopulmonary resuscitation on patients with out-of-hospital cardiac arrests. In Journal of the Chinese Medical Association (Vol. 84, Issue 12, pp. 1078–1083). Wolters Kluwer Health. https://doi.org/10.1097/JCMA.0000000000000630
Nikolaou, N. , D. K. N. , C. K. , M. P. , T. J. , V. C. , & I. L. C. on R. (ILCOR) B. L. S. and P. T. F. (2019). A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children. Resuscitation, 138, 82105. www.scilit.net
Ocak, N. Y., Sever, M., Unek, O., Toker, I., Erdem, E., Yesilaras, M., & Atilla, O. D. (2020). Metronome use positively affect cardiopulmonary resuscitation parameters: Prospective observational multicenter manikin study. Signa Vitae, 16(1), 33–38. https://doi.org/10.22514/sv.2020.16.0005
Perkins, G. D., & Brace-Mcdonnell, S. J. (2015). The UK Out of Hospital Cardiac Arrest Outcome (OHCAO) project On behalf of the OHCAO Project Group. BMJ, 156, 1–12. https://doi.org/10.1136/bmjopen-2015
Schroeder, D. C., Semeraro, F., Greif, R., Bray, J., Morley, P., Parr, M., Kondo Nakagawa, N., Iwami, T., Finke, S. R., Malta Hansen, C., Lockey, A., Del Rios, M., Bhanji, F., Sasson, C., Schexnayder, S. M., Scquizzato, T., Wetsch, W. A., & Böttiger, B. W. (2023). Kids Save Lives: Basic Life Support Education for Schoolchildren: A Narrative Review and Scientific Statement From the International Liaison Committee on Resuscitation. In Circulation (Vol. 147, Issue 24, pp. 1854–1868). Lippincott Williams and Wilkins. https://doi.org/10.1161/CIR.0000000000001128
Simmons, K. M., McIsaac, S. M., & Ohle, R. (2023). Impact of community-based interventions on out-of-hospital cardiac arrest outcomes: a systematic review and meta-analysis. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-35735-y
Watanabe, K., Lopez-Colon, D., Shuster, J. J., & Philip, J. (2017). Efficacy and retention of Basic Life Support education including Automated External Defibrillator usage during a physical education period. Preventive Medicine Reports, 5, 263–267. https://doi.org/10.1016/j.pmedr.2017.01.004
Yang, D., Lee, W., & Oh, J. (2021). Effect of the use of metronome feedback on the quality of pediatric cardiopulmonary resuscitation. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/ijerph18158087