Acute cardiac care & resuscitationResearch article

Integrated CPR coach and compressor training improves CPR quality in a pediatric emergency department

ResuscitationPublished

  • quality improvement study
  • leveraging an existing CPR quality assurance program

Authors' conclusion

In a PED, a multimodal intervention incorporating CPR coach training, compressor training, and metronome guided feedback improved chest compression depth and rate compliance while maintaining CCF. Improvement was enhanced by an existing quality assurance program and required supplementary education and resources.

Study context

Population
Patients presenting in cardiac arrest to a pediatric emergency departmentincluded, of 140 total patients presented in cardiac arrest · infants 54 · children 24 · adolescents 28
Participants
106 patients
Comparison
Before vs after a simulation-based CPR coach curriculum supplemented with compressor training and metronome guided feedback

Main finding

As reported in the abstract

Median percent depth compliance, all ages

increased from

14%

increased to

61%

Further findings

Mean depth, infants

cm

increased from
3.1
increased to
4.4

Mean depth, children and adolescents

Mean depth did not increase for children and adolescents, though special cause variation was observed in children

Median percent rate compliance

increased from
69%
increased to
80%

Consecutive encounters meeting American Heart Association's (AHA) mean rate target

increased

Chest compression fraction (CCF)

remained at
89%

Original publication

Integrated CPR coach and compressor training improves CPR quality in a pediatric emergency department. Resuscitation. Published 20 May 2026. doi:10.1016/j.resuscitation.2026.111141

Summarised from the published abstract; every number is checked against it