Resuscitation Quality Improvement (RQI®) HeartCode Complete® Program Improves Chest Compression Rate in Real World Out-of-Hospital Cardiac Arrest Patients

Li, T. et al. European Resuscitation Council. 2023

Importance of Conclusion

Out-of-hospital cardiac arrest (OHCA) survival remains low at approximately 10% in the United States. High-quality CPR is one of the most important factors in improving survival. The RQI HeartCode Complete Program is designed to enhance CPR training by using real-time feedback simulation stations. The objective of this study was to assess the quality of CPR performed on OHCA patients among paramedics trained in HeartCode Complete with the RQI simulation station vs paramedics who were not.

Key Points

  • Of 353 real OHCA events, 200 included resuscitation attempts in which 1-3 paramedics were trained with the RQI simulation station in HeartCode Complete.
  • For all OHCA events, the median of the average compression depth was 1.7 inches (target of 2.0-2.4 inches) and the median chest compression fraction was 86%.
  • When 1 or more paramedics were trained in HCC, there was a statistically significant improvement in chest compression rate, with more compressions performed within the recommended target of 100-120 compressions/minute.
  • When training with the RQI simulation station took place within 90 days, the percent of compressions in the target zone was higher (21.0% vs 14.6%), though not statistically significant.
  • Multiple studies show that appropriate compression rate is associated with achieving ROSC, thus this finding suggests that training with the RQI simulation station may be beneficial in increasing the proportion of patients achieving ROSC and, ultimately, survival.

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