Balian Steve, McGovern Shaun K, Abella Benjamin S, Blewer Audrey L, Leary Marion
Center for Resuscitation Science and Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Family Medicine and Community Health, Duke University, Durham, NC, USA.
Heliyon. 2019 Aug 2;5(8):e02205. doi: 10.1016/j.heliyon.2019.e02205. eCollection 2019 Aug.
AIM OF THE STUDY: Augmented reality (AR) has the potential to offer a novel approach to CPR training that supplements conventional training methods with gamification and a more interactive learning experience. This is done through computer-generated imagery superimposed on users' view of the real environment to simulate interactive training scenarios. We sought to test the feasibility of an AR CPR training system (CPReality) for health care providers (HCPs). METHODS: In this feasibility trial, a CPR training manikin was integrated with a commercial AR device (Microsoft HoloLens) to provide participants with real-time audio-visual feedback via a holographic overlay of blood flow to vital organs dependent on CC quality. In this system, higher quality CC visually improved virtual blood circulation. HCPs performed a 2-minute cycle of hands-only CPR using only the AR system, and CC parameters were recorded. Descriptive data on participants' demographics, CC quality, and satisfaction with the training environment were reported using quantitative and qualitative analysis. RESULTS: Between 10/2018-11/2018, we enrolled a convenience sample of 51 HCPs. The median age of participants was 31 years (IQR 27-41), 71% (36/51) were female, and 67% (34/51) were registered nurses. CC rates (mean 126 ± 12.9 cpm), depths (median 53 mm, IQR 46-58), and percent with complete recoil (median 80%, IQR 12-100) were consistent with guideline recommendations for good quality CPR. Participants were predominantly satisfied with the system, with 82% perceiving the experience as realistic, 98% recognizing the visualizations as helpful for training, and 94% willing to use the application in future CPR training. CONCLUSIONS: As AR is increasingly applied in the healthcare setting, integration in CPR training offers a novel and promising educational approach. In this convenience sample of trained HCPs, high quality CC delivery was feasible using the AR CPR training system which was received favorably by most participants.
研究目的:增强现实(AR)有潜力为心肺复苏(CPR)培训提供一种新方法,通过游戏化和更具互动性的学习体验来补充传统培训方法。这是通过将计算机生成的图像叠加在用户对真实环境的视图上,以模拟交互式培训场景来实现的。我们试图测试一种用于医疗保健提供者(HCP)的AR CPR培训系统(CPReality)的可行性。 方法:在这项可行性试验中,一个CPR培训人体模型与一个商用AR设备(微软HoloLens)集成,通过根据胸外按压(CC)质量对重要器官血流进行全息叠加,为参与者提供实时视听反馈。在这个系统中,更高质量的CC在视觉上改善了虚拟血液循环。HCP仅使用AR系统进行了2分钟的徒手心肺复苏周期,并记录了CC参数。使用定量和定性分析报告了关于参与者人口统计学、CC质量以及对培训环境满意度的描述性数据。 结果:在2018年10月至2018年11月期间,我们纳入了51名HCP的便利样本。参与者的中位年龄为31岁(四分位间距27 - 41),71%(36/51)为女性,67%(34/51)为注册护士。CC频率(平均126 ± 12.9次/分钟)、深度(中位值53毫米,四分位间距46 - 58)以及完全回弹百分比(中位值80%,四分位间距[12 - 100])与高质量CPR的指南建议一致。参与者对该系统总体满意,82%的人认为体验逼真,98%的人认为可视化对培训有帮助,94%的人愿意在未来的CPR培训中使用该应用程序。 结论:随着AR在医疗保健领域的应用日益广泛,将其整合到CPR培训中提供了一种新颖且有前景的教育方法。在这个经过培训的HCP便利样本中,使用AR CPR培训系统实现高质量的CC操作是可行的,并且大多数参与者对该系统评价良好。
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