Abstract
BackgroundConventional cardiopulmonary resuscitation (CPR) training for the general public involves the use of a manikin and a training video, which has limitations related to a lack of realism and immersion. To overcome these limitations, virtual reality and extended reality technologies are being used in the field of medical education. The aim of this study is to explore the efficacy and safety of extended reality (XR)-based basic life support (BLS) training.MethodsThis study is a prospective, multinational, multicentre, randomised controlled study. Four institutions in 4 countries will participate in the study. A total of 154 participants will be randomly assigned to either the XR group or the conventional group stratified by institution and sex (1:1 ratio). Each participant who is allocated to either group will be sent to a separate room to receive training with an XR BLS module or conventional CPR training video. All participants will perform a test on a CPR manikin after the training. The primary outcome will be mean compression depth. The secondary outcome will be overall BLS performance, including compression rate, correct hand position, compression, and full release and hands-off time.DiscussionUsing virtual reality (VR) to establish a virtual educational environment can give trainees a sense of realism. In the XR environment, which combines the virtual world with the real world, trainees can more effectively learn various skills. This trial will provide evidence of the usefulness of XR in CPR education.Trial registrationClinicalTrials.gov NCT04736888. Registered on 29 January 2021
Highlights
In Europe and the USA, more than 300,000 cases of outof-hospital cardiac arrest (OHCA) occur annually, and OHCA is a significant global health problem [1, 2]
Continuous variables will be presented as the means ± standard deviations (SDs) or medians with interquartile ranges (IQRs) after the normality of their distributions has been assessed with the Shapiro-Wilk test
According to the International Liaison Committee on Resuscitation (ILCOR), bystander cardiopulmonary resuscitation (CPR) is associated with an improved survival rate and neurological recovery [17,18,19]
Summary
Background and rationale In Europe and the USA, more than 300,000 cases of outof-hospital cardiac arrest (OHCA) occur annually, and OHCA is a significant global health problem [1, 2]. To improve the outcomes of patients with OHCA, the early recognition of cardiac arrest and performance of cardiopulmonary resuscitation (CPR) by bystanders are the most essential steps. Bystander CPR is provided to patients with OHCA in less than 50% of cases [3, 4]. It is very important to provide CPR training to the general public. Conventional cardiopulmonary resuscitation (CPR) training for the general public involves the use of a manikin and a training video, which has limitations related to a lack of realism and immersion. To overcome these limitations, virtual reality and extended reality technologies are being used in the field of medical education. The aim of this study is to explore the efficacy and safety of extended reality (XR)-based basic life support (BLS) training
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