Development of an accessible CPR device to improve outcomes for Out-of-hospital Cardiac Arrest

Authors

  • Aaron Lee Biotechnology High School
  • Dr. Danielle Jensen
  • Stacy Gil

DOI:

https://doi.org/10.47611/jsrhs.v11i3.2974

Keywords:

CPR, socioeconomic status, out-of-hospital cardiac arrest, AED, bystander CPR

Abstract

Out-of-hospital cardiac arrests (OHCA) are a relatively common cause of death with 350,000 people suffering from an OHCA and only 12% of patients surviving said incidents. Though biological factors significantly affect heart attack outcomes, environmental factors such as socioeconomic status (SES) disproportionately affect much of the population, and especially minority groups. Especially in an environment with inadequate medical infrastructure, bystander cardiopulmonary resuscitation (CPR) may be the only means of saving a patient’s life in the event of an OHCA. Currently, CPR training courses and automated external defibrillators (AED) serve as solutions to combat OHCA and achieve return of spontaneous circulation (ROSC), yet they are quite limited in their accessibility, cost being a significant contributing factor to this issue. Though CPR training courses are an essential resource for the general public, populations with lower SES lack resources and access to these courses, let alone equipment such as AEDs. Additionally, AEDs lack true mobility due to their size, weight, and maintenance. This paper proposes a design of a novel, inexpensive, and portable device that may be able to appropriately guide bystanders, regardless of previous training, to perform the CPR possible on an OHCA patient, providing prospects of anybody with the ability to significantly increase the survival rate of OHCAs, regardless of SES. Working on the principles of accelerometry and metronome usage, this device can provide feedback based on compression rate and depth for improvement. Future research should focus on testing the feasibility and efficacy of the individual functions of the device. 

Downloads

Download data is not yet available.

References or Bibliography

American Heart Association. (n.d.). What is CPR? CPR: Cardiopulmonary Resuscitation. CPR & First Aid: Emergency Cardiovascular Care. Retrieved from https://cpr.heart.org/en/resources/what-is-cpr#:~:text=In%20adult%20victims%20of%20cardiac,2.4%20inches%20%5B6%20cm%5D).

Barger, J. (2014, March). CPR QUALITY. Contra Costa County Emergency Medical Services Agency. https://m.cchealth.org/ems/pdf/newsletter-2014-03-se.pdf

Brown, L. E., & Halperin, H. (2018). CPR training in the United States: The need for a new gold standard (and the gold to create it). Circulation Research, 123(8), 950–952. https://doi.org/10.1161/circresaha.118.313157

Çalışkan, D., Bildik, F., Aslaner, M. A., Kılıçaslan, İ., Keleş, 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

Cardio Partners. (2020, May 2). How much do aeds typically cost? Cardio Partners. Retrieved from https://www.aed.com/blog/how-much-do-aeds-typically-cost#:~:text=Features%20and%20costs%20vary%20from,of%2Dhospital%2Dcardiac%20arrest.

Causes of cardiac arrest. American Heart Association. (2021, July 20). Retrieved from https://www.heart.org/en/health-topics/cardiac-arrest/causes-of-cardiac-arrest

Centers for Disease Control and Prevention. (2021, October 22). Three Things You May Not Know About CPR. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/heartdisease/cpr.htm#:~:text=About%20350%2C000%20cardiac%20arrests%20happen,of%20those%20happen%20at%20home.&text=Unfortunately%2C%20about%20half%20of%20the,bystanders%20before%20an%20ambulance%20arrives.

Colwill, M., Somerville, C., Lindberg, E., Williams, C., Bryan, J., & Welman, T. (2017). Cardiopulmonary resuscitation on television: Are we Miseducating the public? Postgraduate Medical Journal, 94(1108), 71–75. https://doi.org/10.1136/postgradmedj-2017-135122

González-Otero, D. M., Ruiz, J. M., Ruiz de Gauna, S., Gutiérrez, J. J., Daya, M., Russell, J. K., Azcarate, I., & Leturiondo, M. (2018). Monitoring chest compression quality during cardiopulmonary resuscitation: Proof-of-concept of a single accelerometer-based feedback algorithm. PloS one, 13(2), e0192810. https://doi.org/10.1371/journal.pone.0192810

Grinspoon, P. (2021, September 28). Poverty, homelessness, and social stigma make addiction more deadly. Harvard Health. Retrieved from https://www.health.harvard.edu/blog/poverty-homelessness-and-social-stigma-make-addiction-more-deadly-202109282602

Hubbard, K. (2021, July 22). Outside of Sleeping, Americans Spend Most of Their Time Watching Television. U.S. News & World Report. Retrieved from https://www.usnews.com/news/best-states/articles/2021-07-22/americans-spent-more-time-watching-television-during-covid-19-than-working

Huebinger, R., Wang, H., Jarvis, J., Decker, C., Dickson, R., Osborn, L., Escott, M., White, L., Villa, N., Panczyk, M., & Bobrow, B. (2020). Abstract 136: Disparities in out of hospital cardiac arrest care and outcomes in Texas. Circulation, 142(Suppl_4). https://doi.org/10.1161/circ.142.suppl_4.136

Ibrahim, W. H. (2007). Recent advances and controversies in adult cardiopulmonary resuscitation. Postgraduate Medical Journal, 83(984), 649–654. https://doi.org/10.1136/pgmj.2007.057133

Idris, A. H., Guffey, D., Aufderheide, T. P., Brown, S., Morrison, L. J., Nichols, P., Powell, J., Daya, M., Bigham, B. L., Atkins, D. L., Berg, R., Davis, D., Stiell, I., Sopko, G., Nichol, G., & Resuscitation Outcomes Consortium (ROC) Investigators (2012). Relationship between chest compression rates and outcomes from cardiac arrest. Circulation, 125(24), 3004–3012. https://doi.org/10.1161/CIRCULATIONAHA.111.059535

Jacob, J., Adarsh, S. R., Ashis, C. K., & Resmi, R. (2019). Miniaturized CPR feedback device using Arduino and ardlab. 2019 IEEE International Conference on Electrical, Computer and Communication Technologies (ICECCT). https://doi.org/10.1109/icecct.2019.8869519

Kornegay, J. G., Foerster, N. V., Laurie, A., & Daya, M. (2018). Does Accelerometer Use Lead to Higher Quality CPR for Advanced Cardiac Life Support Providers? A Prospective Randomized Study. Eurasian Journal of Emergency Medicine, 17(4), 153–158. https://doi.org/10.5152/eajem.2018.95914

Kurz, M. C., Bobrow, B. J., Buckingham, J., Cabanas, J. G., Eisenberg, M., Fromm, P., Panczyk, M. J., Rea, T., Seaman, K., & Vaillancourt, C. (2020). Telecommunicator Cardiopulmonary Resuscitation: A Policy Statement From the American Heart Association. Circulation, 141(12), 686–700. https://doi.org/10.1161/cir.0000000000000744

Lu, T.-C., Chen, Y., Ho, T.-W., Chang, Y.-T., Lee, Y.-T., Wang, Y.-S., Chen, Y.-P., Fu, C.-M., Chiang, W.-C., Ma, M. H.-M., Fang, C.-C., Lai, F., & Turner, A. M. (2018). A novel depth estimation algorithm of chest compression for feedback of high-quality cardiopulmonary resuscitation based on a smartwatch. Journal of Biomedical Informatics, 87, 60–65. https://doi.org/10.1016/j.jbi.2018.09.014

Mayo Foundation for Medical Education and Research. (2021, November 2). Sudden cardiac arrest. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/sudden-cardiac-arrest/symptoms-causes/syc-20350634

Mayo Foundation for Medical Education and Research. (2022, February 12). Cardiopulmonary resuscitation (CPR): First aid. Mayo Clinic. Retrieved May 10, 2022, from https://www.mayoclinic.org/first-aid/first-aid-cpr/basics/art-20056600

Mell, H. K., Mumma, S. N., Hiestand, B., Carr, B. G., Holland, T., & Stopyra, J. (2017). Emergency Medical Services Response Times in Rural, Suburban, and Urban Areas. JAMA surgery, 152(10), 983–984. https://doi.org/10.1001/jamasurg.2017.2230

Mitchell, M. J., Stubbs, B. A., & Eisenberg, M. S. (2009). Socioeconomic status is associated with provision of bystander cardiopulmonary resuscitation. Prehospital Emergency Care, 13(4), 478–486. https://doi.org/10.1080/10903120903144833

Neighmond, P. (2015, October 12). A metronome can help set the CPR beat. National Public Radio. Retrieved from https://www.npr.org/sections/health-shots/2015/10/12/447224226/a-metronome-can-help-set-the-cpr-beat

Nolan, J. P., Perkins, G. D., & Soar, J. (2012). Chest compression rate. Circulation, 125(24), 2968–2970. https://doi.org/10.1161/circulationaha.112.112722

Reinier, K., Thomas, E., Andrusiek, D. L., Aufderheide, T. P., Brooks, S. C., Callaway, C. W., Pepe, P. E., Rea, T. D., Schmicker, R. H., Vaillancourt, C., Chugh, S. S., & Resuscitation Outcomes Consortium Investigators (2011). Socioeconomic status and incidence of sudden cardiac arrest. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 183(15), 1705–1712. https://doi.org/10.1503/cmaj.101512

Reynolds, S. (2019, July 9). Stress links poverty to inflammation and heart disease. National Institutes of Health. Retrieved from https://www.nih.gov/news-events/nih-research-matters/stress-links-poverty-inflammation-heart-disease

Roppolo, L.P., Pepe, P.E. Retention, retention, retention: targeting the young in CPR skills training!. Crit Care 13, 185 (2009). https://doi.org/10.1186/cc7997

Schultz, W. M., Kelli, H. M., Lisko, J. C., Varghese, T., Shen, J., Sandesara, P., Quyyumi, A. A., Taylor, H. A., Gulati, M., Harold, J. G., Mieres, J. H., Ferdinand, K. C., Mensah, G. A., & Sperling, L. S. (2018). Socioeconomic status and cardiovascular outcomes. Circulation, 137(20), 2166–2178. https://doi.org/10.1161/circulationaha.117.029652

Reasons AEDs Aren't Everywhere. Avive Solutions. (2021, September 24). Retrieved May 17, 2022, from https://avive.life/4-reasons-aeds-arent-everywhere/

Tanaka, S., Tsukigase, K., Hara, T., Sagisaka, R., Myklebust, H., Birkenes, T. S., Takahashi, H., Iwata, A., Kidokoro, Y., Yamada, M., Ueta, H., Takyu, H., & Tanaka, H. (2019). Effect of real-time visual feedback device 'Quality Cardiopulmonary Resuscitation (QCPR) Classroom' with a metronome sound on layperson CPR training in Japan: a cluster randomized control trial. BMJ open, 9(6), e026140. https://doi.org/10.1136/bmjopen-2018-026140

Trenkamp, R. H., & Perez, F. J. (2016). The prevalence and magnitude of common CPR problems, their probable root causes, and strategies for the reduction or elimination of these problems. Gen Int Med Clin Innov, 1(3), 51–54. https://doi.org/10.15761/GIMCI.1000115

Published

08-31-2022

How to Cite

Lee, A., Jensen, D., & Gil, S. (2022). Development of an accessible CPR device to improve outcomes for Out-of-hospital Cardiac Arrest. Journal of Student Research, 11(3). https://doi.org/10.47611/jsrhs.v11i3.2974

Issue

Section

HS Review Articles