Milena Talikowska, Hideo Tohira, Deon Brink, Paul Bailey, Judith Finn
Journal of Paramedic Practice, Vol. 8, Iss. 12, 07 Dec 2016, pp 597 - 606

Feedback devices for cardiopulmonary resuscitation (CPR) have been introduced
across a number of emergency medical services (EMS) worldwide with the
intention of increasing the provision of high quality CPR. In July 2014, St. John
Ambulance Western Australia (SJA-WA) introduced the Q-CPRTM device into
mandatory clinical practice; however usage rates were lower than expected.

Methods: A voluntary, anonymous survey was issued to a convenience sample
of SJA-WA paramedics from September to December 2015 to determine the
paramedic-reported barriers towards the use of Q-CPR.

Results: Of the 264 paramedics who participated in the survey, 41% reported
having used Q-CPR during their last attempted resuscitation. Among those who
had not used it, the reason most commonly cited (37%) was that a mechanical
chest compression device arrived on scene prior to the Q-CPR being deployed.
Secondly, other interventions were prioritized above the use of Q-CPR (20%).
Thirdly, pain associated with use of the Q-CPR prevented its utilization in 17%
of cases. Other reasons were less frequently reported.

Conclusion: Lower usage rates appeared to be primarily linked to the utilisation
of other equipment and interventions in preference to the Q-CPR and to a lesser
extent due to pain associated with the use of such devices.

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