Frequently Asked Questions

Here are some of the most frequent questions...

Defib~Pads~Data

I can’t find the data on the defibrillator. What do I do?


Contact your BioMedical department. They should be able to determine the issues preventing download. A couple of issues that we have determined that prevent data from being able to transfer: Data did not record because memory was full. Defibrillator memory was erased prior to retrieval. Data has already be retrieved/wifi’d for data review. Defib/electrode pads were not properly positioned on the chest or connected to the defibrillator. You can contact a pediRES-Q team member at CHOP for additional assistance if none of the above seem likely.




What’s the best practice for erasing data on my defibrillator?


Different sites have different practices: we recommend that the defibrillator memory be erased at least once a week manually. If the memory is not erased regularly, there is the potential that it will fill up, in which case it will not be able to collect and record any additional CPR event data.




What’s the best defibrillator pads (electrodes) to use (and what's the difference!)?


We recommend the DUAL sensor defibrillator/electrode pads. Here is why: - With DUAL electodes/pads, there is one sensor embedded within/adjacent to the anterior electrode, and another embedded within/adjacent to the posterior electrode. Thus, the display feedback (and data recorded) for compression depth will be the ACTUAL compression of the chest (anterior to posterior compression). - Single sensor electrodes/pads have one compression sensor placed within/adjacent to the anterior pad only. Thus, the display feedback (and data recorded) for compression depth with be compression of the chest and artifact from mattress displacement (anterior chest wall movement plus mattress movement) yielding inaccurate display feedback and recording. This ultimately will provide an OVER-estimation of the compression (the actual compression of the chest will not be as deep as displayed on the monitor display). -> Please see the attached document to see differerences betwee the R-Series electrodes that are typically used for Resuscitation purposes and within the pediRES-Q collaborative.




There is a wire that disconnects from the defibrillator electrodes whenever I peel them off the backing - am I ruining the pads??


The pads/electrodes are not ruined. The wire that detaches from the electrode when it is peeled off the backing is to allow the defibrillator to do a self-test while the pads are in their package and plugged into the defibrillator's hands free cable when not in use. See image below.





Want to Join?

How do I get involved?


Contact Dana Niles ( niles@email.chop.edu) or submit a request for additional information using the form at the bottom right of this page.




What does it mean to be a Participating Site?


A participating site contributes data from its unit(s) to the pediRES-Q database. To do this, each site must have IRB/ethics committee approval, a data use agreement executed (as required by individual sites), have at least one team member participate in the monthly teleconferences, and team members that have completed training on data entry and follow the data entry compliance plan.




Will pediRES-Q provide the equipment and software to participate in pediRES-Q?


All sites must provide their own defibrillator(s) for chest compression data collection - the pediRES-Q collaborative does not provide any clinical equipment to participate in the project. As determined by each participating site, those defibrillators are typically required to be the standard operating equipment in use at that hospital, or within, each site. The manufacturers of these data-recording equipment are very helpful in determining your needs and if they are able to assist your site in anyway.




Our hospital does not use ZOLL defibrillators. Can we still participate in pediRES-Q?


Yes; you can still participate! There are a couple of sceanrios that may apply to you:

  1. You do not have a ZOLL defibrillator, but have another manufacturer (Philips, Physio-Control, etc.)* that allows the collection of chest compression data;
  2. You do not have any defibrillator that collects chest compression data but you are able to provide hemodynamic/metabolic data collected/recorded during the event (arterial, central venous pressures, ETCO2, NIRS), which we will be able to use for additional analyses;
  3. You do not have any defibrillator that collects chest compression data, but are able to enter other information and data regarding the patient at time of arrest and care provided during and after the CPR event.
*currently, we are only able to provide CPR report cards for events that have chest compression data from ZOLL defibrillators. We are working on providing this feedback for the other manufacturers with chest compression data collection.




Do I need IRB approval to participate in pediRES-Q?


Yes; you need IRB approval and the DCC (CHOP) needs to have record of your current IRB approval on file.




Do I need a Data Use Agreement (DUA) to participate in pediRES-Q?


Typically, all international sites require a DUA. Some sites in the US require a DUA as determined by their local regulatory requirements. Each investigator will need to speak with their local representative to determine the requirements of their institution.




How do I get compensated for my participation in pediRES-Q?


Upon completion of all of the required regulatory approvals, our research contracts specialists will initiate and execute a sub-award agreement with your site. Terms of compensation can be requested by speaking with Dana Niles.





Data Collection

What is needed to record chest compression data?


We collect the data from the cardiac arrest and chest compressions provided during the resuscitation. This data can be recorded a number of ways: 1) Quantitative data that includes recording the rate and depth of chest compressions by a monitor/defibrillator with quantitative data collection capabilities (ZOLL, Philips, Physio-control, etc). This data file is then uploaded to the database along with the associated information related to that arrest event. 2) Physiologic monitoring that includes hemodynamic and vital sign monitoring by the patient bedside monitor (ECG, arterial BP, CVP, ETCO2, SPO2, etc.) and various monitoring and evaluation devices (ETCO2, NIRS, EEG, etc.). These data files can be uploaded to the database with the associated information related to that arrest event.




What if I can’t access REDCap?


For REDCap access issues, attempt a password reset and ensure the user ID and password being entered are correct. For continued troubleshooting, contact the CHOP pediRES-Q team for assistance.




I’m having trouble understanding a question on the data collection form! Help!


All staff that responsible for entering data into the REDCAp database for their site should be highly familiar with the pediRES-Q Data Dictionary. Questions regarding definitions, nomenclature, or content, will be provided in the Data Dictionary with additional notes and hints for the data abstractor. The most recent Data Dictionary can be found on the REDCap site under the “Project Bookmarks” side tree and in the Document Library of the pediRES-Q website. If questions still remain unanswered, contact the pediRES-Q team for clarification. The strength of our data depends on the accuracy of the data entered!




The duration of our cardiac arrest events vary greatly. What’s the inclusion criteria for event duration?


We request that the duration of chest compressions during a cardiac arrest event be at least 1 minute in duration in order to be entered into the pediRES-Q database We recommend that ALL events that are at least 1 minute in duration be entered into the database so as to provide an accurate characterization of the events at your site.





General

What is pediRES-Q?


Pediatric Resuscitation Quality (pediRES-Q) is an international collaborative of pediatric hospitals of diverse size, geographic locations, and academic support passionate about pediatric resuscitation. This clinical learning laboratory network aims to discover, measure, analyze, publish, implement, and disseminate improved evidence-based CPR data to inform current and future evidence-based resuscitation guidelines that saves more lives and improves quality of life for children.




What’s a CPR report card?


Once you upload your monitor/defibrillator data file containing event CPR data and let the DCC (CHOP) know, a CPR “report card” will be sent back to you (attached to the event file in REDCap) which contains summaries of the CPR data: minutes of CPR, mean compression depth (cm), mean compression rate (cpm), mean release velocity (mm/sec), compression fraction, and number and duration of pauses during event. This data is very useful during debriefings to provide feedback on quality of resuscitation event to local clinical providers.




I have a great idea for a manuscript! How do I submit my idea?


Excellent! Please contact Dana Niles (niles@email.chop.edu). She will provide you with Manuscript Oversight Committee guidelines and requirements for manuscripts. To submit, you will complete a simple proposal outline form and send into Dana Niles. The MOC will reply within 2 weeks regarding your proposal.




Are there opportunities for junior investigators to participate in authorship?


pediRES-Q provides an excellent opportunity for junior investigators to participate in abstract and manuscript preparation and submission. We encourage junior investigators to be first author on at least one manuscript with additional opportunities to be on many writing groups.





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