Development of a novel cardiopulmonary resuscitation measurement tool using real-time feedback from wearable wireless instrumentation.

Aim: The design and implementation of a wearable training device to improve cardiopulmonary resuscitation (CPR) is presented.Methods: The MYO contains both Electromyography (EMG) and Inertial Measurement Unit (IMU) sensors which are used to detect effective CPR, and the four common incorrect hand an...

Descripción completa

Detalles Bibliográficos
Publicado en:Resuscitation Vol. 137; pp. 183 - 190
Autores principales: Ward, Sarah R., Scott, Bronwyn C., Rubin, David M., Pantanowitz, Adam
Formato: research Journal Article
Publicado: Elsevier B.V. Apr2019
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135712051&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 135712051
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        03009572
        3PQ
      jtl: Resuscitation
      issn: 03009572
      maglogo: N
    pubinfo:
      dt: Apr2019
      vid: 137
      pid: 1004
      pub: Elsevier B.V.
    artinfo:
      ui:
        135712051
        135712051
        NLM30797861
        135712051
        10.1016/j.resuscitation.2019.02.019
        NLM30797861
        135712051
      ppf: 183
      ppct: 7
      formats:
      tig:
        atl: Development of a novel cardiopulmonary resuscitation measurement tool using real-time feedback from wearable wireless instrumentation.
      aug:
        au:
          Ward, Sarah R.
          Scott, Bronwyn C.
          Rubin, David M.
          Pantanowitz, Adam
        affil: Biomedical Engineering Research Group, School of Electrical & Information Engineering, University of the Witwatersrand, Johannesburg, Private Bag 3, 2050 Johannesburg, South Africa
      sug:
        subj:
          Wireless Communications
          Resuscitation, Cardiopulmonary
          Feedback
          Human
          Electromyography
          Models, Anatomic
          Equipment Design
          User-Computer Interface
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: Aim: The design and implementation of a wearable training device to improve cardiopulmonary resuscitation (CPR) is presented.Methods: The MYO contains both Electromyography (EMG) and Inertial Measurement Unit (IMU) sensors which are used to detect effective CPR, and the four common incorrect hand and arm positions viz. relaxed fingers; hands too low on the sternum; patient too close; or patient too far. The device determines the rate and depth of compressions calculated using a Fourier transform and dual-quaternions respectively. In addition, common positional mistakes are determined using classification algorithms (six machine learning algorithms are considered and tested). Feedback via Graphical User Interface (GUI) and audio is integrated.Results: The system is tested by performing CPR on a mannequin and comparing real-time results to theoretical values. Tests show that although the classification algorithm performed well in testing (98%), in real time, it had low accuracy for certain categories (60%), which are attributable to the MYO calibration, sampling rate and misclassification of similar hand positions. Combining these similar incorrect positions into more general categories significantly improves accuracy, and produces the same improved outcome of improved CPR. The rate and depth measures have a general accuracy of 97%.Conclusion: The system allows for portable, real-time feedback for use in training and in the field, and shows promise toward classifying and improving the administration of CPR.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N