SmartMan Manual – 5. Results 3. CPR
Contents
1. chest and this does not include ventilation time Duty Cycle This is Duty Cycle If you are viewing information at one of the other two buttons click on the Summary Analysis button circled in red above to return to the Summary Analysis Press the button at the right to close this window and return to the main results display page Compressions Analysis SmartMan Results Analysis Section for Labora Summary chest compression performance Depths inches 0 1 5 0 2 SCORE Compressions Rate min gt 200 150 120 SCORE Non Releases inches O O 0 4 0 6 gt SCORE soj u do 0 SS ld Summary Ventilations SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 8 If you click on the Compressions Button you will see the depth rate and on release scores grouped by category The target values are in green with the number performed correctly see the picture above for an example Press the button at the right to close this window and return to the main results display page Ventilation Analysis This area displays the performance information for volume rate of inspiration and interval between ventilations grouped by category The target values are in green with the number performed placed into each category See the picture below for an example N artMan Results Analysis Section for Labora Summary of ventilations performance Vol litres 0 8 SCORE Ventilations Inspiration2. SmartMan Manual 5 Results 3 CPR V5 1 and later Results are an accurate analysis of the performance of every practice or test performed on SmartMan It is possible to simply look at the color of the bars and the overall score to get a quick idea of how well a person has done Alternatively you may wish to explore in detail how various component skills were performed SmartMan gives you both options The SmartMan Admin Module is a separate utility that is designed to help you identify overall trends for groups The Admin Module also provides for export of data in a comma delimited or csv file format so that sophisticated statistical analysis can be performed Below is a description of the detail found in the results for CPR When a CPR practice or test is completed the screen will appear as in the picture below CPR is a combination of both chest compressions and ventilations For a detailed explanation of the colored bars for e Chest Compressions see SmartMan Manual 5 Results 1 Compressions doc e Ventilations see SmartMan Manual 5 Results 2 Ventilations doc The display for chest compressions is slightly different than described above as e both chest compressions and ventilations appear on the screen at the same time e the timing of the ventilation is in relation to the chest compressions i e after 30 compressions e analysis must take account of how both skills worked together to achieve the best result
3. er that 2 5 greater than 6 0cm Red bar on the top This means that the chest hit the maximum depth of the manikin The yellow on top will turn red if you hit the Rate and Volume of Inspiration The same colors are used in rescue breaths and ventilations given in CPR as for chest compressions When performing ventilations on a patient you must provide the correct inspiration volume and give the patient that volume at the correct inspiration rate SmartMan will detect if air goes into the stomach but the bars will only display information related to what goes into the lungs Orange Bright Dark Green Red means Green a MEAN inspiration was means inspiration rate inspiration too slow Itis to inspiration was correct but was too rate amp the volume was fast it E OP TE Oval volume was too little or too took too a span of 1 correct much siota second SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 4 time Interval Between Inspirations You must also consider the time between each ventilation This information is provided in the horizontal bars SmartMan will display the interval as a horizontal bar between each inspiration The interval for Rescue Breaths Is about 6 seconds from the start of one ventilation to the start of the next ventilation performed at a rate of about 10 per minute For the ventilations performed during CPR the second ventilation should be performed as soon as the air has fully
4. erage duration of compression 0 56s Average rate of compression 107 min Fully compliant compressions depth rate amp release 117 Time in activity 107s 98 5s Total hands off time activity 30 6s Hands off time compressions 0 5999999 s Duty cycle 42 3 2s01 usdg 0 SS ld Summary Compressions Ventilations SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 7 The screen will tell you the name of the person who is logged in along with the name of the results file which is being displayed The Summary Performance Information will be Final Score This is the overall percentage SmartMan score Total Compressions performed This is the number performed of the target number required Average depth of compression This is the actual average depth of compressions performed Average duration of compressions This is the actual average duration of compressions performed Average rate of compressions This is the average rate per minute of compressions performed Fully compliant compressions depth rate amp release This is the total number of compressions out of the target number that were 100 correct on all three parameters Time in activity This is the actual time for the activity versus the target time Total Hands Off Time activity This is the total time hands were not on the chest including the ventilation time Hands Off Time compressions This is the total time the hands were not on the
5. expired from the previous ventilation This is about 2 seconds from the start of the first ventilation to the start of the second ventilation It is roughly 1 second to inspire and 1 second to expire Bright Green means the time from the start of one breath to the start of the next breath was correct Orange means the interval between breaths was too short Red means the interval between breaths was too long Volume of Inspiration The two horizontal green lines on the screen show the target volume for each ventilation This should be close to 0 6L Cycle 1 of 5 An Example with Both On Screen Below is a sample from the SmartMan screen for the first cycle of CPR It shows the compressions on the top and the ventilations on the bottom SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 5 Cycle 1 of 5 me y _ 1 a_a JD J XEON The compressions are showing a lot of bright green Those are all very good The dark green compression bars with a slight bit of yellow at the top indicate that the depths were slightly beyond 2 5 or 6 4cm The information related to ventilations is on the bottom of the display area The long horizontal bright green bar indicates that the start of the ventilation from when the first compression starts was correct Each of the ventilations delivered was too fast but the interval between the two ventilations was correct 4 Show Next Cycle The show Next Cycle button is on t
6. for the patient In the main results page note the number on the circled areas Each area contains details on some aspect of the performance 1 Score 2 More Scores 3 Colored Bars Area 4 Show Next Cycle Button 5 More Detailed Analysis Button SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 1 So Smarthtan 62010 f E NC Menu Help Qu maa x Information Results for John Smith saved as 0000192250 CPR2RP s 2 11 2011 1 smep r Click the Press to Open Close button for an analysis of your results This file can be viewed later from the Vew Previous Results button on the main menu Click the Next Cycle button for more Compressions Depth 80 Compressions Rate 94 Depth Rate Release 78 TULLE Below is a detailed description of the information in each area and what it means 1 The Score Percentage The overall score for the performance appears in the top right hand side of the screen This is calculated from all of the component skills in both chest compressions and ventilations and includes the overall timing and the timings of ventilations as related to chest compressions Current emphasis is on the priority of chest compressions and thus this score is weighted with 75 on the quality of the chest compressions and 25 on the quality of the ventilations Note You must always get some air into the lungs or the activity will stop and it will not give you a final score The sco
7. h the chest is not being compressed or released Hands off time ventilations he time during ventilations Duty Cycle The time spent compressing the chest as a proportion of the time from the start of one compression to the start of the next compression 23s019 usdgo 0 SS ld Summary Compressions Ventilations Hands off This screen provides details on the following points Total hands off time This refers to the time when the rescuer is not actively performing chest compressions This includes pauses between compressions plus the time for ventilations and if applicable change of rescuers Hands Off Time compressions This refers to the time when the chest is not being compressed and not being released Hands Off Time ventilations The time taken for ventilations Duty Cycle The time spent compressing the chest as a proportion of the time from the start of one compression to the start of the next compression Press the button at the right to close this window and return to the main results display page The main results page also contains a Print Screen Button and a Print Button See the section on SmartMan Manual 5 Results 5 Print for more information on printing a report from the results SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 10
8. he lower far left edge of the screen It is at the left edge of where the colored bars are displayed When you click on this button the screen will display the bars for the next cycle of 30 compressions and 2 ventilations In the top right of the bar area it will indicate which cycle you are displaying Each time you click the Next Cycle button it will show the results for the next cycle of CPR Clicking the button again will scroll through each cycle until you are back at the first cycle again 5 Detailed Analysis To see further detail on any skills performance click on the button at the far left edge of the page See area number 5 in the picture at the top of Page 2 This button is just above the Next Cycle Button SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 6 Information Results for John Smith saved as 0000194240 CPR2RP s 5 11 2011 3 smcp r Click the Press to Open Close button for an analysis of your results This file can be viewed later from the Vew Previous Results button on the main menu Click the Next Cycle button for more Summary Analysis This will reveal the Summary Analysis page as seen below SmartMan Results Analysis Section for Labora Results for Labora saved as 0000192250 CPR2RP s 2 11 2011 1 smcpr A summary of your performance is Final score 77 2 Total compressions performed 150 of 150 Average depth of compression 2 18in 5 54cm Av
9. ng they are aiming to perform higher quality compressions The person aims to produce pure bright green bars at all times If there is any other color then he or she needs to modify how they are performing compressions In CPR SmartMan shows colored bars for both chest compressions and for the ventilations Again it will indicate accuracy of the skill with the following 4 basic colors Bright vale oieer Orange Green ma means Red means means OEEC tate rate rate was too everythin but incorrect too slow y g depth or l is correct fast volume SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 3 Compressions Indications on Screen Cycle 1 of 5 The two green horizontal lines on the right side show the target depth of the compression Push the chest until the bar goes between these two green lines The compressions should be at least 5 0cm and not more than 6 0cm roughly 2 0 inches and 2 5inches The EU specifies a top limit for depth but the AHA does not It cites there is no evidence to say that compressions deeper than this are beneficial The red line is the maximum depth for that manikin It is the point at which you bounce off the bottom More Detail on Depth of Chest Compressions Yellow bar on the bottom This shows the distance the chest has not been released The higher it is from the bottom the greater the distance of the non release Yellow bar on the top This shows that the depth went deep
10. re allows individuals and program directors to set a target achievement level It is also useful in allowing individuals to compare a their current score with their previous scores and b their own achievement level with how others have done in the same skill 2 More Scores This area provides more detail on the performance It concentrates on information related to chest compressions SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 2 Print Screen Final Score 40 23 Compressions Depth 42 2 Compressions 64 60 Compressions Rate 51 6 Time Taken 44s 37s Depth Rate Release 15 6 V Vv i Q V Besides the final score it provides the following information Final Score This is the SmartMan overall percentage score Compressions This is how many compressions were performed and the target number Time Taken This is the actual time taken and the target time Compressions Depth This is the percentage of compressions accurate for depth Compressions Rate This is the percentage of compressions accurate for rate Depth Rate Release This is the percentage of compressions accurate for all three and is referred to by some EMS administrators as the Fully Compliant Score FFS The Colors The colored bars give a quick easy way for the person performing a skill on SmartMan to know how they are performing and what they need to change in order to receive a higher score The higher score meani
11. s s Ventilations Intervals s 20 SCORE Summary Compressions Ventilations Hands off so0oj5 u do 07 SS ld Press the button at the right to close this window and return to the main results display page Hands Off amp Duty Cycle The third button in this window is Hands Off and Duty Cycle This section provides detailed analysis of the performance related to how long was spent in pressing releasing the chest delay times between compressions and time allowed for ventilations The current guidelines specify the importance of spending as much time as possible in compressions The stress on quality of CPR correlates with what is referred to as Duty Cycle A SmartMan User Manual 5 Results 3 CPR v5 1 Nov 2011 Page 9 lower score is better for the patient The guidelines site research which shows that a duty cycle below 50 relates to coronary pressure and thus to blood flow through the brain SmartMan Results Analysis Section for Labora Your results are 1 Total hands off time 30 6s of 95 7002s 2 Hands off time compressions 0 5999999 seconds 3 Hands off time ventilations 31 2 with 16s recommended 4 Your duty cycle value was 42 3 Total hands off time Refers to the time when the rescuer is not actively performing chest compressions This includes pauses between compressions plus the time for ventilations and change of rescuers Hands off time compressions The time during whic
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