Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review

International Liaison Committee on Resuscitation Education, Implementation, and Teams Task Force

doi:10.1016/j.resplu.2025.100868

Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review

International Liaison Committee on Resuscitation Education, Implementation, and Teams Task Force

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Review › Research › peer-review

1 Citation (Scopus)

Abstract

Aim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest resuscitation. Methods: We searched PubMed, Embase, and Cochrane from inception until October 9, 2024 for randomized trials and observational studies. We assessed risk of bias using Cochrane tools and assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. PROSPERO CRD42024603212. Results: We screened 505 records and included 7 studies. Overall, 6 were randomized studies involving pediatric resuscitation of which 4 studies were secondary analyses of one simulation-based trial, and one was an observational study on adult out-of-hospital cardiac arrest. Reported outcomes were: CPR performance in a simulated setting (n = 3), workload in a simulated setting (n = 2), adherence to guidelines in a simulated setting (n = 1), team communication in a simulated setting (n = 1), and clinical CPR performance (n = 1). All studies suggested improved CPR quality and guideline adherence when using a CPR coach compared to not using a coach. Risk of bias varied from low to critical and the certainty of evidence across outcomes was low or very low. Conclusions: We identified low- to very-low certainty of evidence supporting the use of a CPR coach as part of the resuscitation team in order to improve CPR quality and guideline adherence. However, further research is needed, in particular for clinical performance and patient outcomes.

Original language	English
Article number	100868
Journal	Resuscitation Plus
Volume	21
ISSN	2666-5204
DOIs	https://doi.org/10.1016/j.resplu.2025.100868
Publication status	Published - Jan 2025

Keywords

Cardiac Arrest Teams
Cardiopulmonary resuscitation
CPR Coach
Resuscitation teams

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10.1016/j.resplu.2025.100868

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@article{42923f7d1701487ca7df7e17220726d0,

title = "Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review",

abstract = "Aim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest resuscitation. Methods: We searched PubMed, Embase, and Cochrane from inception until October 9, 2024 for randomized trials and observational studies. We assessed risk of bias using Cochrane tools and assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. PROSPERO CRD42024603212. Results: We screened 505 records and included 7 studies. Overall, 6 were randomized studies involving pediatric resuscitation of which 4 studies were secondary analyses of one simulation-based trial, and one was an observational study on adult out-of-hospital cardiac arrest. Reported outcomes were: CPR performance in a simulated setting (n = 3), workload in a simulated setting (n = 2), adherence to guidelines in a simulated setting (n = 1), team communication in a simulated setting (n = 1), and clinical CPR performance (n = 1). All studies suggested improved CPR quality and guideline adherence when using a CPR coach compared to not using a coach. Risk of bias varied from low to critical and the certainty of evidence across outcomes was low or very low. Conclusions: We identified low- to very-low certainty of evidence supporting the use of a CPR coach as part of the resuscitation team in order to improve CPR quality and guideline adherence. However, further research is needed, in particular for clinical performance and patient outcomes.",

keywords = "Cardiac Arrest Teams, Cardiopulmonary resuscitation, CPR Coach, Resuscitation teams",

author = "Lauridsen, {Kasper G.} and Emma B{\"u}rgstein and Sabine Nabecker and Yiqun Lin and Aaron Donoghue and Duff, {Jonathan P.} and Adam Cheng and {International Liaison Committee on Resuscitation Education, Implementation, and Teams Task Force}",

note = "Publisher Copyright: {\textcopyright} 2025 The Authors",

year = "2025",

month = jan,

doi = "10.1016/j.resplu.2025.100868",

language = "English",

volume = "21",

journal = "Resuscitation Plus",

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Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review. / International Liaison Committee on Resuscitation Education, Implementation, and Teams Task Force.
In: Resuscitation Plus, Vol. 21, 100868, 01.2025.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Review › Research › peer-review

TY - JOUR

T1 - Cardiopulmonary resuscitation coaching for resuscitation teams

T2 - A systematic review

AU - Lauridsen, Kasper G.

AU - Bürgstein, Emma

AU - Nabecker, Sabine

AU - Lin, Yiqun

AU - Donoghue, Aaron

AU - Duff, Jonathan P.

AU - Cheng, Adam

AU - International Liaison Committee on Resuscitation Education, Implementation, and Teams Task Force

PY - 2025/1

Y1 - 2025/1

N2 - Aim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest resuscitation. Methods: We searched PubMed, Embase, and Cochrane from inception until October 9, 2024 for randomized trials and observational studies. We assessed risk of bias using Cochrane tools and assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. PROSPERO CRD42024603212. Results: We screened 505 records and included 7 studies. Overall, 6 were randomized studies involving pediatric resuscitation of which 4 studies were secondary analyses of one simulation-based trial, and one was an observational study on adult out-of-hospital cardiac arrest. Reported outcomes were: CPR performance in a simulated setting (n = 3), workload in a simulated setting (n = 2), adherence to guidelines in a simulated setting (n = 1), team communication in a simulated setting (n = 1), and clinical CPR performance (n = 1). All studies suggested improved CPR quality and guideline adherence when using a CPR coach compared to not using a coach. Risk of bias varied from low to critical and the certainty of evidence across outcomes was low or very low. Conclusions: We identified low- to very-low certainty of evidence supporting the use of a CPR coach as part of the resuscitation team in order to improve CPR quality and guideline adherence. However, further research is needed, in particular for clinical performance and patient outcomes.

AB - Aim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest resuscitation. Methods: We searched PubMed, Embase, and Cochrane from inception until October 9, 2024 for randomized trials and observational studies. We assessed risk of bias using Cochrane tools and assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. PROSPERO CRD42024603212. Results: We screened 505 records and included 7 studies. Overall, 6 were randomized studies involving pediatric resuscitation of which 4 studies were secondary analyses of one simulation-based trial, and one was an observational study on adult out-of-hospital cardiac arrest. Reported outcomes were: CPR performance in a simulated setting (n = 3), workload in a simulated setting (n = 2), adherence to guidelines in a simulated setting (n = 1), team communication in a simulated setting (n = 1), and clinical CPR performance (n = 1). All studies suggested improved CPR quality and guideline adherence when using a CPR coach compared to not using a coach. Risk of bias varied from low to critical and the certainty of evidence across outcomes was low or very low. Conclusions: We identified low- to very-low certainty of evidence supporting the use of a CPR coach as part of the resuscitation team in order to improve CPR quality and guideline adherence. However, further research is needed, in particular for clinical performance and patient outcomes.

KW - Cardiac Arrest Teams

KW - Cardiopulmonary resuscitation

KW - CPR Coach

KW - Resuscitation teams

UR - http://www.scopus.com/inward/record.url?scp=85215122560&partnerID=8YFLogxK

U2 - 10.1016/j.resplu.2025.100868

DO - 10.1016/j.resplu.2025.100868

M3 - Review

C2 - 39897064

AN - SCOPUS:85215122560

SN - 2666-5204

VL - 21

JO - Resuscitation Plus

JF - Resuscitation Plus

M1 - 100868

ER -

Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review

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