PediatricsCPR-ROTNCT07624851
One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR
A study testing One-Minute Compressor Rotation and Two-Minute Compressor Rotation in people with Pediatrics and Fatigue Symptom, run by Hacettepe University at 1 site in Turkey (Türkiye).
Trial summary
The goal of this clinical trial is to compare one-minute and two-minute compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation, also called CPR. The study will include healthcare professionals who perform chest compressions on a pediatric manikin in a simulated resuscitation setting. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Pediatrics, Fatigue Symptom, Resuscitation
- What is being tested?
- One-Minute Compressor Rotation and Two-Minute Compressor Rotation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Jul 2024to 1 Sep 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Volunteer pediatric residents
- Previous cardiopulmonary resuscitation training
- Prior clinical cardiopulmonary resuscitation experience
- Ability to participate in both simulated pediatric CPR sessions
- Written informed consent provided before study participation
Who cannot join
- No previous Pediatric Advanced Life Support course attendance
- No prior clinical cardiopulmonary resuscitation experience
- Currently rotating in the pediatric emergency department or pediatric ward during the study period
- Emergency medicine residents
- Presence of a chronic medical condition that could affect physical performance during chest compressions
Trial locations and contacts
1 site in 1 country.
About this study
Official title: One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR: A Randomized Crossover Pilot Study
The goal of this clinical trial is to compare one-minute and two-minute compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation, also called CPR. The study will include healthcare professionals who perform chest compressions on a pediatric manikin in a simulated resuscitation setting.
The main questions this study aims to answer are:
Read more
Does one-minute compressor rotation improve chest compression quality compared with two-minute compressor rotation? Does one-minute compressor rotation reduce participant fatigue compared with two-minute compressor rotation?
Participants will perform chest compressions during two simulated pediatric CPR sessions. In one session, compressors will rotate every one minute. In the other session, compressors will rotate every two minutes. Researchers will compare CPR performance measures and participant-reported fatigue between the two rotation intervals.
Read the detailed description
This randomized crossover pilot study evaluates two different compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation. The study is conducted in a simulation setting using a pediatric manikin. No patients are involved, and no clinical care is delivered.
Participants are healthcare professionals trained in pediatric resuscitation. Each participant pair completes two CPR scenarios. In one scenario, chest compressors rotate every one minute. In the other scenario, chest compressors rotate every two minutes. The order of the two scenarios is randomized.
The study compares objective CPR performance metrics obtained during the simulation, including measures related to chest compression quality. It also evaluates participant-reported fatigue after each scenario. Because each pair completes both rotation strategies, the crossover design allows comparison of the two approaches within the same participant pair.
The purpose of this pilot study is to explore whether a shorter compressor rotation interval may help maintain CPR quality or reduce fatigue during simulated pediatric CPR. The findings may help guide future simulation-based research and training strategies for pediatric resuscitation teams.
- Conditions
- Pediatrics, Fatigue Symptom, Resuscitation, Chest Compression Quality, Simulated Pediatric Cardiopulmonary Resuscitation
- Being tested
- One-Minute Compressor Rotation, Two-Minute Compressor Rotation
- Keywords
- Pediatric Cardiopulmonary Resuscitation, Compressor Rotation, Simulation Training, Fatigue, Randomized Crossover Study
- Medical subject headings
- Fatigue
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
One-Minute Compressor RotationOther
During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every one minute. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.
Two-Minute Compressor RotationOther
During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every two minutes. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.
| Study group | Role | What they receive |
|---|---|---|
| One-Minute Then Two-Minute Rotation Sequence | Experimental | Participants in this arm first performed simulated pediatric CPR with compressor rotation every one minute. After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every two minutes. Receives: Other: One-Minute Compressor Rotation; Other: Two-Minute Compressor Rotation |
| Two-Minute Then One-Minute Rotation Sequence | Experimental | Participants in this arm first performed simulated pediatric CPR with compressor rotation every two minutes. After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every one minute. Receives: Other: One-Minute Compressor Rotation; Other: Two-Minute Compressor Rotation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Chest Compression Rate During Simulated Pediatric CPR
Chest compression rate was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session. The rate was compared between the one-minute and two-minute compressor rotation conditions.
Measured: From 0 to 20 minutes after the start of each simulated CPR session
Chest Recoil Velocity During Simulated Pediatric CPR
Chest recoil velocity was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session and compared between the one-minute and two-minute compressor rotation conditions.
Measured: From 0 to 20 minutes after the start of each simulated CPR session
Proportion of Adequate Chest Compressions
The proportion of adequate chest compressions was defined as the proportion of compressions meeting the pre-specified rate and depth targets. Adequate compressions were defined as compressions delivered at a rate of 100 to 120 compressions per minute and a target depth of at least 5 cm
Measured: From 0 to 20 minutes after the start of each simulated CPR session
Secondary outcomes (3)
Participant-Reported Fatigue
Participant fatigue was assessed using a 10-point Likert-type fatigue scale. Scores range from 1 to 10, with 1 indicating the least fatigue and 10 indicating the most fatigue. Higher scores indicate worse fatigue. Fatigue scores were compared between the one-minute and two-minute compressor rotation conditions.
Measured: At 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
Blood Pressure Response Before and After Simulated Pediatric CPR
Systolic and diastolic blood pressure were measured at baseline and at the end of each 20-minute simulated CPR session. Blood pressure responses were compared between the one-minute and two-minute compressor rotation conditions.
Measured: At baseline and immediately after completion of each simulated CPR session
Heart Rate Response During Simulated Pediatric CPR
Participant heart rate was measured in beats per minute (bpm) using a standard monitor. Heart rate values were compared between the one-minute and two-minute compressor rotation conditions.
Measured: At baseline and at 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jun 2026
- Study start1 Jul 2024
- Primary completion30 Jul 2024
- Study completion1 Sep 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for PediatricsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Participants completed two simulated pediatric CPR sessions using both compressor rotation strategies. In one session, compressors rotated every one minute, and in the other session, compressors rotated every two minutes. The order of the two strategies was randomized.
- Masking
- None (open label)
- Enrolment
- 18 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hacettepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ahmet Ziya Birbilen, Hacettepe University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07624851
- Sponsor's protocol ID
- SBA24-1093
- Other IDs
- SBA24-1093
- Acronym
- CPR-ROT
- Status last verified
- May 2026
- First submitted
- 21 May 2026
- Last updated
- 3 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: The datasets generated and/or analyzed during the current study may be available from the corresponding author upon reasonable request, subject to approval by the study investigators and applicable institutional and ethical requirements.
Publications
Sawee C, Churuangsuk C, Vattanavanit V. Effect of Compression Rotation Intervals on Cardiopulmonary Resuscitation Quality: A Systematic Review and Meta-Analysis. Arch Acad Emerg Med. 2025 Jun 25;13(1):e58. doi: 10.22037/aaemj.v13i1.2704. eCollection 2025.
PubMed 40727595Kim DH, Seo YW, Jang TC. CPR quality with rotation of every 1 versus 2 minutes as characteristics of rescuers: A randomized crossover simulation study. Medicine (Baltimore). 2023 Mar 10;102(10):e33066. doi: 10.1097/MD.0000000000033066.
PubMed 36897706Pechaksorn N, Vattanavanit V. CPR Compression Rotation Every One Minute Versus Two Minutes: A Randomized Cross-Over Manikin Study. Emerg Med Int. 2020 Sep 1;2020:5479209. doi: 10.1155/2020/5479209. eCollection 2020.
PubMed 32953180Topjian AA, Raymond TT, Atkins D, Chan M, Duff JP, Joyner BL Jr, Lasa JJ, Lavonas EJ, Levy A, Mahgoub M, Meckler GD, Roberts KE, Sutton RM, Schexnayder SM; Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. No abstract available.
PubMed 33081526
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR: A Randomized Crossover Pilot Study
- ClinicalTrials.gov ID
- NCT07624851
- Acronym / sponsor ID
- CPR-ROT / SBA24-1093
- Conditions
- Pediatrics, Fatigue Symptom, Resuscitation, Chest Compression Quality, Simulated Pediatric Cardiopulmonary Resuscitation
- Keywords
- Pediatric Cardiopulmonary Resuscitation, Compressor Rotation, Simulation Training, Fatigue, Randomized Crossover Study
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Hacettepe UniversityUniversity, hospital or other
- Study start
- 1 Jul 2024 (actual)
- Primary completion
- 30 Jul 2024 (actual)
- Study completion
- 1 Sep 2024 (actual)
- First posted
- 3 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to compare one-minute and two-minute compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation, also called CPR. The study will include healthcare professionals who perform chest compressions on a pediatric manikin in a simulated resuscitation setting.
The main questions this study aims to answer are:
Does one-minute compressor rotation improve chest compression quality compared with two-minute compressor rotation? Does one-minute compressor rotation reduce participant fatigue compared with two-minute compressor rotation?
Participants will perform chest compressions during two simulated pediatric CPR sessions. In one session, compressors will rotate every one minute. In the other session, compressors will rotate every two minutes. Researchers will compare CPR performance measures and participant-reported fatigue between the two rotation intervals.
Detailed description
This randomized crossover pilot study evaluates two different compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation. The study is conducted in a simulation setting using a pediatric manikin. No patients are involved, and no clinical care is delivered.
Participants are healthcare professionals trained in pediatric resuscitation. Each participant pair completes two CPR scenarios. In one scenario, chest compressors rotate every one minute. In the other scenario, chest compressors rotate every two minutes. The order of the two scenarios is randomized.
The study compares objective CPR performance metrics obtained during the simulation, including measures related to chest compression quality. It also evaluates participant-reported fatigue after each scenario. Because each pair completes both rotation strategies, the crossover design allows comparison of the two approaches within the same participant pair.
The purpose of this pilot study is to explore whether a shorter compressor rotation interval may help maintain CPR quality or reduce fatigue during simulated pediatric CPR. The findings may help guide future simulation-based research and training strategies for pediatric resuscitation teams.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants completed two simulated pediatric CPR sessions using both compressor rotation strategies. In one session, compressors rotated every one minute, and in the other session, compressors rotated every two minutes. The order of the two strategies was randomized.
| Arm | Type | Receives |
|---|---|---|
| One-Minute Then Two-Minute Rotation Sequence | Experimental | Other: One-Minute Compressor Rotation, Other: Two-Minute Compressor RotationParticipants in this arm first performed simulated pediatric CPR with compressor rotation every one minute. After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every two minutes. |
| Two-Minute Then One-Minute Rotation Sequence | Experimental | Other: One-Minute Compressor Rotation, Other: Two-Minute Compressor RotationParticipants in this arm first performed simulated pediatric CPR with compressor rotation every two minutes. After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every one minute. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Volunteer pediatric residents
- Previous cardiopulmonary resuscitation training
- Prior clinical cardiopulmonary resuscitation experience
- Ability to participate in both simulated pediatric CPR sessions
- Written informed consent provided before study participation
Key exclusion criteria (5 listed)
- No previous Pediatric Advanced Life Support course attendance
- No prior clinical cardiopulmonary resuscitation experience
- Currently rotating in the pediatric emergency department or pediatric ward during the study period
- Emergency medicine residents
- Presence of a chronic medical condition that could affect physical performance during chest compressions
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| One-Minute Compressor RotationDuring simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every one minute. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation. | Other | One-Minute Then Two-Minute Rotation Sequence, Two-Minute Then One-Minute Rotation Sequence |
| Two-Minute Compressor RotationDuring simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every two minutes. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation. | Other | One-Minute Then Two-Minute Rotation Sequence, Two-Minute Then One-Minute Rotation Sequence |
Primary outcome
Chest Compression Rate During Simulated Pediatric CPR
Time frame: From 0 to 20 minutes after the start of each simulated CPR session
Chest compression rate was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session. The rate was compared between the one-minute and two-minute compressor rotation conditions.
Chest Recoil Velocity During Simulated Pediatric CPR
Time frame: From 0 to 20 minutes after the start of each simulated CPR session
Chest recoil velocity was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session and compared between the one-minute and two-minute compressor rotation conditions.
Proportion of Adequate Chest Compressions
Time frame: From 0 to 20 minutes after the start of each simulated CPR session
The proportion of adequate chest compressions was defined as the proportion of compressions meeting the pre-specified rate and depth targets. Adequate compressions were defined as compressions delivered at a rate of 100 to 120 compressions per minute and a target depth of at least 5 cm
3 secondary outcomes
Participant-Reported Fatigue
Time frame: At 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
Blood Pressure Response Before and After Simulated Pediatric CPR
Time frame: At baseline and immediately after completion of each simulated CPR session
Heart Rate Response During Simulated Pediatric CPR
Time frame: At baseline and at 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2026.
- Background: PubMed 40727595Sawee C, Churuangsuk C, Vattanavanit V. Effect of Compression Rotation Intervals on Cardiopulmonary Resuscitation Quality: A Systematic Review and Meta-Analysis. Arch Acad Emerg Med. 2025 Jun 25;13(1):e58. doi: 10.22037/aaemj.v13i1.2704. eCollection 2025.
- Background: PubMed 36897706Kim DH, Seo YW, Jang TC. CPR quality with rotation of every 1 versus 2 minutes as characteristics of rescuers: A randomized crossover simulation study. Medicine (Baltimore). 2023 Mar 10;102(10):e33066. doi: 10.1097/MD.0000000000033066.
- Background: PubMed 32953180Pechaksorn N, Vattanavanit V. CPR Compression Rotation Every One Minute Versus Two Minutes: A Randomized Cross-Over Manikin Study. Emerg Med Int. 2020 Sep 1;2020:5479209. doi: 10.1155/2020/5479209. eCollection 2020.
- Background: PubMed 33081526Topjian AA, Raymond TT, Atkins D, Chan M, Duff JP, Joyner BL Jr, Lasa JJ, Lavonas EJ, Levy A, Mahgoub M, Meckler GD, Roberts KE, Sutton RM, Schexnayder SM; Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. No abstract available.
- Individual participant dataSharing planned: Undecided. The datasets generated and/or analyzed during the current study may be available from the corresponding author upon reasonable request, subject to approval by the study investigators and applicable institutional and ethical requirements.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing One-Minute Compressor Rotation and Two-Minute Compressor Rotation in people with Pediatrics and Fatigue Symptom, run by Hacettepe University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Chest Compression Rate During Simulated Pediatric CPR (time frame: From 0 to 20 minutes after the start of each simulated CPR session). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07624851, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2026.