Mr Edward Chadwick1
1Actas, , Australia
Biography:
Originally studied and trained in the UK, Eddie qualified as a Paramedic in Essex before moving home to Australia and joining ACTAS. He now worked as an operational Ambulance Paramedic for 5 years with 1.5 years in ACTAS alongside postgraduate study.
Abstract:
Introduction:
This project aimed to improve cardiopulmonary resuscitation (CPR) chest compression quality among operational paramedics through the implementation of an objective compression assessment embedded within mandatory credentialling. The primary focus was improving compression performance using real‑time, objective feedback aligned with routine clinical practice. A secondary outcome was the ability to quantify compression efficacy before and after credentialling to support quality improvement and governance insight.
Methods:
All paramedics holding an authority to practice completed a two‑minute CPR compression assessment using Zoll feedback technology, reflecting standard operational equipment. Compression depth and rate were assessed against defined targets, with clinicians required to achieve greater than 80% of the average target to meet credentialling requirements. Chest recoil was measured and reported within detailed feedback but excluded from the pass/fail threshold. Individual compression feedback across depth, rate, and recoil was provided to support skill improvement. Performance data used for pre‑ and post‑credentialling comparison were analysed separately from SharePoint‑based systems, which tracked participation and administrative completion only. An informal internal competition supported engagement.
Results:
Over 99% of current operational staff completed credentialling within ten weeks. Objective feedback was associated with measurable improvements in compression depth and rate and improved performance consistency. Participants reported increased confidence in delivering high‑quality compressions.
Conclusions:
Objective CPR compression assessment embedded within credentialling effectively improved compression quality, high workforce engagement and added governance value from pre‑ and post‑credentialling analysis.