Augmented Reality–Guided Decision Support in Simulated Pediatric Cardiac Arrest

Does a multifaceted, augmented reality (AR)–enhanced, role-specific clinical decision support system improve adherence to American Heart Association (AHA) Pediatric Advanced Life Support (PALS) guidelines and key performance metrics during simulated pediatric in-hospital cardiopulmonary arrest compared with AHA PALS pocket cards?In this randomized clinical trial of 18 teams of pediatric nurses and physicians (54 participants) there was no statistically significant difference in time to first epinephrine between groups, while adherence to epinephrine dosing intervals improved with AR support.While AR support did not clearly improve time to first epinephrine in this study, findings suggest it may improve adherence to resuscitation guidelines without impairing other performance metrics.

Corresponding Author: Johan N. Siebert, MD, Department of Pediatric Emergency Medicine, Geneva Children’s Hospital, Geneva University Hospitals, 47 Avenue de la Roseraie, 1211 Geneva 14, Switzerland (johan.siebert@hug.ch).

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