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Cardiac Arrest (CA)AR-CPRNCT07778823

Augmented Reality-Cardiopulmonary Resuscitation Support for Pediatric Resuscitation

A study testing AR-CPR in people with Cardiac Arrest (CA) and Pediatric Cardiac Arrest (Simulated), run by Johns Hopkins University at 8 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study evaluates whether an augmented reality cardiopulmonary resuscitation feedback system (AR-CPR) can support health care providers in delivering high-quality chest compressions during pediatric cardiac arrest. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
AR-CPR
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
252 participants
Where
8 sitesin 2 countries
Study dates
29 Jun 2025to 30 Jun 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • Actively credentialed pediatric emergency department or pediatric intensive care unit nurse or clinical technician at a participating study site
  • Current American Heart Association (AHA) Pediatric Advanced Life Support (PALS) certification

Who cannot join

  • Inability to physically perform chest compressions
  • Need for prescription corrective lenses without having those corrective lenses available at the time of study participation

Trial locations and contacts

8 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Keith Kleinman, MD contact

410-955-5000

kkleinm3@jh.edu

Justin Jeffers, MD contact

410-955-5000

jjeffers@jhmi.edu

8 sites in 2 countries

United States7 sites, 7 recruiting
  • Johns Hopkins Children's Center

    Baltimore, Maryland, 21287

    Keith Kleinman, MD, 410-955-5000, kkleinm3@jh.edu

    Recruiting
  • University of Texas Southwestern Medical center/ Children's Health of Dallas

    Dallas, Texas, 75235

    Neethu Chandran, MD, 214-456-7000, Neethu.Chandran@UTSouthwestern.edu

    Recruiting
  • Texas Childrens

    Houston, Texas, 77030

    Julie McCaw, MD, 832-824-1000, jxmccaw@texaschildrens.org

    Recruiting
  • Columbia University Vagelos College of Physicians and Surgeons

    New York, New York, 10032

    David Kessler, MD, 212-305-2862, dk2592@cumc.columbia.edu

    Recruiting
  • Childrens Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Brian Lee, MD, 215-590-1000, leeb6@chop.edu

    Recruiting
  • Brown/Hasbro Children's Hospital

    Providence, Rhode Island, 02903

    Frank Overly, MD, 401-444-4000, frank.overly@brownphysicians.org

    Recruiting
  • All Childrens Hopsital

    St. Petersburg, Florida, 33701

    Alyssa Rake, MD, 727-898-7451, arake1@jh.edu

    Recruiting

Other trials in United States

Canada1 site, 1 recruiting
  • The hospital for sick children

    Toronto, Ontario

    Jabeen Fayyaz, MD, 416-813-1500, jabeen.fayyaz@gmail.com

    Recruiting

Other trials in Canada

About this study

Official title: AR-CPR: Large-Scale Simulation-Based Testing of a Novel Augmented Reality Point of Care Chest Compression Feedback System

This study evaluates whether an augmented reality cardiopulmonary resuscitation feedback system (AR-CPR) can support health care providers in delivering high-quality chest compressions during pediatric cardiac arrest. AR-CPR provides real-time visual feedback on chest compression rate, depth, and recoil through a head-mounted augmented reality display.

In this randomized, multicenter, international, simulation-based non-inferiority study, health care providers perform chest compressions during an 18-minute simulated pediatric cardiac arrest. Participants are assigned to receive either real-time feedback from AR-CPR or coaching from a trained human CPR coach. The primary objective is to determine whether the percentage of chest compressions meeting guideline targets for both rate and depth with AR-CPR is non-inferior to that achieved with human CPR coaching.

Read the detailed description

This prospective, multicenter, international, randomized, unblinded, non-inferiority study evaluates an augmented reality cardiopulmonary resuscitation feedback system (AR-CPR) compared with traditional human-delivered quality CPR coaching during simulated pediatric cardiac arrest. The study uses a standardized 18-minute pediatric cardiopulmonary arrest simulation conducted across eight participating institutions in the United States and Canada.

Participants are actively credentialed pediatric emergency department or intensive care unit nurses and clinical technicians with current Pediatric Advanced Life Support (PALS) certification and prior experience or training functioning as quality CPR coaches. Participants are organized into teams of one to three members and perform chest compressions on a standardized high-fidelity pediatric manikin during a simulated non-shockable cardiac arrest involving an intubated 7-year-old child. The simulation is limited to chest compression performance to isolate the effect of the feedback modality on CPR quality.

Participants are randomized at the team level to one of two study arms. In the control arm, an experienced, trained CPR coach provides real-time, goal-directed feedback based on chest compression rate, depth, and recoil. In the intervention arm, participants use AR-CPR, a head-mounted augmented reality system that provides real-time visual feedback on these same CPR performance measures. AR-CPR displays numerical and visual feedback within the participant's field of view and provides escalating goal-directed guidance when CPR performance falls outside established targets.

CPR performance data are collected using the same AR-CPR sensor system in both study arms to provide standardized objective measurement. The study evaluates whether CPR performance with AR-CPR is non-inferior to performance achieved with a trained human CPR coach. The primary measure of CPR performance is the percentage of compressions simultaneously meeting American Heart Association guideline targets for compression rate and depth. Additional assessments characterize other measures of CPR quality and participants' cognitive workload and experience with the augmented reality system.

Being tested
AR-CPR
Keywords
augmented reality, cardiopulmonary resuscitation, pediatric cardiac arrest, cpr quality, chest compressions, cpr coaching, real-time feedback, pediatric advanced life support, simulation
Medical subject headings
Heart Arrest

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AR-CPRDevice

    AR-CPR is a real-time augmented reality CPR feedback system designed to guide chest compression performance during pediatric cardiac arrest. The system uses a compression sensor containing an inertial measurement unit (IMU) and force-sensitive resistor (FSR) connected to a microcontroller. Sensor data are relayed to a Raspberry Pi 5 microcomputer running custom AR-CPR Coach software, which calculates chest compression rate, depth, and recoil. These metrics are transmitted wirelessly to a Vuzix M400 head-mounted display. The augmented reality interface provides numerical values and visual cues within the user's field of view. When performance is outside established targets, the system provides qualitative feedback and, for persistent deviations, escalates to explicit goal-directed instructions.

Study groups in NCT07778823
Study groupRoleWhat they receive
Quality CPR CoachingNo interventionParticipants receive real-time CPR performance feedback from a trained human CPR coach during an 18-minute simulated pediatric cardiac arrest. The CPR coach uses real-time compression rate, depth, and recoil data to provide goal-directed prompts based on Pediatric Advanced Life Support (PALS) targets, positive reinforcement for high-quality CPR, and guidance for compressor changes.
AR-CPRExperimentalParticipants use the AR-CPR system during an 18-minute simulated pediatric cardiac arrest. AR-CPR provides real-time visual feedback on chest compression rate, depth, and recoil through a head-mounted augmented reality display. The system displays numerical values and visual cues and provides goal-directed instructions when CPR performance falls outside established targets.
Receives: Device: AR-CPR

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Overall Excellent CPR

    Percentage of chest compressions meeting the study-defined composite criterion for overall excellent CPR. This is a single composite outcome measure in which each chest compression is classified as meeting the outcome only when both compression rate and compression depth simultaneously meet American Heart Association Pediatric Advanced Life Support (AHA PALS) guideline targets. A compression must have both a rate of 100-120 compressions per minute and a depth of 5-6 cm to meet the composite outcome. If either the rate or depth is outside its target range, the compression does not meet the outcome. Rate and depth are therefore not evaluated as separate measurements for this primary outcome; they are simultaneous criteria used to determine whether each compression meets the single composite measure.

    Measured: Up to 18 minutes

Secondary outcomes (6)
  1. Percentage of Compressions Meeting Guideline Rate Target

    Percentage of chest compressions delivered at the AHA PALS guideline-recommended rate of 100-120 compressions per minute. Measured during the 18-minute simulated pediatric cardiac arrest.

    Measured: Up to 18 minutes

  2. Percentage of Compressions Meeting Guideline Rate Depth

    Percentage of chest compressions delivered at the AHA PALS guideline-recommended depth of 5-6 cm. Measured during the 18-minute simulated pediatric cardiac arrest.

    Measured: Up to 18 minutes

  3. Percentage of Compressions With Adequate Recoil

    Percentage of chest compressions meeting the study-defined criterion for adequate chest recoil. During the 18-minute simulated pediatric cardiac arrest.

    Measured: Up to 18 minutes

  4. Percentage of Perfect CPR

    Percentage of chest compressions simultaneously meeting study criteria for compression rate, depth, and recoil. Measured during the 18-minute simulated pediatric cardiac arrest.

    Measured: Up to 18 minutes

  5. Mean Chest Compression Rate

    Average chest compression rate, measured in compressions per minute, across the full simulated cardiac arrest event. Measured during the 18-minute simulated pediatric cardiac arrest.

    Measured: Up to 18 minutes

  6. Mean Chest Compression Depth

    Average chest compression depth, measured in centimeters, across the full simulated cardiac arrest event. Measured during the 18-minute simulated pediatric cardiac arrest.

    Measured: Up to 18 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2026
  2. Study start29 Jun 2025
  3. Primary completion31 Mar 2028 (estimated)
  4. Study completion30 Jun 2028 (estimated)

Resources

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
Parallel groups
Masking
None (open label)
Enrolment
252 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07778823
Sponsor's protocol ID
IRB00399856
Other IDs
4R33HS029372
Acronym
AR-CPR
Status last verified
Aug 2026
First submitted
17 Aug 2026
Last updated
26 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No: Individual participant data will not be publicly shared because the study involves a relatively small, specialized population of healthcare providers recruited from a limited number of participating institutions, which may increase the risk of participant identification. Aggregate and de-identified study results will be reported in scientific publications and presentations.

Publications

  • Kleinman K, Dean JL, Yu E, Schreurs BA, Jeffers JM. AR-CPR 2.0: Validation of the Accuracy and Precision of a Wearable Coaching System for Improving Chest Compression Performance. J Med Device. 2025 Feb 1;20(1):011007. doi: 10.1115/1.4070016. Epub 2025 Nov 27.

    PubMed 41480194
  • Kleinman K, Hairston T, Smith B, Billings E, Tackett S, Chopra E, Risko N, Swedien D, Schreurs BA, Dean JL, Scott B, Canares T, Jeffers JM. Pediatric Chest Compression Improvement Via Augmented Reality Cardiopulmonary Resuscitation Feedback in Community General Emergency Departments: A Mixed-Methods Simulation-Based Pilot Study. J Emerg Med. 2023 Jun;64(6):696-708. doi: 10.1016/j.jemermed.2023.03.058. Epub 2023 Mar 22.

    PubMed 37438023
  • Jeffers JM, Schreurs BA, Dean JL, Scott B, Canares T, Tackett S, Smith B, Billings E, Billioux V, Sampathkumar HD, Kleinman K. Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting. Resusc Plus. 2022 Jul 9;11:100273. doi: 10.1016/j.resplu.2022.100273. eCollection 2022 Sep.

    PubMed 35844631

Questions about this trial

What is this clinical trial studying?

A study testing AR-CPR in people with Cardiac Arrest (CA) and Pediatric Cardiac Arrest (Simulated), run by Johns Hopkins University at 8 sites in 2 countries.

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 2 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, Canada. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Keith Kleinman, MD (410-955-5000, kkleinm3@jh.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Overall Excellent CPR (time frame: Up to 18 minutes). 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 NCT07778823, which also lists 3 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 26 Aug 2026.

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