Staying Alive - CPR Quality Parameters from Wrist-worn Inertial Sensor Data with Evolutionary Fitted Sinusoidal Models

Abstract: In this paper, a robust sinusoidal model fitting method based on the Differential Evolution (DE) algorithm for determining cardiopulmonary resuscitation (CPR) quality-parameters - naming chest compression frequency and depth - as measured by an inertial sensor placed at the wrist is presented. Once included into a smartphone or smartwatch app, the proposed algorithm will enable bystanders to improve CPR (as part of a continuous closed-loop support-system). By evaluating the precision of the model with data recorded by a Laerdal Resusci Anne mannequin as reference standard, a low variance for compression frequency of $\pm 2.0$ cpm has been found for the sensor placed at the wrist, making this previously unconsidered position a suitable alternative to the typical placement in the hand for CPR-training smartphone apps.