Abstract
This paper presents the development of a smart Cardiopulmonary Resuscitation (CPR) training kit based on Internet of Things (IoT) principles. The system, designed to optimize chest compression techniques, integrates force and distance sensors, local processing through an ESP32 microcontroller, and MQTT wireless communication for remote monitoring and data analysis. Experimental validation with 20 novice participants showed improvements of 35 % in compression depth and 28 % in frequency within the recommended range (100–120 CPM) compared to standard commercial mannequins. Results showed an average feedback latency of 150ms and 94 % accuracy in depth measurement, establishing the feasibility of this IoT solution to improve CPR training quality, especially in resource-limited environments
References
[1] M. F. Hazinski et al., "2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care," Circulation, vol. 142, no. 16_suppl_2, pp. S337-S357, Oct. 2020.
[2] B. S. Abella et al., "Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest," JAMA, vol. 293, no. 3, pp. 305-310, Jan. 2005.
[3] American Heart Association, "Highlights of the 2020 American Heart Association Guidelines for CPR and ECC," Dallas, TX: American Heart Association, 2020.
[4] Laerdal Medical AS, "QCPR Technology: Real-time feedback for improved CPR training," Product Documentation, Stavanger, Norway, 2023.
[5] ZOLL Medical Corporation, "M2 QCPR Training System Specifications," Technical Manual, Chelmsford, MA, USA, 2023.
[6] L. Chen, T. Wang, and R. Liu, "Accelerometer-based CPR quality assessment system for emergency medical services," IEEE Trans. Biomed. Eng., vol. 68, no. 4, pp. 1189-1197, Apr. 2021.
[7] S. Park, K. Kim, and J. Lee, "Wearable device for real-time CPR quality monitoring and feedback," Sensors, vol. 21, no. 8, p. 2847, Apr. 2021.
[8] N. Kumar and M. Singh, "Performance comparison of MQTT and HTTP protocols in IoT applications: A comprehensive analysis," IEEE Internet Things J., vol. 8, no. 12, pp. 9850-9859, Jun. 2021.
[9] R. Johnson et al., "IoT-enabled medical training systems: A systematic review of current technologies and future directions," J. Med. Internet Res., vol. 23, no. 7, e28945, Jul. 2021.
[10] World Health Organization, "Global Guidelines for the prevention of surgical site infection," 2nd ed., Geneva: WHO Press, 2018.
[11] European Resuscitation Council, "European Resuscitation Council Guidelines 2021: Adult basic life support," Resuscitation, vol. 161, pp. 98-114, Apr. 2021.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 Patricia Nataly Flores Ponce , Eynar Calle Viles, Edgar Roberto Ramos Silvestre, Rommer Alex Ortega-Martinez (Author)

