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Here's what you need to know about the AHA instrumented directive feedback device (IDFD) requirements.

Posted on December 20, 2018 at 1:35 AM

To teach AHA courses involving adult CPR, you will be required, as of January 31, 2019, to use manikins or devices that feature an instrumented directive feedback device (IDFD), providing real-time feedback on student CPR performance.

The AHA requirement:

"By January 31, 2019, the AHA will require the use of an instrumented directive feedback device or manikin in all AHA courses that teach the skills of adult CPR. Specifically, an instrumented directive feedback device or manikin is one that, at a minimum, provides audio or visual (or both) feedback on the rate and depth of compressions during CPR training."

https://review.channing-bete.com/AHA/AHA_Feedback_Device_Requirements.pdf" target="_blank">See the entire document.

Why this new requirement?

Research by experts in the field has shown that real-time feedback on adult CPR performance significantly increases students' ability to perform quality CPR -- specifically, to achieve the recommended rate of 100-120 compressions per minute and the recommended compression depth

of 2 inches.


Which AHA courses are involved?

Basic Life Support (BLS)

Advanced Cardiovascular Life Support (ACLS)

Advanced Cardiovascular Life Support for Experienced Providers (ACLS EP)

Heartsaver® First Aid CPR AED

Heartsaver® CPR AED

The requirement applies to both U.S. and international training, adult CPR only.


How do I know if my manikins comply?

All major manufacturers are working to find ways to incorporate the feedback requirements into their adult manikins, either by building in electronic feedback capabilities or by developing add-on equipment. Many already have. 

To comply, your existing adult manikins must feature:


a clicker or any other device that gives audio or visual feedback to indicate compression depth, and

audio or visual feedback indicating a compression rate of 100-120 compressions per minute, through either exact numbers or lights that illuminate progressively.

How do I know if new manikins I purchase comply?

We clearly label all compliant manikins on this Web site:

"Meets the AHA CPR feedback device requirements"


Which manikins comply with the new requirements?


Please note: AHA does not endorse or recommend any specific equipment to meet the requirements.

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