A recent AHA Consensus Statement recommended that “monitoring of CPR quality … should be incorporated into every resuscitation program”.18 Monitoring the quality of CPR can be divided up into 2 categories: physiological measures (i.e. invasive monitoring, end tidal CO2) and quantitative measures of CPR performance. Physiological measures are typically only available in the intensive care environment or out-of-hospital environment (i.e. end tidal CO2), and are inconsistently used across healthcare institutions in the United States.19 CPR feedback devices used during cardiopulmonary arrest (CPA) improve the quality of chest compressions (CC) when used during training20 and during real events.8 and 21 Unfortunately, only 4% of 439 hospitals in the United States indicate use of CPR feedback devices during clinical care.19 The rate of use is likely to be even lower in pediatrics given the limited selection of devices approved for clinical use in children.