Automating the Evaluation of Artificial Respiration: A Computer Vision Approach

Traditional cardiopulmonary resuscitation (CPR) training faces limitations such as instructor dependency, low efficiency, and subjective assessment. To address these issues, this study proposes a novel computer vision-based method for the automation and objective evaluation of artificial respiration, shifting focus to the long-overlooked ventilation component. We developed an evaluation framework integrating human pose estimation and spatio-temporal graph convolution network (ST-GCN): first, OpenPose is utilized to extract skeletal keypoints of the rescuer, followed by action classification and recognition-including chest compressions, airway opening, and artificial breathing via a ST-GCN. Based on the American Heart Association (AHA) guidelines, this research defines and implements five quantitative metrics for ventilation quality, including CPR operation procedure, chin-frontal angle, interruption time, ventilation time, and ventilation frequency. An automated scoring model was established accordingly. Validated on a self-constructed dataset containing multi-source videos, the model achieved an accuracy of 87.64% in recognizing artificial respiration actions and 84.47% in evaluating action standardization. Experimental results demonstrate that the system can effectively and objectively evaluate the quality of artificial respiration. Compared with traditional instructor-dependent approaches, this study provides a low-cost, scalable technical solution, offering a new pathway for promoting high-quality CPR training.