scholarly journals Continuous chest compression cardiopulmonary resuscitation training promotes rescuer self-confidence and increased secondary training

2012 ◽  
Vol 40 (3) ◽  
pp. 787-792 ◽  
Author(s):  
Audrey L. Blewer ◽  
Marion Leary ◽  
Emily C. Esposito ◽  
Mariana Gonzalez ◽  
Barbara Riegel ◽  
...  
2017 ◽  
Vol 25 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Dan Sebastian Dîrzu ◽  
Natalia Hagău ◽  
Theodor Boț ◽  
Loredana Fărcaș ◽  
Sanda Maria Copotoiu

Introduction: No definitive answer has been given to the question ‘who should teach cardiopulmonary resuscitation?’ Healthcare professionals and high school teachers are mostly the trainers, but medical students are increasingly being used for this purpose. Methods: We divided 296 high school students in three groups based on trainer professional level. Medical students, anaesthesia and intensive care residents, and anaesthesia and intensive care specialists provided basic life support training. We tested their theoretical knowledge with the help of a multiple-choice question questionnaire and practical abilities with the help of a medical simulator, recording chest compression frequency as the primary outcome parameter. Results: The study shows comparable results in all groups, with the exception of the chest compression frequency which was higher in the students’ and residents’ groups (students: 134.7/min ± 14.1; residents: 137.9/min ± 15.9; specialists: 126.3/min ± 19.3). Increased rates were not associated with lower depths (39.0 mm ± 8.2, 40.5 mm ± 9.7, and 38.1 mm ± 8.2), so the quality of compressions provided may be seen as equivalent in all the study groups. Conclusion: Our data suggest that medical students may be as effective as anaesthesia and intensive care specialists and residents in cardiopulmonary resuscitation training.


2019 ◽  
Author(s):  
Sanela Pivač ◽  
Primož Gradišek ◽  
Brigita Skela-Savič

Abstract Background: The benefits of cardiopulmonary resuscitation training for schoolchildren are well known, but the appropriate age for introducing training is still being discussed. This is a very important issue, since out-of-hospital cardiac arrest is a major public health concern. The objective of this study is to investigate the effects of implemented cardiopulmonary resuscitation training on the knowledge and prosocial behavior of children in the last three grades of Slovenian elementary schools, and to identify the experience of training instructors. Methods: A mixed methods research design was employed, using a cohort study with testing before and after training, and focus groups. Research was conducted in 15 Slovenian elementary schools offering cardiopulmonary resuscitation training. Focus groups included training instructors and developers. Data was collected with a structured questionnaire from April to June 2018 and analyzed using univariate, bivariate, and multivariate analyses. The three focus groups were convened in September and October 2018. Content analysis of the discussion transcriptions was conducted. The sample included 764 schoolchildren aged 12.5–14.5 years before cardiopulmonary resuscitation training and 566 schoolchildren after training. Three non-homogeneous focus groups included eight cardiopulmonary resuscitation instructors. Results: Significant progress in knowledge was noted after training implementation, with the greatest progress seen in the youngest age group (mean age 12.5). Male gender increased the level of self-confidence (β=0.114; p=0.007). Cardiopulmonary resuscitation knowledge influenced helping behavior (β=0.111; p=0.008), while internal motivation to help others was influenced by age (β=0.116; p=0.006) and level of knowledge (β=0.111; p=0.008). Analysis of the focus groups yielded two themes: (a) the effects of cardiopulmonary resuscitation training on schoolchildren, and (b) the systemic responsibility of the school system and professional bodies. Conclusions: Significant progress in schoolchildren’s cardiopulmonary resuscitation knowledge after training was established. Early introduction of training is recommended. Cardiopulmonary resuscitation knowledge influences the development of schoolchildren’s prosocial behavior, as it raises awareness of the responsibility to help others and increases self-confidence to provide bystander cardiopulmonary resuscitation. We can conclude that early Cardiopulmonary resuscitation training for children is crucial. It should be a mandatory part of school curricula in those countries where Cardiopulmonary resuscitation is not yet mandatory.


2019 ◽  
Vol 4 (12) ◽  
pp. 308
Author(s):  
E Muliyah ◽  
O Marciano ◽  
E Sutanto ◽  
D Muktiarti ◽  
I R Sianipar ◽  
...  

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2018 ◽  
Vol 35 (7) ◽  
pp. 519-526 ◽  
Author(s):  
Sabine Wingen ◽  
Daniel C. Schroeder ◽  
Hannes Ecker ◽  
Susanne Steinhauser ◽  
Sibel Altin ◽  
...  

Medicine ◽  
2019 ◽  
Vol 98 (13) ◽  
pp. e14418 ◽  
Author(s):  
Shou-Chien Hsu ◽  
Chan-Wei Kuo ◽  
Yi-Ming Weng ◽  
Chi-Chun Lin ◽  
Jih-Chang Chen

2020 ◽  
Vol 35 (1) ◽  
pp. 104-108
Author(s):  
Chan Woong Kim ◽  
Je Hyeok Oh

AbstractIntroduction:Recent cardiopulmonary resuscitation (CPR) guidelines recommend the use of CPR prompt/feedback devices during CPR training because it can improve the quality of CPR.Problem:Chest compression depth and full chest recoil show a trade-off relationship. Therefore, achievement of both targets (adequate chest compression depth and full chest recoil) simultaneously is a difficult task for CPR instructors. This study hypothesized that introducing a visual feedback device to the CPR training could improve the chest compression depth and ratio of full chest recoil simultaneously.Methods:The study investigated the effects of introducing a visual feedback device during CPR training by comparing the results of skill tests before and after introducing a visual feedback device. The results of skill tests from 2016 through 2018 were retrospectively reviewed. The strategy of emphasizing chest compression depth was implemented during the CPR training in 2017, and a visual feedback device was introduced in 2018. The interval between the CPR training and skill tests was seven days. Feedback was not provided during the skill tests.Results:In total, 159 students completed skill tests. Although the chest compression depth increased significantly from 50 mm (42–54) to 60 mm (59–61) after emphasizing chest compression depth (P < .001), the ratio of full chest recoil decreased simultaneously from 100% (100–100) to 81% (39–98; P < .001). The ratio of full chest recoil increased significantly from 81% (39–98) to 95% (77–100) after introducing a visual feedback device (P = .018). However, the students who did not achieve 80% of the ratio of full chest recoil remained significantly higher than in 2016 (1% in 2016, 49% in 2017, and 27% in 2018; P < .001).Conclusions:Although introducing a visual feedback device during CPR training resulted in increasing the ratio of full chest recoil while maintaining the adequacy of chest compression depth, 27% of the students still did not achieve 80% of the ratio of full chest recoil. Another educational strategy should be considered to increase the qualities of CPR more completely.


2017 ◽  
Vol 24 (6) ◽  
pp. 268-274
Author(s):  
Hsuan-Jui Fan ◽  
Shih-Hao You ◽  
Chien-Hsiung Huang ◽  
Chen-June Seak ◽  
Chip-Jin Ng ◽  
...  

Introduction: The psychomotor skill of cardiopulmonary resuscitation emphasized the importance of high-quality chest compression. This investigation examined the effect of self-debriefing and the different materials of debriefing during hands-on cardiopulmonary resuscitation practice for healthcare providers. Methods: This was a randomized controlled trial of a cardiopulmonary resuscitation training program involving emergency medical technicians in northern Taiwan. Participants were blinded to the study purpose and were allocated randomly using the black envelope method. All participants completed a 2-min pre-test of hands-only cardiopulmonary resuscitation using a manikin. Those who were allocated to the control group received self-debriefing with knowledge of pre-test result. Those who were allocated to the experimental group received self-debriefing with an additional biomechanical information of performance of chest compression. A post-test was performed 30 min after the pre-test. Results: A total of 88 participants were enrolled with 44 in each group. There was significant difference of cardiopulmonary resuscitation quality after self-debriefing among all participants (pre- vs post-test adequate rate, 54.7% vs 67.5%, p = 0.028; adequate depth, 41.2% vs 69.5%, p < 0.001; full recoil, 35.9% vs 54.5%, p = 0.001). The analysis of effects of self-debriefing with additional knowledge of performance revealed no significant difference in any of the measurements (improvement in adequate rate, 11.3% vs 14.2%, p = 0.767; adequate depth, 29.6% vs 27.0%, p = 0.784; full recoil, 23.0% vs 14.1%, p = 0.275). Conclusion: Self-debriefing improved hands-only cardiopulmonary resuscitation quality whether or not biomechanical information of performance of chest compression was given.


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