Abstract 283: Hands-off Time During Lay Rescuer Basic Life Support Remains High After a Standard Basic Life Support Course

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Michael Mueller ◽  
Christian Rudolph ◽  
Cynthia Poenicke ◽  
Andre Eichelkraut ◽  
Norbert Papkalla ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Basic Life Support ◽  
Life Support ◽  
Control Group ◽  
Chest Compressions ◽  
Lay Persons ◽  
Lay Rescuer ◽  
Test Scenarios ◽  
Off Time ◽  
External Defibrillator

The current international guidelines for resuscitation recommend high quality chest compressions with minimal interruptions as important prerequisite for optimal survival after cardiac arrest. During the standard four hours BLS course of the European Resuscitation Council (ERC) the participants learn to provide chest compressions, ventilations and to use an automated external defibrillator. We know that lay rescuers are able to learn these skills. However, it is unclear whether lay rescuers manage to minimize interruptions of chest compressions. Objective: To evaluate the no-flow fraction (NFF) during lay rescuer BLS including chest compressions, ventilation and the use of an AED. Methods: 24 participants of a BLS/ AED course were assessed before (T1) and after (T2) the BLS training in a standardized scenario in pairs of 2 rescuers. We used a Resusci Anne Simulator manikin (Laerdal, Norway) and a Lifepak 1000 AED trainer device for the assessment. The scenario was an adult patient with cardiac arrest and persistent ventricular fibrillation (VF), duration of the scenario was 5 minutes. 28 lay persons served as control group and were assessed in pairs of 2 rescuers twice at the same day. Two-sided t-test was used to test differences between groups and between test scenarios (T1 vs. T2), p<.05 was considered significant. Results: The NFF decreased from 0.68 ± 0.1 (before the course) to 0.5 ± 0.07 (after the course), p=.000. In the control group the NFF was 0.63 ± 0.1 (scenario 1) and 0.59 ± 0.14 (second scenario), p=.244. Conclusion: A standard BLS course reduces the interruptions of chest compressions during lay rescuer CPR. However, 50% of the scenario no chest compressions are given. Interruptions are mainly due to ventilations or related to the use of the AED. Further research is necessary to improve the BLS algorithm regarding reduction of interruptions.

The effectiveness of modified basic life support module on knowledge, attitude, and performance of cardiopulmonary resuscitation among university students

2018 ◽  
Vol 26 (3) ◽  
pp. 156-164
Author(s):  
Azizul Fadzli Wan Jusoh ◽  
Rosliza Yahaya ◽  
Nik Ahmad Shaiffudin Nik Him ◽  
Nik Arif Nik Mohamed ◽  
Mohd Nizam Zahary ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
University Students ◽  
Healthcare Provider ◽  
Basic Life Support ◽  
Life Support ◽  
Medical Group ◽  
Resuscitation Training ◽  
Lay Rescuer ◽  
And Performance

Introduction: Cardiopulmonary resuscitation is a primary method used in the treatment of sudden cardiac arrest. It is a crucial skill that a healthcare provider and a lay rescuer should acquire to improve the survival and the neurological outcome of out-of-hospital cardiac arrest. Several modules were used to teach cardiopulmonary resuscitation for the healthcare provider and lay rescuer, but no module been developed that could be utilised in both population. Thus, this study aims to investigate the effectiveness of modified cardiopulmonary resuscitation training to knowledge (K), attitude (A), and performance (P) between medical and non-medical university students. Methods: This research was a single experimental study involving a total number of 125 students: 58 for a medical group and 67 for a non-medical group. A modified basic life support module, based on American Heart Association guideline 2015 was delivered to both groups under the same study setting. Pre and post KA scores were assessed using Res-Q questionnaire. The performance was evaluated by resuscitation feedback machine. The KA scores were analysed using repeated measure analysis of variance, and performance was examined using Pearson chi-square. Results: The study showed 64.8% of the participants were able to perform high-quality chest compression. Despite significant differences of sociodemographic background, there was no significant difference on effective chest compression between two groups (p = 0.200). There were also significant improvements in KA scores in both groups after intervention (p < 0.001). Conclusion: The knowledge of cardiopulmonary resuscitation can be delivered to everyone as aspired by our stakeholder to have one qualified cardiopulmonary resuscitation provider in a family. This modified basic life support module is reliably applicable to both healthcare and lay rescuer cardiopulmonary resuscitation training. All rescuers will perform in a similar manner, and this will tremendously reduce the discrepancy in the cardiopulmonary resuscitation qualities. Ultimately, this will improve an out-of-hospital return of spontaneous circulation rate.

scholarly journals Singapore Basic Cardiac Life Support and Automated External Defibrillation Guidelines 2021

2021 ◽  
Vol 62 (08) ◽  
pp. 415-423 ◽  
Author(s):  
SH Lim ◽  
TS Chee ◽  
FC Wee ◽  
SH Tan ◽  
JH Loke ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Heart Rhythm ◽  
Chest Compressions ◽  
Emergency Team ◽  
Basic Cardiac Life Support ◽  
Automated External Defibrillation ◽  
Emergency Ambulance ◽  
Rhythm Analysis ◽  
External Defibrillator

Basic Cardiac Life Support and Automated External Defibrillation (BCLS+AED) refers to the skills required in resuscitating cardiac arrest casualties. On recognising cardiac arrest, the rescuer should call for ‘995’ for Emergency Ambulance and immediately initiate chest compressions. Good-quality chest compressions are performed with arms extended, elbows locked, shoulders directly perpendicular over the casualty’s chest, and the heel of the palm placed on the lower half of the sternum. The rescuer compresses hard and fast at 4–6 cm depth for adults at a compression rate of 100–120 per minute, with complete chest recoil after each compression. Two quick ventilations of 400–600 mL each can be delivered via a bag-valve-mask after every 30 chest compressions. Alternatively, a trained, able and willing rescuer can provide mouth-to-mouth ventilation. Cardiopulmonary resuscitation should be stopped only when the casualty wakes up, the emergency team takes over care, or when an automated external defibrillator prompts for heart rhythm analysis or delivery of a shock.

scholarly journals PENGARUH PELATIHAN (BHD) TERHADAP PENGETAHUAN DAN KETERAMPILAN MAHASISWA KESEHATAN MASYARAKAT

2020 ◽  
Vol 4 (2) ◽  
pp. 115
Author(s):  
Vina Nirmalasari ◽  
Wiwin Winarti
Keyword(s):  
Cardiac Arrest ◽  
Basic Life Support ◽  
Life Support ◽  
Control Group ◽  
Knowledge And Skills ◽  
The Public ◽  
Consecutive Sampling ◽  
Hospital Cardiac Arrest ◽  
Paired T Test ◽  
Student Association

Abstrak  Out-of-Hospital Cardiac Arrest (OHCA) merupakan keadaan hilangnya fungsi jantung secara tiba-tiba yang terjadi di luar rumah sakit dan membutuhkan pertolongan cepat. Bantuan Hidup Dasar (BHD) merupakan pertolongan pertama kepada korban OHCA yang dapat meningkatkan angka keberlangsungan hidup pasien henti jantung. Setiap lapisan masyarakat khususnya mahasiswa kesehatan harus memiliki pengetahuan dan keterampilan BHD. Pelatihan dapat meningkatkan pengetahuan dan keterampilan mahasiswa jurusan kesehatan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pelatihan bantuan hidup dasar terhadap pengetahuan dan keterampilan pada Himpunan Mahasiswa Kesehatan Masyarakat (HMKM) di UPN “Veteran” Jakarta. Penelitian ini menggunakan desain Quasi Experiment Design (Eksperimental Semu) dengan Pre-Post Without Control Group. Teknik Consecutive sampling digunakan untuk merekrut 23 mahasiswa sebagai responden penelitian. Hasil analisis menggunakan Paired t-test menunjukkan terdapat pengaruh yang signifikan antara pelatihan BHD  dengan pengetahuan (p=0,000) dan keterampilan (p=0,000). Hal tersebut menunjukkan terdapat pengaruh yang signifikan antara pelatihan BHD dengan pengetahuan dan keterampilan HMKM UPN “Veteran” Jakarta. Kata Kunci : BHD; Keterampilan; Pelatihan; Pengetahuan ABSTRACT Out of Hospital Cardiac Arrest (OHCA) is a state of a sudden loss of heart function that occurs outside the hospital and requires rapid relief. Basic Life Support (BLS) is the first aid that can increase the survival rate of patients with cardiac arrest of OHCA victims. Every level of society, especially healthcare students, is mandatory to have BLS knowledge and skills. Training can improve healthcare students' knowledge and skills. The purpose of this study was to determine the effect of basic life support training on the knowledge and skills of the members of the Public Health Student Association at UPN "Veteran" Jakarta. This study used a Quasi Experiment with Pre-Post Without Control Group design. The consecutive sampling method was used to recruit 23 students as respondents. The results of a Paired t-test showed that there was a significant effect of BLS training on the knowledge (p = 0,000) and skills (p = 0,000). This study showed that there is a significant effect of BLS training on the knowledge and skills of the members of the Public Health Student Association at UPN "Veteran" Jakarta. Keywords: BLS; Knowledge; Skill; Training

Challenges in Basic Life Support and Automated External Defibrillator Training of Deaf People

2020 ◽  
Author(s):  
Matej Strnad ◽  
Zdenko Šalda ◽  
Boštjan Jerko ◽  
Vida Vrečar ◽  
Vesna Borovnik Lesjak ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Basic Life Support ◽  
Life Support ◽  
Deaf People ◽  
Automated External Defibrillator ◽  
Knowledge Test ◽  
Rescue Service ◽  
Study Results ◽  
And Performance ◽  
External Defibrillator

Abstract BackgroundBasic life support (BLS) with the use of an automated external defibrillator (AED) is a fundamental link to a successful chain of survival of patients with cardiac arrest. However, the BLS protocol is not tailored for deaf people who encounter many challenges during BLS training. MethodsAfter an ergonomic analysis and modifications of the BLS and AED protocol, a practical course was conducted. A pre-course BLS and AED knowledge was tested with a questionnaire. After the course, each participant practically solved a cardiac arrest scenario on a manikin and qualitative and quantitative data on BLS and AED performance were collected with a modified Cardiff test and the QCPR mobile application. Results of the knowledge test and performance were presented with frequencies and correlations between pre- and post-course BLS and AED knowledge and performance were analyzed and presented with Spearman’s rho. Results51 deaf volunteers from seven Slovenian societies for deaf people participated in the study. Results on the pre-course knowledge test were poor (3.5 points out of 10). BLS performance according to the modified Cardiff test post-course was also poor: 52.9 % of the participants used a safe approach, 58.8 % checked responsiveness and 51.0 % sent a text message to the rescue service. Only 43.1 % of them opened the airway and 49.0% checked initial breathing. 80.4% of the deaf rescuers performed chest compressions on the lower half of the sternum but only 52.9 % of them compressed with adequate depth. According to the QCPR application the best performance was achieved with the compression score of 61.1 % and flow fraction 74.9%.ConclusionsThis study shows that a more comprehensive and assidiuous approach is needed for effective BLS and AED training courses for deaf people.

In-hospital first-responder automated external defibrillation: what critical care practitioners need to know

1998 ◽  
Vol 7 (4) ◽  
pp. 314-319 ◽  
Author(s):  
ME Mancini ◽  
W Kaye
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Basic Life Support ◽  
Life Support ◽  
Survival Rates ◽  
First Responders ◽  
Critical Care Nurses ◽  
Automated External Defibrillator ◽  
Coronary Care ◽  
External Defibrillator

Despite the development and widespread implementation of Basic Life Support and Advanced Cardiac Life Support, the percentage of patients who survive in-hospital cardiac arrest has remained stable at approximately 15%. Although survival rates may approach 90% in coronary care units, survival rates plummet outside of these units. The lower survival rates for cardiac arrest that occur outside of the coronary care unit may relate to the time elapsed between the onset of ventricular fibrillation and first defibrillation. The advent of automated external defibrillators has made it possible to decrease the time elapsed before first defibrillation in non-critical care areas of the hospital. First responders need only recognize that the patient is unresponsive, apneic, and pulseless before attaching and activating the automated external defibrillator. Our research shows that, as part of Basic Life Support training, non-critical care nurses can learn to use the device and can retain the knowledge and skill over time. Establishing an in-hospital automated external defibrillator program requires commitment from administration, physicians, and nursing personnel. Critical care practitioners should be aware of this technology and the literature that supports its safety and effectiveness when used by non-critical care first responders. Critical care nurses are in a unique position to effect changes that will decrease the time between the onset of cardiac arrest and first defibrillation.

Successful automatic external defibrillator operation by people trained only in basic life support in a simulated cardiac arrest situation

Resuscitation ◽  
1998 ◽  
Vol 39 (1-2) ◽  
pp. 47-50 ◽  
Author(s):  
Hans Domanovits ◽  
Giora Meron ◽  
Fritz Sterz ◽  
Julia Kofler ◽  
Elisabeth Oschatz ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Basic Life Support ◽  
Life Support ◽  
Automatic External Defibrillator ◽  
External Defibrillator

scholarly journals Effects of a Clinical Simulation Course about Basic Life Support on Undergraduate Nursing Students’ Learning

2021 ◽  
Vol 18 (4) ◽  
pp. 1409
Author(s):  
María del Mar Requena-Mullor ◽  
Raquel Alarcón-Rodríguez ◽  
María Isabel Ventura-Miranda ◽  
Jessica García-González
Keyword(s):  
Cardiac Arrest ◽  
Nursing Students ◽  
Learning Outcomes ◽  
Basic Life Support ◽  
Life Support ◽  
Undergraduate Nursing Students ◽  
Assessment Protocol ◽  
Clinical Simulation ◽  
Undergraduate Nursing ◽  
Post Test

Training in basic life support (BLS) using clinical simulation improves compression rates and the development of cardiopulmonary resuscitation (CPR) skills. This study analyzed the learning outcomes of undergraduate nursing students taking a BLS clinical simulation course. A total of 479 nursing students participated. A pre-test and post-test were carried out to evaluate theoretical knowledge of BLS through questions about anatomical physiology, cardiac arrest, the chain of survival, and CPR. A checklist was used in the simulation to evaluate practical skills of basic CPR. The learning outcomes showed statistically significant differences in the total score of the pre-test and after completing the BLS clinical simulation course (pre-test: 12.61 (2.30), post-test: 15.60 (2.06), p < 0.001). A significant increase in the mean scores was observed after completing the course in each of the four parts of the assessment protocol (p < 0.001). The increase in scores in the cardiac arrest and CPR sections were relevant (Rosenthal’s r: −0.72). The students who had prior knowledge of BLS scored higher on both the pre-test and the post-test. The BLS simulation course was an effective method of teaching and learning BLS skills.

scholarly journals Kidney Protection by Hypothermic Total Liquid Ventilation after Cardiac Arrest in Rabbits

2014 ◽  
Vol 120 (4) ◽  
pp. 861-869 ◽  
Author(s):  
Renaud Tissier ◽  
Sebastien Giraud ◽  
Nathalie Quellard ◽  
Béatrice Fernandez ◽  
Fanny Lidouren ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Kidney Injury ◽  
Interferon Γ ◽  
Control Group ◽  
Blood Levels ◽  
Toll Like Receptor ◽  
Liquid Ventilation ◽  
Monocyte Chemoattractant Protein 1 ◽  
Group 2

Abstract Background: Total liquid ventilation (TLV) with perfluorocarbons has been shown to induce rapid protective cooling in animal models of myocardial ischemia and cardiac arrest, with improved neurological and cardiovascular outcomes after resuscitation. In this study, the authors hypothesized that hypothermic TLV can also limit kidney injury after cardiac arrest. Methods: Anesthetized rabbits were submitted to 15 min of untreated ventricular fibrillation. After resuscitation, three groups of eight rabbits each were studied such as (1) life support plus hypothermia (32°–33°C) induced by cold TLV (TLV group), (2) life support without hypothermia (control group), and (3) Sham group (no cardiac arrest). Life support was continued for 6 h before euthanasia and kidney removal. Results: Time to target esophageal temperature was less than 5 min in the TLV group. Hypothermia was accompanied by preserved renal function in the TLV group as compared with control group regarding numerous markers including creatinine blood levels (12 ± 1 vs. 16 ± 2 mg/l, respectively; mean ± SEM), urinary N-acetyl-β-(d)-glucosaminidase (1.70 ± 0.11 vs. 3.07 ± 0.10 U/mol of creatinine), γ-glutamyltransferase (8.36 ± 0.29 vs. 12.96 ± 0.44 U/mol of creatinine), or β2-microglobulin (0.44 ± 0.01 vs. 1.12 ± 0.04 U/mol of creatinine). Kidney lesions evaluated by electron microscopy and conventional histology were also attenuated in TLV versus control groups. The renal-protective effect of TLV was not related to differences in delayed inflammatory or immune renal responses because transcriptions of, for example, interferon-γ, tumor necrosis factor-α, interleukin-1β, monocyte chemoattractant protein-1, toll-like receptor-2, toll-like receptor-4, and vascular endothelial growth factor were similarly altered in TLV and control versus Sham. Conclusion: Ultrafast cooling with TLV is renal protective after cardiac arrest and resuscitation, which could increase kidney availability for organ donation.

Knowledge and Skills of Lay Participants Training with Basic Life Support Program in Case of Cardiac Arrest

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S44-S48
Keyword(s):  
Cardiac Arrest ◽  
Training Program ◽  
Basic Life Support ◽  
Life Support ◽  
Training Session ◽  
Smartphone Application ◽  
Knowledge And Skills ◽  
Lay People ◽  
Before And After ◽  
Hospital Cardiac Arrest

Background: Out-of-hospital cardiac arrest is an important cause that leads to hospital admission and death. Improving lay people’s knowledge and skills in basic life support (BLS) may lead to reduced death associated with out-of-hospital cardiac arrest. “BLS NU KKU” is a BLS training program developed from up-to-date literature as a smartphone application used to train lay people in the community. Objective: To evaluate BLS-related knowledge and skills of participants before and after BLS training. Materials and Methods: A one group pretest-posttest design was used to implement the present study in Khon Kaen, Thailand. Participants were 350 individuals age 18 and older. An 8-hour BLS training session was offered to 10 groups of 35 participants over the period of 10 months between November 2018 and August 2019. Self-administered questionnaires were used to assess BLS knowledge and Cardiopulmonary resuscitation (CPR) skills. Results: The mean score for BLS-related knowledge significantly increased after the BLS training (mean = 15.05, SD = 2.51) compared to the scores before the training (mean = 10.47, SD = 3.43) (p<0.05). BLS skills improved from 0% to 100% (p<0.001) will all skills rated with mostly “excellent” and “good”. Satisfaction with the training program was also rated mostly with “excellent” and “good”. Conclusion: The BLS training program effectively improved participants’ knowledge and skills for basic life support. This program should be disseminated to train lay people in other settings. Keywords: Basic life support, Cardiac arrest, Mobile application

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