Abstract 445: Cardiopulmonary Resuscitation Training for Families of Cardiac Patients Before Hospital Discharge Using a Mobile Application

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Audrey L Blewer ◽  
Shaun K McGovern ◽  
Andrew D Murray ◽  
Marion Leary ◽  
Mary Putt ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Mobile Application ◽  
Prospective Trial ◽  
Family Members ◽  
Sudden Cardiac Arrest ◽  
Cardiac Patients ◽  
Skill Retention ◽  
Resuscitation Training ◽  
Self Instruction ◽  
Cpr Training

Introduction: Since over 75% of sudden cardiac arrest events occur in the home where family members may be first responders, broad cardiopulmonary resuscitation (CPR) training for family members of high-risk cardiac patients represents a promising intervention. The use of mobile application-based (mApp) CPR training may facilitate this, but data on the approach are limited. Objectives: We compared CPR skill retention among those trained with an mApp and hypothesized that training with the mApp would be non-inferior to training with a well-established video self-instruction (VSI) kit. As a secondary analysis, we examined dissemination via the “multiplier rate” (i.e., those additionally trained by primary trainees) by intervention. Methods: We conducted a multicenter pragmatic, randomized control trial assessing non-inferiority of training family members of cardiac patients in CPR with an mApp (video, but no practice manikin) to training with an established VSI method (video and manikin). Subject’s CPR skills were tested 6-months post-training. We hypothesized that mApp training would be non-inferior to VSI training, with a non-inferiority margin set at 5 chest compressions (cc) per min. Results: From 01/2016-01/2018, 1446 subjects were enrolled at 8 hospitals with 685 trained with VSI, and 761 trained with the mApp. Of those, 541 were included in the skills analysis (275 VSI, 266 App). The mean age was 52±16 years and 69% were female. Mean cc rate was 85±34 per min; mean cc depth was 40±14 mm. When stratified by intervention arm, those trained with VSI had a mean rate of 86 per min (83, 90), compared to 88 per min (84, 92) with the mApp; those trained with VSI had a mean depth of 42 mm (41, 44), compared to 39 mm (38, 41) with the mApp. Findings were similar when accounting for loss to follow-up. We concluded non-inferiority of the mApp with a mean difference of 1 (-5, 7) cc per min for rate. Subjects trained with VSI shared with an additional 2±4 individuals compared to 1±2 (p<0.01) of those trained with the mApp. Conclusion: In this large prospective trial of CPR skill retention, the mApp CPR training approach was non-inferior to VSI training for family members of cardiac patients. Future work may include evaluating additional means for adoption and dissemination of the mApp.

Incorporating cardiopulmonary resuscitation training into a cardiac rehabilitation programme: A feasibility study

2017 ◽  
Vol 17 (2) ◽  
pp. 148-158 ◽  
Author(s):  
Susie Cartledge ◽  
Judith Finn ◽  
Janet E Bray ◽  
Rosalind Case ◽  
Lauren Barker ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Cardiac Rehabilitation ◽  
Family Members ◽  
Target Population ◽  
Rehabilitation Programme ◽  
Cardiac Events ◽  
Cardiac Rehabilitation Programme ◽  
Resuscitation Training ◽  
Self Instruction ◽  
Cpr Training

Background: Patients with a cardiac history are at future risk of cardiac events, including out-of-hospital cardiac arrest. Targeting cardiopulmonary resuscitation (CPR) training to family members of cardiac patients has long been advocated, but is an area in need of contemporary research evidence. An environment yet to be investigated for targeted training is cardiac rehabilitation. Aim: To evaluate the feasibility of providing CPR training in a cardiac rehabilitation programme among patients, their family members and staff. Methods: A prospective before and after study design was used. CPR training was delivered using video self-instruction CPR training kits, facilitated by a cardiac nurse. Data was collected pre-training, post-training and at one month. Results: Cardiac patient participation rates in CPR classes were high ( n = 56, 72.7% of eligible patients) with a further 27 family members attending training. Patients were predominantly male (60.2%), family members were predominantly female (81.5%), both with a mean age of 65 years. Confidence to perform CPR and willingness to use skills significantly increased post-training (both p<0.001). Post training participants demonstrated a mean compression rate of 112 beats/min and a mean depth of 48 mm. Training reach was doubled as participants shared the video self-instruction kit with a further 87 people. Patients, family members and cardiac rehabilitation staff had positive feedback about the training. Conclusions: We demonstrated that cardiac rehabilitation is an effective and feasible environment to provide CPR training. Using video self-instruction CPR training kits enabled further training reach to the target population.

Abstract 15569: Video-Only Cardiopulmonary Resuscitation Education for Families Before Hospital Discharge: A Multicenter Pragmatic Clinical Trial

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Audrey L Blewer ◽  
Jiaqi Li ◽  
Marion Leary ◽  
Lance B Becker ◽  
Barbara J Riegel ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Prospective Trial ◽  
Patient Discharge ◽  
Term Retention ◽  
Bystander Cpr ◽  
The Mean ◽  
Long Term Retention ◽  
Self Instruction ◽  
Cpr Training

Background: The need for improved dissemination of public cardiopulmonary resuscitation (CPR) education is highlighted by the fact that bystander CPR is delivered in less than 40% of cardiac arrests in the US. Studies have suggested that simplified methods for CPR training can promote broader dissemination. The minimum CPR training curriculum to encourage broad implementation but ensure long-term retention remains poorly characterized. Objectives: To compare video-only CPR training without a manikin to training with a video self-instruction (VSI) kit including a practice manikin. We hypothesized that laypersons who receive video-only training will perform comparable chest compressions (CC) as those taught with a VSI kit six months after initial training. Methods: We performed a pragmatic, randomized trial of CPR training for family members of cardiac patients on inpatient wards at eight hospitals. Hospitals were block randomized to offer either video-only training or the VSI kit to high-risk families before patient discharge. At six months post-training, CPR skills were assessed quantitatively. We analyzed the mean difference in chest compression rate and depth between cohorts and used multivariate regression modeling to control for confounding. Results: From 2/2012 to 5/2015, 1610 subjects were enrolled and 571 subjects consented to a 6-month skills check. Enrollees’ mean age was 52±15 years, 73% were female and 81% were immediate patient’s family. The unadjusted mean CC rate in the video-only cohort was 88 (95% CI: 85, 90) compressions per min (cpm) and 89 (95% CI: 87, 91) cpm in the VSI cohort (p=0.56), while the mean CC depth was 40 (95% CI: 39, 42) mm in the video-only cohort and 45 (95% CI: 44, 47) mm in the VSI cohort (p<0.01). The statistical relationship remained the same after adjustment for confounding. Conclusions: To our knowledge, this represents the largest prospective trial of CPR training and long-term retention among lay providers. Video-only training yielded a statistically indistinguishable difference in CC rate compared to VSI training. While the CC depth was statistically different, the clinical impact of these differences may be small given recent clinical research suggesting maximum survival benefit at depths between 40-55 mm.

scholarly journals Cardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: A feasibility trial

2010 ◽  
Vol 6 (7) ◽  
pp. 428-432 ◽  
Author(s):  
Audrey L. Blewer ◽  
Marion Leary ◽  
Christopher S. Decker ◽  
James C. Andersen ◽  
Amanda C. Fredericks ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Hospital Discharge ◽  
Family Members ◽  
Feasibility Trial ◽  
Resuscitation Training ◽  
Self Instruction

scholarly journals Is cardiopulmonary resuscitation training deleterious for family members of cardiac patients?

1994 ◽  
Vol 84 (1) ◽  
pp. 116-118 ◽  
Author(s):  
K Dracup ◽  
D K Moser ◽  
P M Guzy ◽  
S E Taylor ◽  
C Marsden
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Family Members ◽  
Cardiac Patients ◽  
Resuscitation Training

scholarly journals The Effect of ten-minute dispatch-assisted cardiopulmonary resuscitation training: a randomized simulation pilot study

2020 ◽  
Author(s):  
Hidetada Fukushima ◽  
Hideki Asai ◽  
Tadahiko Seki ◽  
Keisuke Takano ◽  
Francesco Bolstad
Keyword(s):  
Pilot Study ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Role Playing ◽  
Time Interval ◽  
Standard Group ◽  
Resuscitation Training ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Group A ◽  
Cpr Training

Abstract Background Immediate bystander cardiopulmonary resuscitation (CPR) is essential for survival from sudden cardiac arrest. Current CPR guidelines recommend that dispatchers assist lay rescuers performing CPR (dispatch-assisted CPR: DACPR), which can double the frequency of bystander CPR. Laypersons, however, are not familiar with receiving CPR instructions from dispatchers. DACPR training can be beneficial for lay rescuers, but this needs to be validated. The aim of this study was to determine the effectiveness of brief DACPR training for lay rescuers in addition to a standard CPR training course. Methods We conducted a randomized DACPR simulation pilot study. Participants with no CPR training within 1 year prior to this study were assigned randomly to one of two 90-minute CPR training courses (DACPR Group: a standard CPR course including DACPR training for 10 minutes or Standard Group: a standard CPR course with a simple lecture of dispatchers’ role). In the DACPR Group, participants practiced DACPR through role-playing of a dispatcher and an emergency caller. Six months after the training, the subjects in both groups performed CPR for 2 minutes under instruction by off-duty dispatchers. Results Out of the 66 participants, 59 (DACPR Group; 30, Standard Group; 29) completed the simulation. The CPR quality was similar between the two groups. However, the median time interval between call receipt and the first dispatch-assisted compression was faster in the DACPR group (108 s vs. 129 s, p = 0.042). Conclusions This brief DACPR training can be effective for lay rescuers to start chest compressions more quickly.

scholarly journals Effect of cardiopulmonary resuscitation training towards cardiac arrest emergency knowledge upon students at Student Health Association of Universitas Gadjah Mada, Indonesia

2020 ◽  
Vol 8 (10) ◽  
pp. 3463
Author(s):  
Bayu Fandhi Achmad
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Emergency Situation ◽  
Heart Association ◽  
Student Health ◽  
Resuscitation Training ◽  
Health Association ◽  
Post Test ◽  
Cpr Training

Background: The cardiovascular disease, especially the sudden cardiac arrest, was the main cause of death and disability throughout the world. The cardiopulmonary resuscitation (CPR) that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for students to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. University became the appropriate place to organize the CPR training because the students were more conditioned in emotional, social and cultural terms.Methods: This research utilized the quasi-experiment method. The total number of research subject was 56 Universitas Gadjah Mada students at Student Health Association. The implementation of intervention of this research was conducted on 07 July, 2018. The topic in this research intervention were formed based on American Heart Association (AHA) Guideline 2015. Pretest and posttest instrument were 10 multiple choices with five choices of answer.Results: This research proved that the CPR training gave effect on the improvement of the knowledge about emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation. The pre-test and post-test results showed that there was a knowledge improvement after the training (p=0,000).Conclusions: CPR training could be recommended to have an impact on increasing student knowledge in emergency management, especially cardiac arrest.

Cardiopulmonary resuscitation skills retention in family members of cardiac patients

1990 ◽  
Vol 8 (6) ◽  
pp. 498-503 ◽  
Author(s):  
Debra K. Moser ◽  
Kathleen Dracup ◽  
Peter M. Guzy ◽  
Shelley E. Taylor ◽  
Christine Breu
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Family Members ◽  
Cardiac Patients ◽  
Skills Retention
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