scholarly journals Conocimientos teóricos y prácticos del profesorado sobre reanimación cardiopulmonar y uso del desfibrilador externo automatizado tras un proceso de video-formación (Schoolteacher´s theoretical and skills knowledge on cardiopulmonary resuscitation and use

Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 172-181
Author(s):  
Ruben Navarro-Paton ◽  
Miguel Cons-Ferreiro ◽  
Vicente Romo-Pérez

  El objetivo de esta investigación fue evaluar los conocimientos en Reanimación Cardiopulmonar (RCP) solo manos y utilización del Desfibrilador Externo Automatizado (DEA) del profesorado gallego de Educación Infantil, Primaria y Secundaria tras un proceso de video-formación, comparando el grado del olvido que se produce tras una semana (G1), al mes (G2) y a los dos meses (G3). Participaron 126 profesores de entre 25-64 años (M = 44,23 DE = 7,74), de los cuales 100 (79,4%) eran mujeres y 26 (20,6%) hombres. Los resultados muestran diferencias estadísticamente significativas en la media de respuestas correctas entre el cuestionario inicial y final en todas las dimensiones estudiadas [i.e. Global (p < .001); RCP en adulto (p < .001) y DEA y teléfono de emergencias (p < .001)], entre los grupos (G1, G2 y G3), de manera global (p = .001) y conocimiento de parámetros de la RCP (p < .001). Se encontraron diferencias significativas en la profundidad media en la RCP en adulto (hombres vs mujeres; p = .046). Respecto a los tiempos de empleo del DEA existen diferencias en aplicar una descarga eficaz entre los grupos G2 y G3 (p = .028), siendo menor el tiempo en el G2. Tras la aplicación de un programa de vídeo-formación se produce un aumento de conocimientos teóricos en el profesorado y se mantiene, al menos, hasta pasados 2 meses con una leve disminución. En cuanto al aprendizaje de las habilidades en RCP sólo manos y aplicación del DEA, se mantienen de igual manera en el tiempo, al menos, hasta los 2 meses.  Abstract. The aim of this research was to evaluate knowledge of hands-only Cardiopulmonary Resuscitation (CPR) and the use of the Automated External Defibrillator (AED) in Galician schoolteachers of childhood, primary and secondary education, after video-training process, comparing the degree of forgetfulness after one week (G1), one month (G2) and two months (G3). 126 teachers aged 25-64 years (M = 44.23 SD = 7.74) participated, of whom 100 (79.4%) were women and 26 (20.6%) men. The results show statistically significant differences in the mean number of correct answers between the initial and final questionnaire in all the dimensions studied [i.e. Global (p < .001); Adult CPR (p < .001) and AED and emergency telephone (p < .001)], between the groups (G1, G2 and G3), globally (p = .001) and knowledge of CPR parameters (p < .001). Significant differences were found in the mean depth of only-hands CPR in adults (men vs. women; p = .046). With respect to the time of use of the AED, there are differences in applying an effective discharge between groups G2 and G3 (p = .028), with less time in G2. After the application of a training programme there is an increase in theoretical knowledge in the teaching staff and this is maintained at least until after 2 months with a slight decrease. As for the learning of skills in only-hands CPR and the application of the AED, they are maintained in the same way over time, at least up to two months.

2003 ◽  
Vol 1 (3) ◽  
Author(s):  
Patricia Aparicio ◽  
Jesús López-Herce ◽  
Angel Carrillo ◽  
Luis Sancho ◽  
Ramón Moral

Introduction To determine the usefulness of a training programme in paediatric basic cardiopulmonary resuscitation for 5th and 6th year medical students. Methods For the past eight years, the Faculty of Medicine of the Complutense University in Madrid has been offering formal training in paediatric cardiopulmonary resuscitation (CPR) to its students. We have analysed the results of 8 basic paediatric cardiopulmonary courses with 527 students, comparing scores in written tests consisting of 10 or 20 multiple-choice questions, administered before and at the end of the courses, while also undertaking a practical test on basic cardiopulmonary resuscitation skills in infants and children. The course was evaluated by the students by means of an anonymous written questionnaire. Results The mean initial score (out of a maximum of 10) was 6.03 ± 1.58 (maximum 10, range 2-10), whereas in the final test it was 9.59 ± 0.68 (range 5–10) (p < 0.001). The majority of these students acquired theoretical knowledge (97.2%) and adequate practical skills (93%) in paediatric basic cardiopulmonary resuscitation. They were generally satisfied with the lectures, practical training and ability of the teaching staff. Conclusion The paediatric basic life support course is a useful method for theoretical and practical training. Paediatric cardiopulmonary resuscitation should be included in the medical training curriculum.


Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Nilton F Assis ◽  
Isadora Liberato ◽  
Ana Laura Mathey ◽  
Renan Gianotto-Oliveira ◽  
Gustavo G Oliveira ◽  
...  

Background: Knowledge of first aid and cardiopulmonary resuscitation (CPR) is very important in schools, where children, teens and even employees are subject. Our objective was to evaluate the knowledge of teachers and employees of public schools in São Paulo on first aid and CPR with automated external defibrillator (AED). Methods: A questionnaire on the content that is covered in the course of First Aid from the American Heart Association was applied to faculty and staff of public schools in São Paulo. After answering the questionnaire, all volunteers took the course First Aid with CPR and AED. Results: The study included 563 volunteers: 227 (40%) teachers and 336 (60%) school staff. The mean age was 42 ± 12 years, 101 (18%) were male and 80 participants (14%) had already done a course in First Aid and / or CPR. The mean number of correct answers was 6.5 (46%) in a total of 14 questions. The questions with the greatest number of errors were: frequency of chest compressions (82%), depth of chest compressions (78%), handling of automated external defibrillator (77%), what to do with an unconscious victim (64%), compression ratio and ventilation (61%), conduct on a victim with nosebleed (53%) and conduct on a victim with convulsion (52%). When asked if they were interested in doing a course in first aid, 95% answered yes, 89% believe that the contents of first aid should be placed in the grade of students albeit in a simplified manner. Conclusion: We conclude that the degree of knowledge of teachers and employees of public schools in São Paulo is quite insufficient, although the vast majority has an interest in pursuing a course that addresses the topic of first aid and CPR with AED. It would therefore be very interesting that the government underscored the importance of the subject and stimulate training for teachers, school staff and students.


Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Olibhear McAlister ◽  
Adam Harvey ◽  
Hannah Torney ◽  
Ben McCartney ◽  
Laura Davis ◽  
...  

Introduction: It is reported that quality of chest compressions (CC) during cardiopulmonary resuscitation (CPR) for both professional and non-professional rescuers often do not meet guideline requirements. Devices which provide feedback on the quality of CCs are designed to reduce the incidence of suboptimal compressions and promote the administration of effective CCs. Objective: This analysis investigates the effect of CPR duration on the performance of continuous CCs delivered by professional rescuers. Methods: Data were collected from a first responder group based in Texas, USA. Responders were instructed to use a CPR depth feedback device (Laerdal CPRmeter) and an automatic external defibrillator (AED; HeartSine SAM 350P) when attending sudden cardiac arrest events. The AED was configured with a shock protocol separated by 2-minute episodes of CPR and rescuer CC depth and rate were guided by the CPR depth feedback device. CC depth and rate data were processed for 174 patient events. Each CPR episode was divided into 4-analysis windows, 30-seconds in duration. Mean CC depth and rate data was calculated for each window. There were 1433 observations of CC depth and rate available for analysis across 414 CPR episodes. The data was fitted by a multiple linear regression model to assess the effect of CPR duration on CC performance. Results: The mean CC depth at the beginning of an event was 49.01 +/-0.51 mm. CC depth decreased by 0.82 mm, for each passing 30-second interval (p < 0.001). The mean CC rate at the beginning of an event was 111.17 +/- 0.33 compression per minute (CPM). No significant difference was observed between CC rate and duration of continuous CCs (p = 0.896) however there was a significant increase in CC rate observed of 0.408 CPM for each elapsed 2-minute CPR episode (p = 0.011). Conclusion: A reduction in CC depth was observed within each CPR episode, which may be indicative of fatigue during continuous CCs. Although a reduction of 3.28 mm throughout a 2-minute period of CPR may be clinically insignificant, this effect was observed within a trained rescuer group with CPR feedback. Further research is required to assess the effect of fatigue in non-professional responders.


2018 ◽  
Vol 28 (1) ◽  
pp. 28843 ◽  
Author(s):  
Lilia de Souza Nogueira ◽  
Ana Maria Miranda Martins Wilson ◽  
Anna Carolina Margarido Karakhanian ◽  
Eliane Vitoreli Parreira ◽  
Valéria Menezes Peixeiro Machado ◽  
...  

AIMS: To assess the theoretical knowledge retention and skills assimilation by primary health care professionals in cardiopulmonary resuscitation training.METHODS: Quantitative study involving participants in cardiorespiratory arrest training, held between August 2013 and July 2014. To assess the knowledge retention after one year, the same multiple-choice test on the training content that had been applied immediately after the training was reapplied. The averages of the two test scores were compared by means of the Wilcoxon test, significance being set at 5%. Skill assimilation was assessed using the Objective Structured Clinical Examination tool, which consists of four practical stations with different actions and a maximum length of eight minutes each, according to the objectives the students are expected to achieve. Station 1: correct sequence of cardiopulmonary resuscitation in adults; station 2: effective practice of chest compressions in adults; station 3: correct use of automated external defibrillator in adults; station 4: effective clearance of infant airway. The total score per workstation was ten points.RESULTS: Most of the 89 professionals in the sample were female (87.6%), with an average age of 37.3±9.9. Forty-eight professionals (53.9%) worked as community health agents. In the knowledge retention analysis, the mean number of right answers dropped when comparing the averages immediately after training (9.5±0.9) and one year later (7.5±1.7) (p<0.001). In the skills assimilation, the students’ best final averages were identified in stations 2 (7.3±1.7) and 3 (7.3±1.6), followed by station 1 (6.2±2.0). In the station about infant airway clearance, the professionals’ performance was low (final average 3.2±1.8).CONCLUSIONS: The theoretical knowledge retention on cardiopulmonary resuscitation could be considered partially satisfactory, with an observed drop one year after the training. Concerning the skills, the professionals performed well in the practical stations, except for the care related to infant airway clearance.


2021 ◽  
Author(s):  
Shang-Yih Chan ◽  
Yun-Ju Lai ◽  
Yu-Yen Hsin Chen ◽  
Shuo-Ju Chiang ◽  
Yi-Fan Tsai ◽  
...  

Abstract Purpose Studies to examine the impact of end-of-life (EOL) discussions on the utilization of life-sustaining treatments near death were limited and had inconsistent findings. This nationwide population-based cohort study determined the impact of EOL discussions on the utilization of life-sustaining treatments in the last three months of life in Taiwanese cancer patients. Methods This cohort study included adult cancer patients from 2012–2018, which were confirmed by pathohistological reports. Life-sustaining treatments during the last three months of life included cardiopulmonary resuscitation, intubation, and defibrillation. EOL discussions in cancer patients were confirmed by their medical records. Association of EOL discussions with utilization of life-sustaining treatments were assessed using multiple logistic regression. Results Of 381,207 patients, the mean age was 70.5 years and 19.4% of the subjects utilized life-sustaining treatments during the last three months of life. After adjusting for other covariates, those who underwent EOL discussions were less likely to receive life-sustaining treatments during the last three months of life compared to those who did not (Adjusted odds ratio [AOR]: 0.82; 95% confidence interval [CI]: 0.80–0.84). Considering the type of treatments, EOL discussions correlated with a lower likelihood of receiving cardiopulmonary resuscitation (AOR = 0.43, 95% CI: 0.41–0.45), endotracheal intubation (AOR = 0.87, 95%CI: 0.85–0.89), and defibrillation (AOR = 0.52, 95%CI: 0.48–0.57). Conclusion EOL discussions correlated with a lower utilization of life-sustaining treatments during the last three months of life among cancer patients. Our study supports the importance of providing these discussions to cancer patients to better align care with preferences during the EOL treatment.


2021 ◽  
Vol 9 (11) ◽  
pp. 391-393
Author(s):  
Arpana Acharya ◽  

Problem statement: A study to assess the effectiveness of video assisted teaching programme on the level of knowledge regarding cardiopulmonary resuscitation among B.Sc Nursing IIIrd year students at Shri Guru Ram Rai University, College of Nursing, Dehradun. Objectives: 1. To assess the knowledge regarding cardiopulmonary resuscitation among BSc Nursing 3rd year. 2. To evaluate the effectiveness of video assisted teaching program on the level of knowledge regarding Cardio pulmonary resuscitation. 3. To find out the association between the demographic variables and on the level of knowledge regarding Cardiopulmonary resuscitation. Methodology: The nature of the study was quantitative approach. The research design used for this study was pre-experimental i.e. one group pre-test and post –test research design. The present study attempts to evaluate the effectiveness of video assisted teaching programme on the level of knowledge regarding cardiopulmonary resuscitation among BSc Nursing IIIrd year at selected Shri Guru Ram Rai University, College of Nursing, Dehradun. Non –probability sampling technique i.e purposive sampling technique was used in this study. This study included 65 BSc Nursing IIIrd year students and their level of knowledge was assessed by using self-structured questionnaire. Video assisted teaching programme was implemented through google meet and PowerPoint presentation and post –test was conducted after 7 days by using same questionnaire. The effectiveness of video assisted teaching programme was evaluated by comparing the level of knowledge score in pre-test and post –test by using descriptive and inferential statistics. Results 1. Majority (84.6%) of the respondents were from the age group of 19-21years. 2. Based on gender, 93.8% of the respondents were females. 3. Majority (70.8%) has previous knowledge on CPR. 4. Majority (86.2%) has not undergone through any educational training programme on CPR. 5. The post –test mean percentage knowledge score (81.5%) was found higher when compared with pre-test mean percentage knowledge score (46.3%). 6. The statistical paired t test indicates that enhancement in the mean knowledge scores found to be significant at 0.000 level for all the aspects under study this shows that video assisted teaching programme was effective in increasing level of knowledge of students regarding cardiopulmonary resuscitation. 7. The association between mean percentage knowledge score and demographic variables were computed by using chi – square test. 8. There was no association between age, gender, previous knowledge on CPR and whether they have undergone through any educational training programme on CPR Conclusion: The results revealed that mean knowledge score percentage in post –test is higher than the mean knowledge score percentage in pre-test. Overall findings shows that there was knowledge deficit among students regarding cardiopulmonary resuscitation and video assisted teaching programme was effective in improving their level of knowledge.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Ahmad Jaafar ◽  
Mohammad Abdulwahab ◽  
Eman Al-Hashemi

Background and Objectives. The quality of cardiopulmonary resuscitation (CPR) is an important factor in determining its overall outcome. This study aims to test the association between rescuers’ gender, Body Mass Index (BMI), and the accuracy of chest compressions (CC) as well as ventilation, according to American Heart Association (AHA) 2010 resuscitation guidelines. Methods. The study included 72 participants of both genders. All the participants received CPR training according to AHA 2010 resuscitation guidelines. One week later, an assessment of their CPR was carried out. Moreover, the weight and height of the participants were measured in order to calculate their BMI. Results. Our analysis showed no significant association between gender and the CC depth (P=0.53) as well as between gender and ventilation (P=0.42). Females were significantly faster than males in CC (P=0.000). Regarding BMI, participants with a BMI less than the mean BMI of the study sample tended to perform CC with the correct depth (P=0.045) and to finish CC faster than those with a BMI more than the mean (P=0.000). On the other hand, no significant association was found between BMI and ventilation (P=0.187). Conclusion. CPR can be influenced by factors such as gender and BMI, as such the individual rescuer and CPR training programs should take these into account in order to maximize victims’ outcome.


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