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González-Salvado V, Fernández-Méndez F, Barcala-Furelos R, Peña-Gil C, González-Juanatey JR, Rodríguez-Núñez A. Very brief training for laypeople in hands-only cardiopulmonary resuscitation. Effect of real-time feedback. Am J Emerg Med 2016; 34:993-8. [PMID: 26964823 DOI: 10.1016/j.ajem.2016.02.047] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2016] [Revised: 02/14/2016] [Accepted: 02/15/2016] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Bystander cardiopulmonary resuscitation (CPR) improves survival from out-of-hospital cardiac arrest, but rates and performance quality remain low. Although training laypeople is a primary educational goal, the optimal strategy is not well defined. This study aimed to determine whether a short training with real-time feedback was able to improve hands-only CPR among untrained citizens. METHODS On the occasion of the 2015 World Heart Day and the European Restart a Heart Day, a pilot study involving 155 participants (81 laypeople, 74 health care professionals) was conducted. Participants were invited to briefly practice hands-only CPR on a manikin and were after evaluated during a 2-minute chest compression (CC) test. During training brief instructions regarding hand position, compression rate and depth according to the current guidelines were given and real-time feedback was provided by a Laerdal SkillReporting System. RESULTS Mean CC rate was significantly higher among health care professionals than among laypeople (119.07 ± 12.85 vs 113.02 ± 13.90 min(-1); P = .006), although both met the 100-120 CC min(-1) criterion. Laypeople achieved noninferior results regarding % of CC at adequate rate (51.46% ± 35.32% vs health care staff (55.97% ± 36.36%; P = .43) and depth (49.88% ± 38.58% vs 50.46% ± 37.17%; P = .92), % of CC with full-chest recoil (92.77% ± 17.17% vs 0.91% ± 18.84; P = .52), and adequate hand position (96.94% ± 14.78% vs 99.74 ± 1.98%; P = .11). The overall quality performance was greater than 70%, noninferior for citizens (81.23% ± 20.10%) vs health care staff (85.95% ± 14.78%; P = .10). CONCLUSION With a very brief training supported by hands-on instructor-led advice and visual feedback, naïve laypeople are able to perform good-quality CC-CPR. Simple instructions, feedback, and motivation were the key elements of this strategy, which could make feasible to train big numbers of citizens.
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Affiliation(s)
- Violeta González-Salvado
- Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.
| | - Felipe Fernández-Méndez
- University School of Nursing, Universidade de Vigo, Pontevedra, Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
| | - Roberto Barcala-Furelos
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain; REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain
| | - Carlos Peña-Gil
- Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Institute of Health Research of Santiago (IDIS), A Coruña, Spain
| | - José Ramón González-Juanatey
- Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Institute of Health Research of Santiago (IDIS), A Coruña, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Institute of Health Research of Santiago (IDIS), A Coruña, Spain; Paediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
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