Five vs. two initial rescue breaths during infant basic life support: A manikin study using bag-mask-ventilation

Geerts, Anke; Herbelet, Sandrine; Borremans, Gautier; Coppens, Mieke; Christiaens-Leysen, Erik; Voorde, Patrick Van de

doi:10.3389/fped.2022.1067971

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Despite the fact that 7% of the total number of participants had a medical education, the overall group increase in knowledge of the BLS action algorithm improved by 75.9%. Similar study results were obtained when only those who had limited or no (Geerts et al, 2022). Another advantage of the ongoing project is the use of technical tools and gamification elements.…”

Section: Discussionsupporting

confidence: 78%

Impact of the implementation of the project “polish-kazakh regional center for training, safety and rescue” on competence in the field of medical care

Zalewski,

Skaliy,

Mulyk

et al. 2024

Fìz. reabìl. rekreac.-ozdor. tehnol.

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Purpose: evaluate the impact of the implementation of the project “Polish-Kazakh Regional Center for Training, Safety and Rescue” within the framework of the “RITA - Region in Transition” program on the level of knowledge, skills and abilities in the field of medical care. Material and methods. The study involved 646 participants in the first aid training using the BLS algorithm based on the Non-Profit Joint Stock Company “K. Zhubanov Aktobe Regional University.” The study involved: determining the level of stress in the event of being in a situation where it is necessary to provide assistance to a person who has lost consciousness; assessment of the Basic Life Support (BLS) algorithm of actions; assessing the effectiveness of chest compressions on the Laerdal Little Anne QCPR manikin. Results. It was revealed that after completing the BLS training, the project participants’ stress level, if they find themselves in a situation where it is necessary to provide assistance to a person who has lost consciousness, has decreased significantly. Based on the results of testing the assessment of the BLS action algorithm, it was found that the level of knowledge and skills in providing first aid improved by 75,9%. It was found that the efficiency of pressing on the chest of the manikin improved by 53,3% after training. Positive changes in all indicators indicate that BLS training using the KISS (keep it short and simple) methodology is accessible, understandable and effective for all project participants. It was found that indicators of stress level, BLS action algorithm and QCPR effectiveness both at the beginning and at the end of the study have a correlation dependence. Reduced stress levels occur due to increased preparedness among participants and contributes to more effective care delivery. The reliable nature of the connections confirms the assumptions made and gives grounds to assert that the goal of the project has been achieved. Conclusions. The results obtained prove the effectiveness of the implementation of the project “Polish-Kazakh Regional Center for Training, Safety and Rescue”. Thanks to the events carried out, a large number of voters approved the formation of comprehensive competence to provide first aid in the case of Sudden Cardiac Arrest. As a result of the trainings, participants acquired practical skills in carrying out resuscitation measures, mastered the algorithm for providing assistance, and increased the level of confidence in their own theoretical knowledge and practical skills. This project proves that social activism and collaboration between scientists can be very effective and lead to systemic change. In Kazakhstan, where high rates of Sudden Cardiac Arrest are recorded, thanks to the implementation of international projects, a number of events and trainings have already been introduced, largely popularizing the ability to provide first aid, which will further influence the activities of governmental and non-governmental organizations. The results obtained allow us to recommend similar projects for implementation in other countries

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Section: Discussionsupporting

confidence: 78%

Impact of the implementation of the project “polish-kazakh regional center for training, safety and rescue” on competence in the field of medical care

Zalewski,

Skaliy,

Mulyk

et al. 2024

Fìz. reabìl. rekreac.-ozdor. tehnol.

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Dispatcher-assistance in lay rescuer infant CPR: Promoting the enhancement of the guiding protocol

Vandamme,

Vermeire,

Decuyper

et al. 2024

Resuscitation

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Bag-mask ventilation by low- or untrained rescuers during adult and pediatric resuscitation: a randomized cross-over manikin study

Borremans,

Geerts,

Coppens

et al. 2023

Front. Disaster Emerg. Med.

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AimBag-mask ventilation (BMV) is often applied during advanced cardiopulmonary resuscitation (CPR). Lay rescuers usually apply mouth-to-mouth ventilation, which is contraindicated in case of potential disease transmission (e.g., during the COVID-19 pandemic). This study evaluates the influence of rescuers' before BMV training in following the correct BMV procedures during adult and infant CPR.MethodsMedical students (n = 112) were enrolled in a randomized cross-over manikin study: 60 first-year students (53.6%) (untrained, without any prior knowledge of CPR) and 52 fourth-year students (46.4%) (BLS-trained, with three consecutive years of basic CPR training), excluding Basic Life Support (BLS) certificate holders or lifeguards. Student-formed duos (i.e., two students from the same year working together) received a 15-min just-in-time onsite training in full CPR cycle using BMV and were tested during five cycles of 2-person CPR following the European Resuscitation Council (ERC) guidelines with the inclusion of BMV. Tidal volumes of 300–600 ml (adults) and 20–60 ml (infants) were considered as correct ventilations.ResultsFrom the initial 56 duos, 17 (30.4%) were excluded after applying incorrect numbers of ventilation or uninterpretable values. In adult CPR, comparing BLS-trained rescuers to untrained ones in correctly administrating ventilations using BMV after a 15-min just-in-time onsite training revealed no statistically significant difference [first years: 63.0% (n = 136 out of 216 ventilations); fourth years: 59.5% (n = 119 out of 200 ventilations); with a proportional difference of −3.5% (−12.8; 5.9)]. In infant CPR, a significant difference was observed in effective ventilations [first years: 55.5% (n = 120 out of 216 ventilations); fourth years: 72.3% (n = 133 out of 184 ventilations); with a proportional difference of 16.8 (7.25; 26.21)].ConclusionTwo-person BMV is a complex skill to perform both in adults and children, requiring sufficient and regular training. Lay rescuers receiving a 15-min just-in-time onsite BMV training could perform decent BMV in an adult CPR setting. BMV during infant CPR requires more extensive prior training and should not be entrusted to lay rescuers, even after a 15-min just-in-time onsite training.

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Five vs. two initial rescue breaths during infant basic life support: A manikin study using bag-mask-ventilation

Cited by 3 publications

References 24 publications

Impact of the implementation of the project “polish-kazakh regional center for training, safety and rescue” on competence in the field of medical care

Impact of the implementation of the project “polish-kazakh regional center for training, safety and rescue” on competence in the field of medical care

Dispatcher-assistance in lay rescuer infant CPR: Promoting the enhancement of the guiding protocol

Bag-mask ventilation by low- or untrained rescuers during adult and pediatric resuscitation: a randomized cross-over manikin study

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