Improve Cardiac Emergency Preparedness by Building a Team-Based Cardiopulmonary Resuscitation Educational Plan

Xu, Jianing; Dong, Xuejie; Yin, Hongfan; Guan, Zhouyu; Li, Zhenghao; Qu, Fangge; Tian, Chen; Wang, Cai‐Feng; Fang, Qiong; Zhang, Lin

doi:10.3389/fpubh.2022.895367

Cited by 5 publications

(10 citation statements)

References 41 publications

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“…O treinamento em equipe demonstrou melhorias na profundidade e taxa de compressão 47 , e o uso de dispositivos e aplicativos ofereceu feedback em tempo real para leigos 19,42 . A educação sobre RCP em idade escolar aumentou a probabilidade de intervenção em situações de parada cardíaca 13 .…”

Section: Resultsunclassified

“…(2019) Ko et al15 (2018) Bielski et al20 (2022) Iwami et al47 (2013) Tanaka et al44 (2019) Thannhauser et al37 (podem melhorar a qualidade da RCP por leigos.Sistema de alerta via celular para RCP por leigos aumenta a chance de primeiros socorros.Três estratégias para melhorar a RCP por leigos: materiais de ensino, módulos online e campanhas.Telerregulação melhora a taxa de compressões de leigos em RCP.Instruções simplificadas de RCP melhoram a qualidade da RCP de leigos.Telerregulação por vídeo melhora a RCP de leigos, aumentando a taxa de compressões e a sobrevida com desfecho neurológico favorável.Telerregulação aumenta o número de leigos realizando RCP hands only, levando a uma maior taxa de desfecho neurológico favorável em vítimas de PCR. Treinamento QCPR melhora a qualidade da RCP, com maior percentual de profundidade e recuo adequados.…”

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Reanimação cardiopulmonar por leigos – técnicas e ferramentas auxiliares: revisão integrativa

Gogola,

Kisner,

Malgarin

et al. 2023

Espac. Saúde

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Cardiovascular diseases and the risk of cardiac arrest contribute to a significant number of deaths in Brazil. Laypeople are often the first to respond to cardiac arrest victims. This study conducts an integrative review to identify techniques and tools available for layperson cardiopulmonary resuscitation (CPR). Data were collected from PubMed, SciELO, and LILACS databases, yielding 128 articles, of which 35 were included. The analysis identifies techniques and tools that provide benefits and enhance patient survival. Telemonitoring and automated external defibrillators (AED) also play crucial roles. Techniques and tools exist to aid the general public in learning and performing CPR, but further research is required to promote their dissemination, gain acceptance within the scientific community, and ensure widespread adoption among the population.

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Section: Resultsunclassified

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Reanimação cardiopulmonar por leigos – técnicas e ferramentas auxiliares: revisão integrativa

Gogola,

Kisner,

Malgarin

et al. 2023

Espac. Saúde

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“…We used a mixed methods approach in this study. We designed an innovative team-based tele-instruction tool for lay responders based on updated guidelines and an extensive literature study [ 3 , 4 , 13 ]. Subsequently, we implemented the team-based tele-instruction tool in a randomized controlled simulation trial.…”

Section: Methodsmentioning

confidence: 99%

“…Each team was asked to perform resuscitation before the team-based CPR training (phase I test) at baseline. Following the phase I test, each team underwent a 30-minute team training separately, following the same protocol as our previous study [ 13 ]. The team-based CPR educational training comprised a 10-minute real-person demonstration video and a practice session with teaching in groups of 3 (20 minutes).…”

Section: Methodsmentioning

confidence: 99%

“…Studies have shown that 43.1% of OHCA rescue events involve the presence of multiple lay responders at the scene [ 12 ]. In our previous study, it was observed that even though multiple lay responders possessed proficiency in single-rescuer CPR, they were unable to achieve optimal teamwork without team educational training [ 13 ]. However, there was a notable prevalence of unsatisfactory performance in terms of task allocation, effective communication, and teamwork, which was disappointing.…”

Section: Introductionmentioning

confidence: 99%

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Tele-Instruction Tool for Multiple Lay Responders Providing Cardiopulmonary Resuscitation in Telehealth Emergency Dispatch Services: Mixed Methods Study

Xu,

Qu,

Dong

et al. 2023

J Med Internet Res

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Background Telephone-assisted cardiopulmonary resuscitation (T-CPR) has proven to be a crucial intervention in enhancing the ability of lay responders to perform cardiopulmonary resuscitation (CPR) during telehealth emergency services. While the majority of established T-CPR protocols primarily focus on guiding individual rescuers, there is a lack of emphasis on instructing and coordinating multiple lay responders to perform resuscitation collaboratively. Objective This study aimed to develop an innovative team-based tele-instruction tool to efficiently organize and instruct multiple lay responders on the CPR process and to evaluate the effectiveness and feasibility of the tool. Methods We used a mixed methods design in this study. We conducted a randomized controlled simulation trial to conduct the quantitative analysis. The intervention groups used the team-based tele-instruction tool for team resuscitation, while the control groups did not have access to the tool. Baseline resuscitation was performed during the initial phase (phase I test). Subsequently, all teams watched a team-based CPR education training video and finished a 3-person practice session with teaching followed by a posttraining test (phase II test). In the qualitative analysis, we randomly selected an individual from each team and 4 experts in emergency medical services to conduct semistructured interviews. The purpose of these interviews was to evaluate the effectiveness and feasibility of this tool. Results The team-based tele-instruction tool significantly improved the quality of chest compression in both phase I and phase II tests. The average compression rates were more appropriate in the intervention groups compared to the control groups (median 104.5, IQR 98.8-111.8 min–1 vs median 112, IQR 106-120.8 min–1; P=.04 in phase I and median 117.5, IQR 112.3-125 min–1 vs median 111, IQR 105.3-119 min–1; P=.03 in phase II). In the intervention group, there was a delay in the emergency response time compared to that in the control group (time to first chest compression: median 20, IQR 15-24.8 seconds vs median 25, IQR 20.5-40.3 seconds; P=.03; time to open the airway: median 48, IQR 36.3-62 seconds vs median 73.5, IQR 54.5-227.8 seconds; P=.01). However, this delay was partially mitigated after the phase II test. The qualitative results confirmed the compatibility and generalizability of the team-based tele-instruction tool, demonstrating its ability to effectively guide multiple lay responders through teamwork and effective communication with telecommunicators. Conclusions The use of the team-based tele-instruction tool offers an effective solution to enhance the quality of chest compression among multiple lay responders. This tool facilitated the organization of resuscitation teams by dispatchers and enabled efficient cooperation. Further assessment of the widespread adoption and practical application of the team-based tele-instruction tools in real-life rescue scenarios within the telehealth emergency services system is warranted.

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Tele-Instruction Tool for Multiple Lay Responders Providing Cardiopulmonary Resuscitation in Telehealth Emergency Dispatch Services: Mixed Methods Study (Preprint)

Xu,

Qu,

Dong

et al. 2023

Preprint

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BACKGROUND Telephone-assisted cardiopulmonary resuscitation (T-CPR) has proven to be a crucial intervention in enhancing the ability of lay responders to perform cardiopulmonary resuscitation (CPR) during telehealth emergency services. While the majority of established T-CPR protocols primarily focus on guiding individual rescuers, there is a lack of emphasis on instructing and coordinating multiple lay responders to perform resuscitation collaboratively. OBJECTIVE This study aimed to develop an innovative team-based tele-instruction tool to efficiently organize and instruct multiple lay responders on the CPR process and to evaluate the effectiveness and feasibility of the tool. METHODS We used a mixed methods design in this study. We conducted a randomized controlled simulation trial to conduct the quantitative analysis. The intervention groups used the team-based tele-instruction tool for team resuscitation, while the control groups did not have access to the tool. Baseline resuscitation was performed during the initial phase (phase I test). Subsequently, all teams watched a team-based CPR education training video and finished a 3-person practice session with teaching followed by a posttraining test (phase II test). In the qualitative analysis, we randomly selected an individual from each team and 4 experts in emergency medical services to conduct semistructured interviews. The purpose of these interviews was to evaluate the effectiveness and feasibility of this tool. RESULTS The team-based tele-instruction tool significantly improved the quality of chest compression in both phase I and phase II tests. The average compression rates were more appropriate in the intervention groups compared to the control groups (median 104.5, IQR 98.8-111.8 min–1 vs median 112, IQR 106-120.8 min–1; P=.04 in phase I and median 117.5, IQR 112.3-125 min–1 vs median 111, IQR 105.3-119 min–1; P=.03 in phase II). In the intervention group, there was a delay in the emergency response time compared to that in the control group (time to first chest compression: median 20, IQR 15-24.8 seconds vs median 25, IQR 20.5-40.3 seconds; P=.03; time to open the airway: median 48, IQR 36.3-62 seconds vs median 73.5, IQR 54.5-227.8 seconds; P=.01). However, this delay was partially mitigated after the phase II test. The qualitative results confirmed the compatibility and generalizability of the team-based tele-instruction tool, demonstrating its ability to effectively guide multiple lay responders through teamwork and effective communication with telecommunicators. CONCLUSIONS The use of the team-based tele-instruction tool offers an effective solution to enhance the quality of chest compression among multiple lay responders. This tool facilitated the organization of resuscitation teams by dispatchers and enabled efficient cooperation. Further assessment of the widespread adoption and practical application of the team-based tele-instruction tools in real-life rescue scenarios within the telehealth emergency services system is warranted.

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Improve Cardiac Emergency Preparedness by Building a Team-Based Cardiopulmonary Resuscitation Educational Plan

Cited by 5 publications

References 41 publications

Reanimação cardiopulmonar por leigos – técnicas e ferramentas auxiliares: revisão integrativa

Reanimação cardiopulmonar por leigos – técnicas e ferramentas auxiliares: revisão integrativa

Tele-Instruction Tool for Multiple Lay Responders Providing Cardiopulmonary Resuscitation in Telehealth Emergency Dispatch Services: Mixed Methods Study

Tele-Instruction Tool for Multiple Lay Responders Providing Cardiopulmonary Resuscitation in Telehealth Emergency Dispatch Services: Mixed Methods Study (Preprint)

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