Performance of cardiopulmonary resuscitation during prolonged basic life support in military medical university students: A manikin study

Wang, Juan; Zhuo, Chao-nan; Zhang, Lei; Gong, Yushun; Yin, Changchun; Li, Yongqin

doi:10.5847/wjem.j.1920-8642.2015.03.003

Cited by 23 publications

(18 citation statements)

References 35 publications

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“…[15] Though we found that as our subjects' age increased, those who were >62 years compressed at a significantly shallower depth, we did see a trend towards shallower depth when the age of our subjects was >52 years. A study by Papalexopoulou et al [6] reported that the retention of CPR skills decreases over time and similarly hypothesized that it may be due to the weakening of physical stamina with increasing age.…”

Section: Discussioncontrasting

confidence: 50%

The association of layperson characteristics with the quality of simulated cardiopulmonary resuscitation performance

Leary

Buckler

Ikeda

et al. 2017

World Journal of Emergency Medicine

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BACKGROUND: Few studies have examined the association of layperson characteristics with cardiopulmonary resuscitation (CPR) provision. Previous studies suggested provider characteristics, including age and gender, were associated with CPR quality, particularly chest compression (CC) depth. We sought to determine the association of subject characteristics, including age and gender with layperson CPR quality during an unannounced simulated CPR event. We hypothesized shallower CC depth in females, and older-aged subjects. METHODS:As part of a larger multicenter randomized controlled trial of CPR training for cardiac patients' caregivers, CPR skills were assessed 6 months after training. We analyzed associations between subject characteristics and CC rate, CC depth and no-fl ow time. Each variable was analyzed independently; signifi cant predictors determined via univariate analysis were assessed in a multivariate regression model. RESULTS:A total of 521 laypersons completed a 6-month CPR skills assessment and were included in the analysis. Mean age was 51.8±13.7 years, 75% were female, 57% were Caucasian. Overall, mean CC rate was 88.5±25.0 per minute, CC depth was 50.9±2.0 mm, and mean no-flow time was 15.9±2.7 sec/min. CC depth decreased signifi cantly in subjects >62 years (P<0.001). Male subjects performed deeper CCs than female subjects (47.5±1.7 vs. 41.9±0.6, P<0.001). CONCLUSION:We found that layperson age >62 years and female gender are associated with shallower CC depth.

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Section: Discussioncontrasting

confidence: 50%

The association of layperson characteristics with the quality of simulated cardiopulmonary resuscitation performance

Leary

Buckler

Ikeda

et al. 2017

World Journal of Emergency Medicine

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“…Also the SAVE-J study revealed an improved neurological outcome in patients with OHCA with shockable rhythm treated by a treatment bundle including ECPR, therapeutic hypothermia and intra-aortic balloon pump. [17] Further large studies implementing such strategies are warranted.…”

Section: Discussionmentioning

confidence: 99%

“…ECPR was introduced in the 1960s to improve neurological outcomes. [17] Recently, observational studies have reported an association between ECPR and improved survival. The present study provides a current review of survival to discharge and long-term neurological outcome for CA patients who have received ECPR compared with CCPR.…”

Section: Discussionmentioning

confidence: 99%

Comparison of extracorporeal and conventional cardiopulmonary resuscitation: A meta-analysis of 2 260 patients with cardiac arrest

Wang

Chen

Qiao

et al. 2017

World Journal of Emergency Medicine

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BACKGROUND:This meta-analysis aimed to determine whether extracorporeal cardiopulmonary resuscitation (ECPR), compared with conventional cardiopulmonary resuscitation (CCPR), improves outcomes in adult patients with cardiac arrest (CA).DATA RESOURCES: PubMed, EMBASE, Web of Science, and China Biological Medicine Database were searched for relevant articles. The baseline information and outcome data (survival, good neurological outcome at discharge, at 3-6 months, and at 1 year after CA) were collected and extracted by two authors. Pooled risk ratios (RRs) and 95% confidence intervals (CIs) were calculated using Review Manager 5.3. RESULTS:In six studies 2 260 patients were enrolled to study the survival rate to discharge and longterm neurological outcome published since 2000. A signifi cant effect of ECPR was observed on survival rate to discharge compared to CCPR in CA patients (RR 2.37, 95%CI 1.63-3.45, P<0.001), and patients who underwent ECPR had a better long-term neurological outcome than those who received CCPR (RR 2.79, 95%CI 1.96-3.97, P<0.001). In subgroup analysis, there was a significant difference in survival to discharge favoring ECPR over CCPR group in OHCA patients (RR 2.69, P=0.001). However, no signifi cant difference was found in IHCA patients (RR 1.84, 95%CI 0.91-3.73, P=0.09).CONCLUSION: ECPR showed a benefi cial effect on survival rate to discharge and long-term neurological outcome over CCPR in adult patients with CA.

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“…Furthermore, the inclusion of CPR early in medical curricula is thought to increase medical students' awareness and appreciation of this vital skill [2]. Despite being wellestablished and one of the most effective resuscitative measures for patients in cardiac arrest, lack of knowledge, insufficient training, and inadequate practice of CPR have been documented among medical students and junior doctors in high-income as well as low-and middle-income countries (LMICs) [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of and attitudes towards cardiopulmonary resuscitation among junior doctors and medical students in Upper Egypt: cross-sectional study

et al. 2020

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Background: Cardiopulmonary resuscitation (CPR) is a fundamental skill that should be acquired by all medical community members. This study aims to evaluate the knowledge and attitudes of junior doctors and medical students towards CPR and CPR training at Beni-Suef University Hospital in Upper Egypt, a representative region with conditions common to LMIC settings. Participants and methods: In this cross-sectional study, a total of 205 participants (60 junior doctors and 145 medical students) responded to a self-administered questionnaire assessing their knowledge regarding basic life support (BLS) and CPR techniques in neonates, children, and adults, in addition to attitudes towards the importance and necessity of CPR and CPR training. Results: Of the 60 junior doctors that participated in the study, only 31.7% had adequate knowledge of CPR, but up to 95% reported positive attitudes towards CPR training. Among the 145 medical student participants, only 6.2% had adequate knowledge of CPR, while 91% reported positive attitudes towards training. Deficiencies in CPR knowledge were more apparent in questions related to CPR in children and neonates. Junior doctors and medical students with previous CPR training demonstrated significantly better CPR knowledge than their counterparts without prior training. A statistically significant positive correlation was detected between CPR knowledge and attitude towards CPR training among medical students (r = 0.41, p < 0.001). Conclusion: The results of this study demonstrate suboptimal and inadequate CPR knowledge among junior doctors and medical students in a representative hospital in Upper Egypt. However, participants reported overwhelmingly positive attitudes and eagerness towards the implementation of CPR training. Further research needs to be done to establish CPR skill proficiency as well as to investigate barriers to CPR training, effectiveness of available programs, and the potential implementation of such a program in Egypt and other LMICs.

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Performance of cardiopulmonary resuscitation during prolonged basic life support in military medical university students: A manikin study

Cited by 23 publications

References 35 publications

The association of layperson characteristics with the quality of simulated cardiopulmonary resuscitation performance

The association of layperson characteristics with the quality of simulated cardiopulmonary resuscitation performance

Comparison of extracorporeal and conventional cardiopulmonary resuscitation: A meta-analysis of 2 260 patients with cardiac arrest

Knowledge of and attitudes towards cardiopulmonary resuscitation among junior doctors and medical students in Upper Egypt: cross-sectional study

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