Very brief training for laypeople in hands-only cardiopulmonary resuscitation. Effect of real-time feedback

González-Salvado, Violeta; Fernández-Méndez, Felipe; Barcala-Furelos, Roberto; Peña-Gil, Carlos; González-Juanatey, José Ramón; Rodrı́guez-Núñez, Antonio

doi:10.1016/j.ajem.2016.02.047

Cited by 42 publications

(27 citation statements)

References 36 publications

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“…This knowledge and skill retention was maintained for 2 months, getting worse at 4 months for participants who had not re-trained previously; this fact endorses the importance of periodic re-training [25,26]. A contemporary study has shown how opportunistic 5 min CC feedback training was, and whether it was enough for laypeople to be able to surpass a 70% goal for most of the technical parameters in 2-min CC test [27]. In the present sample, brief training with quality feedback was effective in accomplishing a mean compression rate and depth quality standard as well as correct hand positions.…”

Section: Discussionmentioning

confidence: 74%

Schoolteachers as candidates to be basic life support trainers: A simulation trial

et al. 2019

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Section: Discussionmentioning

confidence: 74%

Schoolteachers as candidates to be basic life support trainers: A simulation trial

et al. 2019

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“…[24–27] Recently, an observational study investigated Laerdal Resusci Anne Wireless SkillReporter ® for training of lay people in chest compression only CPR. [28] After a 5-minute instructor-based training on CPR with an emphasis of which parameters constitutes high-quality chest compressions, participants were invited to perform a 2-minute session of hands-only CPR. Notably in this study performance of 81 lay people without prior experience of CPR training was compared to that of a group of 74 healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

Use of a Real-Time Training Software (Laerdal QCPR®) Compared to Instructor-Based Feedback for High-Quality Chest Compressions Acquisition in Secondary School Students: A Randomized Trial

et al. 2017

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High-quality chest compressions are pivotal to improve survival from cardiac arrest. Basic life support training of school students is an international priority. The aim of this trial was to assess the effectiveness of a real-time training software (Laerdal QCPR®) compared to a standard instructor-based feedback for chest compressions acquisition in secondary school students. After an interactive frontal lesson about basic life support and high quality chest compressions, 144 students were randomized to two types of chest compressions training: 1) using Laerdal QCPR® (QCPR group– 72 students) for real-time feedback during chest compressions with the guide of an instructor who considered software data for students’ correction 2) based on standard instructor-based feedback (SF group– 72 students). Both groups had a minimum of a 2-minute chest compressions training session. Students were required to reach a minimum technical skill level before the evaluation. We evaluated all students at 7 days from the training with a 2-minute chest compressions session. The primary outcome was the compression score, which is an overall measure of chest compressions quality calculated by the software expressed as percentage. 125 students were present at the evaluation session (60 from QCPR group and 65 from SF group). Students in QCPR group had a significantly higher compression score (median 90%, IQR 81.9–96.0) compared to SF group (median 67%, IQR 27.7–87.5), p = 0.0003. Students in QCPR group performed significantly higher percentage of fully released chest compressions (71% [IQR 24.5–99.0] vs 24% [IQR 2.5–88.2]; p = 0.005) and better chest compression rate (117.5/min [IQR 106–123.5] vs 125/min [115–135.2]; p = 0.001). In secondary school students, a training for chest compressions based on a real-time feedback software (Laerdal QCPR®) guided by an instructor is superior to instructor-based feedback training in terms of chest compression technical skill acquisition.Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12616000383460

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“…In literature, studies regarding the use of feedback devices by laypersons are scarce, and their results are controversial. Krasteva et al 29 in 2011 and González-Salvado et al 30 in 2016 demonstrated that these devices can help improve the CPR performance of laypersons while training on a manikin; their results, however, were not confirmed by Pavo et al 31 who showed that human feedback and feedback by audiovisual devices are equal in effectiveness. Therefore, the utility of feedback devices over human feedback in teaching CPR to laypersons is currently unclear, and there are no randomized studies on this topic.…”

Section: Current Evidences About the Feedback Devicesmentioning

confidence: 99%

“…26,27 Regarding laypersons, one study demonstrated that CPR quality is improved during the use of feedback devices 28 ; however, there are only a few non-randomized studies regarding the use of such devices during laypersons' training, and their results are controversial. [29][30][31] Moreover, the optimal duration of feedback device use is unknown. [32][33][34] The aim of this study is to determine whether the use of a CPR feedback device improves laypersons' CPR quality after the completion of a training course and, secondarily, to determine whether final quality is related to how long the feedback device is used in training.…”

Section: Introductionmentioning

confidence: 99%

Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

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Cornara

Epis

et al. 2017

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Objective: The chances of surviving an out-of-hospital cardiac arrest depend on early and high-quality cardiopulmonary resuscitation (CPR). Our aim is to verify whether the use of feedback devices during laypersons' CPR training improves chest compression quality. Methods: Laypersons totalling 450 participating in Basic Life Support and Automated External Defibrillation (BLS/ AED) courses were randomly divided into three groups: group No Feedback (NF) attended a course without any feedback, group Short Feedback (SF) a course with 1-minute training with real-time visual feedback, and group Long Feedback (LF) a course with 10-minute training with real-time visual feedback. At the end of each course, we recorded 1 minute of compression-only CPR. The primary end point was the difference in the percentage of compressions performed with correct depth. Results: There was a significant improvement in the percentage of compressions with correct depth in the groups receiving feedback compared to the other (NF v. LF, p = 0.022; NF v. SF, p = 0.005). This improvement was also present in the percentage of compressions with a complete chest recoil (71.7% in NF, 86.6% in SF, and 88.8% in LF; p < 0.001), compressions with the correct hand position (93.2% in NF, 98.2% in SF, and 99.3% in LF; p < 0.001), and in the Total CPR Score (79.4% in NF, 90.2% in SF, and 92.5% in LF; p < 0.001). There were no significant differences for all of the parameters between group SF and group LF. Conclusions: Real-time visual feedback improves laypersons' CPR quality, and we suggest its use in every BLS/AED course for laypersons because it can help achieve the goals emphasized by the International Liaison Committee on Resuscitation recommendations. RÉSUMÉObjectif: Les chances de survie à la suite d'un arrêt cardiaque survenu dans la collectivité dépend de la rapidité des manoeuvres de réanimation cardiorespiratoire (RCR) ainsi que de leur qualité. L'étude décrite ici visait à vérifier si l'utilisation de dispositifs de rétroaction durant la formation des profanes en la matière pouvait améliorer la qualité des compressions thoraciques. Méthode: Ont participé à des cours de réanimation de base et de défibrillation 450 profanes en la matière, divisés au hasard en trois groupes : le premier a suivi le cours sans rétroaction (SR) aucune; le deuxième a suivi le cours avec une brève rétroaction (BR), soit 1 minute de formation avec une rétroaction visuelle en temps réel; et le troisième a suivi le cours avec une longue rétroaction (LR), soit 10 minutes de formation avec une rétroaction visuelle en temps réel. À la fin de chacun des cours, il y a eu enregistrement des compressions seules durant 1 min. Le principal critère d'évaluation était les différences de pourcentage quant aux compressions réalisées à la bonne profondeur. Résultats: Une amélioration sensible du pourcentage des compressions réalisées à la bonne profondeur a été observée dans les groupes dans lesquels il y avait eu de la rétroaction comparativement à celui qui n'en avait pas reç...

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Very brief training for laypeople in hands-only cardiopulmonary resuscitation. Effect of real-time feedback

Cited by 42 publications

References 36 publications

Schoolteachers as candidates to be basic life support trainers: A simulation trial

Schoolteachers as candidates to be basic life support trainers: A simulation trial

Use of a Real-Time Training Software (Laerdal QCPR®) Compared to Instructor-Based Feedback for High-Quality Chest Compressions Acquisition in Secondary School Students: A Randomized Trial

Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

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