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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Article Info
Publication History
Published online: February 21, 2016
Accepted:
February 15,
2016
Received in revised form:
February 14,
2016
Received:
January 31,
2016
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
