Abstract
Objectives
To investigate the effect of medical student involvement on the quality of actual
cardiopulmonary resuscitation (CPR).
Methods
A digital video-recording system was used to record and analyze CPR procedures for
adult patients from March 2011 to September 2012.
Results
Twenty-six student-involved and 40 non–student-involved cases were studied. The chest
compression rate in the student-involved group was significantly higher than that
in the non–student-involved group (P < .001). The proportion of compressions at “above 110 cpm” was higher in the student-involved
group (P = .021), whereas the proportion at “90-110 cpm” was lower in the student-involved
group (P = .015). The ratio of hands-off time to total manual compression time was significantly
lower in the student-involved group than in the non–student-involved group (P = .04). In contrast, the student-involved group delivered a higher ventilation rate
compared with the non–student-involved group (P = .02). The observed time delay to first compression and first ventilation were very
similar between the groups. There were no significant differences between the groups
in either return of spontaneous circulation or time from survival to discharge.
Conclusion
Student-involved resuscitation teams were able to perform good CPR, with higher compression
rates and fewer interruptions. However, the supervision from medical staff is still
needed to ensure appropriate chest compression and ventilation rate in student-involved
actual CPR in the emergency department.
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Article Info
Publication History
Published online: December 12, 2013
Accepted:
December 5,
2013
Received in revised form:
December 4,
2013
Received:
September 29,
2013
Footnotes
☆Conflicts of interest statement: The authors do not have any conflict of interests to disclose.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
