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

  • Violeta González-Salvado
    Correspondence
    Corresponding author at: Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, A Choupana s/n. 15706, Santiago de Compostela, A Coruña, Spain. Tel.: +34 981 950 793; fax: +34 981 950 534.
    Affiliations
    Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
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  • Felipe Fernández-Méndez
    Affiliations
    University School of Nursing, Universidade de Vigo, Pontevedra, Spain

    CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
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  • Roberto Barcala-Furelos
    Affiliations
    CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

    School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

    Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain

    REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain
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  • Carlos Peña-Gil
    Affiliations
    Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

    Institute of Health Research of Santiago (IDIS), A Coruña, Spain
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  • José Ramón González-Juanatey
    Affiliations
    Cardiology Department, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

    Institute of Health Research of Santiago (IDIS), A Coruña, Spain
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  • Author Footnotes
    1 SAMID-II Network. RETICS funded by the PN I+D+I 2008-2011 (Spain), ISCIII-Sub-Directorate General for Research Assessment and Promotion and the European Regional Development Fund, Ref. RD12/0026.
    Antonio Rodríguez-Núñez
    Footnotes
    1 SAMID-II Network. RETICS funded by the PN I+D+I 2008-2011 (Spain), ISCIII-Sub-Directorate General for Research Assessment and Promotion and the European Regional Development Fund, Ref. RD12/0026.
    Affiliations
    CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

    School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

    Institute of Health Research of Santiago (IDIS), A Coruña, Spain

    Paediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
    Search for articles by this author
  • Author Footnotes
    1 SAMID-II Network. RETICS funded by the PN I+D+I 2008-2011 (Spain), ISCIII-Sub-Directorate General for Research Assessment and Promotion and the European Regional Development Fund, Ref. RD12/0026.
Published:February 21, 2016DOI:https://doi.org/10.1016/j.ajem.2016.02.047

      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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