Low-dose, high-frequency CPR training with feedback for firefighters

Abelsson, Anna; Appelgren, Jari; Axelsson, Christer

doi:10.1108/ijes-01-2018-0001

Cited by 6 publications

(6 citation statements)

References 20 publications

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“…Bohn et al [20] show that with an annual recurring training, it is still difficult to perform the ventilation correctly. Low-dose, high-frequency CPR training could be a way to maintain and improve students’ skills in both ventilation and compressions [26, 27].…”

Section: Discussionmentioning

confidence: 99%

To enhance the quality of CPR performed by youth layman

Abelsson

Nygårdh

2019

Int J Emerg Med

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Background By educating laymen, survival after cardiac arrest can increase in society. It is difficult to reach the entire population with cardiopulmonary resuscitation (CPR) training. However, if 15% of the population knows how to perform CPR, an increase in short- and long-term survival in patients suffering a cardiac arrest could be seen. To educate youth is a way to reach parts of the population. This study aimed to investigate the effect of a 2-h CPR intervention for youth. Methods Data were collected through an intervention utilizing simulation and consisted of a pre- and post-assessment of 50 participants’ CPR performance. Results The participants’ compression depths are, after training, within guidelines. However, the compression rate increases from within limits (117) to become too fast (128). The range of the minimum compression rate rises from 70 to 92 which is an improvement. The ventilation volume increases from 112 ml in pre-test to 579 ml in post-test. In the pre-test, 88% of the participants did not succeed in securing an open airway; only six participants succeeded in securing an open airway. In the post-test, 49% of the participants underperform in the ventilation. However, only 12 participants failed in securing an open airway in the post-test. Compression recoil and hand position marginally improved from pre- to post-test. Conclusion Educating young people at school is one way to disseminate CPR knowledge in society. In this study, the ventilation of the patient arose as a major weakness. To be able to establish an open airway and ventilate the patient with the correct volume as well as to overcome the psychological barrier to initiate mouth-to-mouth ventilation seems to require more than 2 h training. The training may need to consist of repeated sessions over the year with feedback, to give young people the skills to perform CPR with good quality.

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Section: Discussionmentioning

confidence: 99%

To enhance the quality of CPR performed by youth layman

Abelsson

Nygårdh

2019

Int J Emerg Med

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“…Most of them were experienced in their feld, adults, and had an average body weight and height that is typical for their profession [22,23]. Other studies that have studied frefghters as a population have similar sample characteristics and inclusion criteria as this research [22,[24][25][26].…”

Section: Discussionmentioning

confidence: 96%

Association of Training in Basic Life Support with the Evolution of Cardiopulmonary Resuscitation Performed by Firefighters

Silva

Barbieri

Foresti

et al. 2023

Emergency Medicine International

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Introduction. This study aimed to compare the results of professional technical and anthropometric anamnesis data with the transmission of external chest compressions performed by military firefighters at different execution times. Objective. The objective was to evaluate the performance and perceived effort of the sequence of external chest compressions performed in two minutes, as well as the evolution of the technique over time. Materials and Methods. This was a descriptive, correlational study involving adult firefighters who were members of a specific firefighter group, comprising a population of 105 individuals with a voluntary sample of 44 participants. The study used a Bayesian statistical approach to provide probabilistic expressions. Results. The participants had an average work experience of 17 years, an average age of 38.6 years, an average weight of 81.48 kilograms, an average height of 176 centimeters, and an average of 2.5 qualifications. The results indicated that the firefighters performed external chest compressions with excellent technique and a moderate level of perceived effort in a two-minute evaluation. The evaluation of the evolution of the technique over time showed that the participants were able to maintain high-quality compressions for an average of 6 minutes, with a maximum of 20 uninterrupted minutes. Conclusion. The study underscores the critical role of professional firefighters in performing and maintaining high-quality external chest compressions, which has the potential to reduce morbidity and mortality in cases of cardiorespiratory arrest.

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“…Prehospital CPR is performed in an unknown and sometimes unsafe environment. Apart from paramedics, the prehospital rescuer can include firefighters, (Abelsson, 2019;Abelsson et al 2019) (Abelsson et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Prehospital CPR is performed in an unknown and sometimes unsafe environment. Apart from paramedics, the prehospital rescuer can include firefighters (Abelsson, 2019; Abelsson et al , 2019) mountain rescuers (high altitude) (Tomonobu et al , 2018), lifeguards (aquatic environment) (Barcala-Furelos et al , 2019) and police officers (Hasselqvist-Ax et al , 2017).…”

Section: Introductionmentioning

confidence: 99%

“…At prehospital medical emergencies, they are either dispatched as an additional assistant to the paramedics or as a substitute for the ambulance when there are no ambulances available. The firefighters have a basic emergency medical technician (B-EMT) education and are responsible for providing immediate resuscitation, including cardiopulmonary resuscitation when required, at all scenes of accidents (Abelsson et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

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Enhanced self-assessment of CPR by low-dose, high-frequency training

Abelsson

Appelgren

Axelsson

2020

IJES

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PurposeThe purpose was to investigate what effect an intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for one month would have on professionals' subjective self-assessment skill of CPR.Design/methodology/approachThis study had a quantitative approach. In total, 38 firefighters performed CPR for two minutes on a Resusci Anne QCPR. They then self-assessed their CPR through four multiple-choice questions regarding compression rate, depth, recoil and ventilation volume. After one month of low-dose, high-frequency training with visual feedback, the firefighters once more performed CPR and self-assessed their CPR.FindingsWith one month of low-dose, high-frequency training with visual feedback, the level of self-assessment was 87% (n = 33) correct self-assessment of compression rate, 95% (n = 36) correct self-assessment of compression depth, 68% (n = 26) correct self-assessment of recoil and 87% (n = 33) correct self-assessment of ventilations volume. The result shows a reduced number of firefighters who overestimate their ability to perform CPR.Originality/valueWith low-dose, high-frequency CPR training with visual feedback for a month, the firefighters develop a good ability to self-assess their CPR to be performed within the guidelines. By improving their ability to self-assess their CPR quality, firefighters can self-regulate their compression and ventilation quality.

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Low-dose, high-frequency CPR training with feedback for firefighters

Cited by 6 publications

References 20 publications

To enhance the quality of CPR performed by youth layman

To enhance the quality of CPR performed by youth layman

Association of Training in Basic Life Support with the Evolution of Cardiopulmonary Resuscitation Performed by Firefighters

Enhanced self-assessment of CPR by low-dose, high-frequency training

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