Predictors of cardiopulmonary resuscitation and automated external defibrillator skill retention

Riegel, Bárbara; Birnbaum, Alice; Aufderheide, Tom P.; Thode, Henry C.; Henry, Mark C.; Ottingham, Lois Van; Swor, Robert A.

doi:10.1016/j.ahj.2005.01.042

Cited by 33 publications

(24 citation statements)

References 23 publications

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“…Most studies investigating knowledge and skill retention find variable levels of decline over different time frames, which is often explained by the inability to control relevant variables that could impact on the longer term results, such as levels of prior knowledge, proficiency of precourse skills, clinical experience and encountering relevant situations in the workplace. [25][26][27] Again, it is crucial to reinforce the benefits of short courses through continuing clinical experience 28 as repetition promotes skill retention, 29 and where opportunities to manage rare clinical situations are limited, access to in-house training should be mandatory to maintain skills.…”

Section: Discussionmentioning

confidence: 99%

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Walker

Fetherston

McMurray

2013

Aust NZ J Obst Gynaeco

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Background The Advanced Life Support in Obstetrics (ALSO) course is an internationally recognised interprofessional course to support health professionals to develop and maintain the knowledge and skills to manage obstetric emergencies. Aims This study investigated changes in confidence and perceived changes in the knowledge of doctors and midwives to manage specific obstetric emergency situations following completion of an ALSO course in Australia. Methods A prospective repeated‐measures survey design was used to survey 165 course attendees from four Australian states pre‐ and postcourse and at six weeks (n = 101). Data were analysed using a Friedman two‐way repeated‐measures analysis of variance and the Wilcoxon signed rank test. Results There was a significant improvement in confidence and perceived knowledge of the recommended management of all 17 emergency situations immediately postcourse (P < 0.001) and at six weeks postcourse (P < 0.001) when compared to precourse levels for both groups of health professionals. However, a significant decrease in knowledge and confidence for many emergency situations from immediately postcourse to six weeks postcourse (P < 0.05) was also observed in both groups. Conclusions Completion of the Australian ALSO course in Australia has a positive effect on the confidence and perceived knowledge of doctors and midwives to manage obstetric emergencies. However, there needs to be some means of reinforcing the effects of the course for longer term maintenance of knowledge and confidence.

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Section: Discussionmentioning

confidence: 99%

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Walker

Fetherston

McMurray

2013

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

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“…They are consistent with a previous analysis of PAD volunteer performance at the primary refresher training session. 35 It must be emphasized that the volunteer cohort in this trial was motivated, had responsibility for responding during specific hours and worked in an environment of relative high risk; conditions that likely increased learning and retention. Some also had experience responding to emergencies (first aid attendants, security guards, lifeguards) and are not directly comparable to lay groups in many previous studies.…”

Section: Discussionmentioning

confidence: 99%

The effect of time on CPR and automated external defibrillator skills in the Public Access Defibrillation Trial

et al. 2007

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Background-The time to skill deterioration between primary training/retraining and further retraining in Cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED) for lay-persons is unclear. The Public Access Defibrillation (PAD) Trial was a multi-center randomized controlled trial evaluating survival after CPR-only vs. CPR+AED delivered by onsite non-medical volunteer responders in out-of-hospital cardiac arrest.Aims-This sub-study evaluated the relationship of time between primary training/retraining and further retraining on volunteer performance during pretest AED and CPR skill evaluation.Methods-Volunteers at 1260 facilities in 24 North American regions underwent training/ retraining according to facility randomization, which included an initial session and a refresher session at approximately 6 months. Before the next retraining, a CPR and AED skill test was completed for 2729 volunteers. Primary outcome for the study was assessment of global competence of CPR or AED performance (adequate vs not adequate) using Chi-square tests for trends by time interval (3, 6, 9, and 12 months). Confirmatory (GEE) logistic regression analysis, adjusted for site and potential confounders.Results-The proportion of volunteers judged to be competent did not diminish by interval (3,6,9,12 months) for either CPR or AED skills. After adjusting for site and potential confounders, Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-After primary training/retraining, the CPR skills of targeted lay responders deteriorate nominally but 80% remain competent up to one year. AED skills do not significantly deteriorate and 90% of volunteers remain competent up to one year. NIH Public Access

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“…But retention of the skills, when used infrequently and in an emergency setting, has been an ongoing concern for lay-rescuer training. In the PAD trial, skill retention for both CPR and AED use was assessed among the volunteer laypersons [14,15]. Even 12-17 months after initial training, 70-80% of rescuers were judged to perform CPR adequately during a simulated resuscitation, whereas 80-90% were able to operate an AED adequately.…”

Section: Quality Of Cpr and Skill Retentionmentioning

confidence: 99%

Realistic expectations for public access defibrillation programs

Atkins¹

2010

Current Opinion in Critical Care

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Predictors of cardiopulmonary resuscitation and automated external defibrillator skill retention

Cited by 33 publications

References 23 publications

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

Perceived changes in the knowledge and confidence of doctors and midwives to manage obstetric emergencies following completion of an Advanced Life Support in Obstetrics course in Australia

The effect of time on CPR and automated external defibrillator skills in the Public Access Defibrillation Trial

Realistic expectations for public access defibrillation programs

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