Simple CPR: A Randomized, Controlled Trial of Video Self-Instructional Cardiopulmonary Resuscitation Training in an African American Church Congregation

Todd, Knox H.; Heron, Sheryl; Thompson, Marie; Dennis, Renata; O'Connor, Jean; Kellermann, Arthur L.

doi:10.1016/s0196-0644(99)70098-3

Cited by 119 publications

(63 citation statements)

References 25 publications

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“…7 22-24 Innovative CPR training delivery methods (such as video training) and public awareness campaigns require exploration. [25][26][27][28] It may also mean that awareness programmes should target specific Table 1 Responses to the cardiac arrest scenario components of the full CPR training courses such as, recognising an arrest, dialling 000, and providing chest compressions alone.…”

Section: Discussionmentioning

confidence: 99%

Is the public equipped to act in out of hospital cardiac emergencies?

Smith

Cameron

Meyer³

et al. 2003

Emergency Medicine Journal

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Section: Discussionmentioning

confidence: 99%

Is the public equipped to act in out of hospital cardiac emergencies?

Smith

Cameron

Meyer³

et al. 2003

Emergency Medicine Journal

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“…156 The video was validated on a group of medical students, 157 and its effectiveness confirmed in a Baptist Church volunteer group. 158 There is good evidence supporting the use of the Braslow selftraining video. (Class I-2)…”

Section: Ii-3 Inform Trainees About What To Expect During Resuscitatimentioning

confidence: 99%

Understanding and improving low bystander CPR rates: a systematic review of the literature

Vaillancourt

Stiell

Wells

2008

CJEM

144

110

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Objectives: Cardiopulmonary resuscitation (CPR) is a crucial yet weak link in the chain of survival for out-of-hospital cardiac arrest. We sought to understand the determinants of bystander CPR and the factors associated with successful training. Methods: For this systematic review, we searched 11 electronic databases, 1 trial registry and 9 scientific websites. We performed hand searches and contacted 6 content experts. We reviewed without restriction all communications pertaining to who should learn CPR, what should be taught, when to repeat training, where to give CPR instructions and why people lack the motivation to learn and perform CPR. We used standardized forms to review papers for inclusion, quality and data extraction. We grouped publications by category and classified recommendations using a standardized classification system that was based on level of evidence. Results: We reviewed 2409 articles and selected 411 for complete evaluation. We included 252 of the 411 papers in this systematic review. Differences in their study design precluded a meta-analysis. We classified 22 recommendations; those with the highest scores were 1) 9-1-1 dispatchassisted CPR instructions, 2) teaching CPR to family members of cardiac patients, 3) Braslow's selftraining video, 4) maximizing time spent using manikins and 5) teaching the concepts of ambiguity and diffusion of responsibility. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by laymen and CPR using chest compressions alone. Conclusion:We evaluated and classified the potential impact of interventions that have been proposed to improve bystander CPR rates. Our results may help communities design interventions to improve their bystander CPR rates. RÉSUMÉ Objectifs : La réanimation cardio-respiratoire (RCR) est un maillon essentiel, quoique faible, de la chaîne de survie lors de la survenue d'un arrêt cardiaque hors de l'hôpital. Nous avons cherché à comprendre les déterminants du taux de passants pouvant administrer la RCR et les facteurs liés à une formation efficace. Méthodes : Dans le cadre de cette revue systématique, nous avons analysé 11 bases de données électroniques, un registre d'essais cliniques et neuf sites Web scientifiques. Nous avons réalisé des recherches manuelles et communiqué avec six experts du contenu. Nous avons examiné sans restriction toutes les communications portant sur les questions suivantes : qui devrait apprendre la RCR, ce qu'on devrait enseigner, QUAND la formation devrait être renouvelée, où les cours de

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“…24 A number of innovative, media-based methods to more efficiently provide CPR have been developed. [25][26][27] Implementation of these and other strategies, such as Web-based CPR training, and assessment of their actual benefit are needed. Although training of ''elders'' evokes images of bystanders too infirm to get down on the floor to perform CPR, in reality a large proportion of this population is still employed and represents both an energetic population and one that is most likely to be a bystander to a cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

Potential Impact of a Targeted Cardiopulmonary Resuscitation Program for Older Adults on Survival from Private-residence Cardiac Arrest

2005

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Objective: Traditional cardiopulmonary resuscitation (CPR) training programs do not target older adults who are most likely to witness private-residence cardiac arrests and do not reliably result in a bystander who is likely to perform CPR in the event of an arrest. This study was performed to compare targeted CPR training programs for older adults (older than 50 years) that 1) increase numbers of CPR-trained bystanders of private-residence cardiac arrest or 2) increase the percentage of trained bystanders of private-residence cardiac arrest who perform CPR. A simultaneous outcome was to estimate the minimal significant survival benefit associated with each of the training programs. Methods: A probabilistic simulation model was developed in Fortran95 that incorporated key out-of-hospital cardiac arrest elements, including witnessed arrests, CPR-trained witness, CPR provision, and impact of CPR on ventricular fibrillation. Input data were derived from published or publicly available data, including a large prospective cohort study of outcomes in Oakland County, MI. Monte Carlo simulation (n = 10,000) and sensitivity analyses (n = 40) were used to assess median and the empiric 95% confidence intervals [CIs] for incremental survival with either intervention. Results: The baseline model, calibrated to the characteristics of the inputdata community, established that, for private-residence cardiac arrests, 40.8% of cardiac arrest bystanders were trained in CPR; however, only 25.7% performed CPR. This yielded 4.81% survival (95% CI = 4.72 to 4.89). Modeling the impact on the baseline training level with increased CPR performance among trainees indicated that 75% of privateresidence trained bystanders would need to perform CPR in order to reach a minimally significant improvement in survival (5.02%; 95% CI = 4.94 to 5.15). Similarly, targeted CPR training that would result in a significant survival benefit (to 5.01%; 95% CI = 4.93 to 5.09) would require that 70.8% of bystanders be trained. Conclusions: CPR training programs that focus on yielding 75% of trainees who perform CPR in the event of witnessing an arrest would have equivalent results to mass CPR training programs that result in 70% of bystanders being trained in CPR. However, the minimal survival benefit associated with these programs (around 0.2%) may prove either method costly with minimal effect.

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Simple CPR: A Randomized, Controlled Trial of Video Self-Instructional Cardiopulmonary Resuscitation Training in an African American Church Congregation

Cited by 119 publications

References 25 publications

Is the public equipped to act in out of hospital cardiac emergencies?

Is the public equipped to act in out of hospital cardiac emergencies?

Understanding and improving low bystander CPR rates: a systematic review of the literature

Potential Impact of a Targeted Cardiopulmonary Resuscitation Program for Older Adults on Survival from Private-residence Cardiac Arrest

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