The effectiveness of teaching chest compression first in a standardized public cardiopulmonary resuscitation training program

Hsu, Sheau‐Yu; Kuo, Chan Wei; Weng, Yi Ming; Lin, Chi Chun; Chen, Jih Chang

doi:10.1097/md.0000000000014418

Cited by 6 publications

(7 citation statements)

References 25 publications

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“…We also obtained informed consent from all participants and removed any personally identifiable information. We compiled course-related information, including basic student and adult data (which contain age, weight, height, gender, previous exercise habits, whether there is any previous CPR learning experience, and when was the last learning experience), pretest and posttest (e.g., knowledge of CPR and AED) results, skill tests, and CPR willingness questionnaire, into a database [ 17 ] ( Appendix 1 in Supplementary Materials). All questions in the written test were formulated by staff of the Taiwan Society of Emergency Medicine, Emergency Medical Services Department.…”

Section: Methodsmentioning

confidence: 99%

Learning Effectiveness Assessment between Primary School Students and Adults in Basic Life Support Education

Wang

Chien

et al. 2021

Emergency Medicine International

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Background. Out-of-hospital cardiac arrest (OHCA) remains a big issue of critical care. It is well known that bystander cardiopulmonary resuscitation (CPR) with an automated external defibrillator (AED) used did improve the survival rate. Therefore, CPR education including basic life support (BLS) and AED has been advocated for years. It showed significant improvement of knowledge and willingness to perform CPR through adolescents after the course. However, little is known regarding the ability and learning effectiveness of school students who attend such courses. Therefore, this study aimed to evaluate the CPR effectiveness of both adolescents (12 years old) and adults who undergo the same course of BLS and AED. Methods. This is a retrospective study. Sixth-grade elementary school students in Northern Taiwan were selected to compare with the adult group. Both took 90 minutes of the BLS and AED course by the doctor with BLS instructor qualification. The primary outcomes were CPR quality and passing or failing the skill examination parameters. The secondary outcome was the posttraining written test and questionnaire of CPR willingness. Results. In the written test, there was a statistical difference in the pretest score except AED knowledge, but no difference was revealed in the posttest score. No statistical difference in CPR quality was noted. In the skill examination, only checking breathing status had statistical difference (elementary group (71%) vs. adult group (86%) ( p = 0.003 )). Conclusion. We revealed that sixth-grade elementary students’ performance in CPR and AED was similar to that of adults after completing the current 90-minute course. Therefore, we strongly advocate offering CPR and AED courses to 12-year-old children, and these courses should emphasize checking the victim’s breathing status.

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Section: Methodsmentioning

confidence: 99%

Learning Effectiveness Assessment between Primary School Students and Adults in Basic Life Support Education

Wang

Chien

et al. 2021

Emergency Medicine International

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“…In terms of knowledge tested during face-to-face, online, and mixed training, eight studies executed different methods of training to apply learning outcomes for participants [28,29,32,34,[37][38][39][40]. In two studies by Leary et al [34] and Ingrassia et al [38] comparing online and mixed training using new technologies such as AR and VR to face-to-face training, the knowledge that the participants acquired by understanding their safety and attitude to ask for an AED as soon as possible increased with the strategy of using online methods such as VR in self-training and AR in recognizing the environment.…”

Section: Comparing Learning Outcomes In Knowledgementioning

confidence: 99%

“…However, it seems that using these technologies requires a certain level of prior knowledge for both students and teachers, but not training in BLS techniques. The retraining time was also crucial to assess knowledge retention, as demonstrated by face-to-face and mixed training, as demonstrated by Hsieh et al [32], Hsu et al [37], and Hernández-Padilla et al [39]. Hsieh et al [32] showed that participants who retrained every three months showed better results than those who were retrained every six months.…”

Section: Comparing Learning Outcomes In Knowledgementioning

confidence: 99%

Comparing Learning Outcomes in Cardiopulmonary Resuscitation (CPR) and/or Automated External Defibrillator (AED) Training for Laypeople in Face-to-Face, Online, and Mixed Training Methods: An Integrative Literature Review

Gino¹,

Siraj²,

Peixoto³

et al. 2023

Cureus

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Cardiovascular diseases and cardiac arrest (CA) are the main causes of death worldwide. This review aims to identify publications on the learning outcomes for the use of an automated external defibrillator (AED) and/or cardiopulmonary resuscitation (CPR) to train laypeople (LP), the method of training used, the year of publication and their recommendations. We employed Miller's assessment pyramid to describe learning outcomes as knowledge, skills, and confidence. The methods of training are face-to-face, online, and mixed. The evidence found in this study will be used to support the development and validation of a simulationbased training program to teach LP to operate AEDs delivered by drones in rural and remote (R&R) locations. This article is an integrative literature review with a quantitative and qualitative research design and is composed of seven steps: research question, inclusion and exclusion criteria, search and selection of studies, the role of a second reviewer of the findings, data analysis, interpretation and discussion of the results, and finally knowledge synthesis. The results of this review demonstrate that there are no significant differences in the learning outcomes of the different training methods. Since these findings suggest good results in all methods, the development of a training program based on face-to-face, online, and mixed, especially for places with few resources such as R&R places, indicates all methods can be used as good practices to develop training programs.

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“…The barrier that prevents bystander CPR from delivering CPR effectively and regularly will spoils the efforts to provide CPR to out-ofhospital cardiac arrest victims (49). Among these include the need for traditional CPR with mouth-to-mouth contact, worry about spreading illness and hurting people, legal issues, and the challenge of administering CPR.…”

Section: Cpr Challenges and Barriersmentioning

confidence: 99%

Cardiopulmonary Resuscitation Performed by Bystanders: A Systematic Review

Yasin

Bakar

Nurumal

et al. 2023

Int J Care Scholars

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Cardiopulmonary resuscitation (CPR) is the most popular treatment for unexpected cardiac arrest. In order to enhance the survival and neurological prognosis of out of hospital cardiac arrest patients, both healthcare practitioners and lay rescuers must learn this technique. Millions of people die each year as a result of sudden cardiac arrest across the world due to ineffective CPR performed by bystander. The aim of this review is to identify the existing literature on knowledge, attitude and practice of the community at the out of hospital cardiac arrest level. Guided by the PRISMA Statement review checklist, a systematic review of the Scopus and Web of Science database and Science Direct has identified 332 related studies. The articles were assessed and analysed after evaluation using The Critical Appraisal Skills Programme Qualitative checklist. Total article accepted were n=11. We reviewed 1150 articles and selected 332 for complete evaluation. We included 11 of the 332 papers in this review that was published since 2018. We classified 11 recommendations; those with the highest scores were 1) Knowledge assisted CPR among bystander CPR remain poor, 2) CPR challenge on stranger, 3) CPR challenge on barrier, 4) The impact on quality CPR on survival rate and 5) Conventional CPR with mouth to mouth vs chest-compression only - CPR. CPR at out-of-hospital cardiac arrest, with several factors that influences such as knowledge, attitude, practice of community bystander CPR. While, the willingness (self-efficacy), the barriers and reluctant of bystander CPR still not clear. The targeted group for CPR training and tailored of training CPR for the bystander CPR give the effect and quality of CPR performance. Furthermore, the motivating factors to begin CPR at the out-of-hospital cardiac arrest level that emerged from a study of these publications. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by community and CPR using chest compressions alone. 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.

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The effectiveness of teaching chest compression first in a standardized public cardiopulmonary resuscitation training program

Abstract: Supplemental Digital Content is available in the text

Cited by 6 publications

References 25 publications

Learning Effectiveness Assessment between Primary School Students and Adults in Basic Life Support Education

Learning Effectiveness Assessment between Primary School Students and Adults in Basic Life Support Education

Comparing Learning Outcomes in Cardiopulmonary Resuscitation (CPR) and/or Automated External Defibrillator (AED) Training for Laypeople in Face-to-Face, Online, and Mixed Training Methods: An Integrative Literature Review

Cardiopulmonary Resuscitation Performed by Bystanders: A Systematic Review

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