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Gonzalez-Salvado V.,University of Santiago de Compostela | Fernandez-Mendez F.,University of Vigo | Fernandez-Mendez F.,University of Santiago de Compostela | Barcala-Furelos R.,University of Santiago de Compostela | And 7 more authors.
American Journal of Emergency Medicine | Year: 2016

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. © 2016 Elsevier Inc. All rights reserved.

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