Details

Autor(en) / Beteiligte

• Roppolo, Lynn P
• Pepe, Paul E
• Campbell, Linda
• Ohman, Kimberly
• Kulkarni, Himani
• Miller, Ronna
• Idris, Alison
• Bean, Lawrence
• Bettes, Thomas N
• Idris, Ahamed H

Titel

Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study

Ist Teil von

• Resuscitation, 2007-08, Vol.74 (2), p.276-285

Ort / Verlag

Shannon: Elsevier Ireland Ltd

Erscheinungsjahr

2007

Quelle

MEDLINE

Beschreibungen/Notizen

• Summary Objective A head-to-head trial was conducted to compare laypersons’ long-term retention of life-saving psychomotor and cognitive skills learned in the traditional multi-hour training format for basic cardiopulmonary resuscitation and automated external defibrillator use to those learned in an abbreviated (30 min) course. Methods Laypersons were randomized to either: (1) the traditional multi-hour Heartsaver-Automated External Defibrillator® ( Heartsaver-AED® ) group; or (2) the 30-min course group (cardiopulmonary resuscitation, choking, and automated external defibrillator use). Immediately after training, and at 6 months, participants were provided identical individual testing scenarios. In addition to audio–video recordings, computerized recordings of compression rate/depth, ventilation rates, and related pauses were obtained and subsequently rated by blinded reviewers. Results Performance following 30-min training was either equivalent or superior ( p < 0.007) to the multi-hour Heartsaver-Automated External Defibrillator training in all measurements, both immediately and 6 months after training. Although retention of certain skills deteriorated over the 6 months among a significant number of participants from both groups, 84% of the 30-min training group still was judged, overall, to perform cardiopulmonary resuscitation adequately. Moreover, 93% still were performing chest compressions adequately and 93% continued to apply the automated external defibrillator and deliver shocks correctly. Conclusions Using innovative learning techniques, 30-min cardiopulmonary resuscitation and automated external defibrillator training is as effective as traditional multi-hour courses, even after 6 months. Thirty-minute courses should decrease labor intensity, demands on resources, and time commitments for cardiopulmonary resuscitation courses, thus facilitating more widespread and frequent retraining.