The effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation: implications for the future of citizen cardiopulmonary resuscitation training.

TitleThe effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation: implications for the future of citizen cardiopulmonary resuscitation training.
Publication TypeJournal Article
Year of Publication2011
AuthorsBobrow BJ, Vadeboncoeur TF, Spaite DW, Potts J, Denninghoff K, Chikani V, Brazil PR, Ramsey B, Abella BS
JournalCirc Cardiovasc Qual Outcomes
Volume4
Issue2
Pagination220-6
Date Published2011 Mar
ISSN Number1941-7705
KeywordsAdult, Cardiopulmonary Resuscitation, Consumer Participation, Education, Female, Humans, Male, Manikins, Mental Competency, Middle Aged, Out-of-Hospital Cardiac Arrest, Outcome Assessment (Health Care), Program Evaluation, Prospective Studies, Teaching, Videotape Recording
Abstract

<p><b>BACKGROUND: </b>Bystander cardiopulmonary resuscitation (CPR) improves survival from out-of-hospital cardiac arrest (OHCA) but often is not performed. We hypothesized that subjects viewing very short Hands-Only CPR videos will (1) be more likely to attempt CPR in a simulated OHCA scenario and (2) demonstrate better CPR skills than untrained individuals.</p>
<p><b>METHODS AND RESULTS: </b>This study is a prospective trial of 336 adults without recent CPR training randomized into 4 groups: (1) control (no training) (n=51); (2) 60-second video training (n=95); (3) 5-minute video training (n=99); and (4) 8-minute video training, including manikin practice (n=91). All subjects were tested for their ability to perform CPR during an adult OHCA scenario using a CPR-sensing manikin and Laerdal PC SkillReporting software. One half of the trained subjects were randomly assigned to testing immediately and the other half after a 2-month delay. Twelve (23.5%) controls did not even attempt CPR, which was true of only 2 subjects (0.7%; P=0.01) from any of the experimental groups. All experimental groups had significantly higher average compression rates (closer to the recommended 100/min) than the control group (P&lt;0.001), and all experimental groups had significantly greater average compression depth (&gt;38 mm) than the control group (P&lt;0.0001).</p>
<p><b>CONCLUSIONS: </b>Laypersons exposed to very short Hands-Only CPR videos are more likely to attempt CPR and show superior CPR skills than untrained laypersons. Clinical Trial Registration- URL: http://www.clinicaltrials.gov. Unique identifier: NCT01191736.</p>

DOI10.1161/CIRCOUTCOMES.110.959353
Alternate JournalCirc Cardiovasc Qual Outcomes
PubMed ID21386066
Faculty Reference: 
Kurt Denninghoff, MD
Daniel W. Spaite, MD
Weight: 
0