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Observational Study
. 2014 May 10:22:31.
doi: 10.1186/1757-7241-22-31.

Effectiveness of a simplified cardiopulmonary resuscitation training program for the non-medical staff of a university hospital

Tomoya Hirose  1 , Taku Iwami, Hiroshi Ogura, Hisatake Matsumoto, Tomohiko Sakai, Kouji Yamamoto, Toshiaki Mano, Yuji Fujino, Takeshi Shimazu
Affiliations
Observational Study

Effectiveness of a simplified cardiopulmonary resuscitation training program for the non-medical staff of a university hospital

Tomoya Hirose et al. Scand J Trauma Resusc Emerg Med. .

Abstract

Background: The 2010 Consensus on Science and Treatment Recommendations Statement recommended that short video/computer self-instruction courses, with minimal or no instructor coaching, combined with hands-on practice can be considered an effective alternative to instructor-led basic life support courses. The purpose of this study was to examine the effectiveness of a simplified cardiopulmonary resuscitation (CPR) training program for non-medical staff working at a university hospital.

Methods: Before and immediately after a 45-min CPR training program consisting of instruction on chest compression and automated external defibrillator (AED) use with a personal training manikin, CPR skills were automatically recorded and evaluated. Participants' attitudes towards CPR were evaluated by a questionnaire survey.

Results: From September 2011 through March 2013, 161 participants attended the program. We evaluated chest compression technique in 109 of these participants. The number of chest compressions delivered after the program versus that before was significantly greater (110.8 ± 13.0/min vs 94.2 ± 27.4/min, p < 0.0001), interruption of chest compressions was significantly shorter (0.05 ± 0.34 sec/30 sec vs 0.89 ± 3.52 sec/30 sec, p < 0.05), mean depth of chest compressions was significantly greater (57.6 ± 6.8 mm vs 52.2 ± 9.4 mm, p < 0.0001), and the proportion of incomplete chest compressions of <5 cm among all chest compressions was significantly decreased (8.9 ± 23.2% vs 38.6 ± 42.9%, p < 0.0001). Of the 159 participants who responded to the questionnaire survey after the program, the proportion of participants who answered 'I can check for a response,' 'I can perform chest compressions,' and 'I can absolutely or I think I can use an AED' increased versus that before the program (81.8% vs 19.5%, 77.4% vs 10.1%, 84.3% vs 23.3%, respectively).

Conclusions: A 45-min simplified CPR training program on chest compression and AED use improved CPR quality and the attitude towards CPR and AED use of non-medical staff of a university hospital.

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Figures

Figure 1
Figure 1
The personal training kit. (A) The CPR Training Box APPA-KUN®. (B) The CPR skill report system APPA-KUN Pro®.
Figure 2
Figure 2
The classroom scene of the simplified cardiopulmonary resuscitation training program with personal training kit.
Figure 3
Figure 3
Evaluation of cardiopulmonary resuscitation (CPR) skills for all participants before and immediately after the simplified CPR training program. (A) Number of chest compressions, (B) time chest compressions were interrupted, (C) mean depth of chest compressions, and (D) proportion of incomplete chest compressions of <5 cm among all chest compressions.
Figure 4
Figure 4
Evaluation of cardiopulmonary resuscitation (CPR) skills according to first- and second-time attendance of the participants. (A) Number of chest compressions, (B) time chest compressions were interrupted, (C) mean depth of chest compressions, and (D) proportion of incomplete chest compressions of <5 cm among all chest compressions.
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