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Observational Study
. 2020 Jun 20;91(6-S):71-78.
doi: 10.23750/abm.v91i6-S.9589.

Effectiveness of a video lesson for the correct use in an emergency of the automated external defibrillator (AED)

Ivan Rubbi  1 , Giorgio Lapucci  2 , Barbara Bondi  3 , Alice Monti  4 , Carla Cortini  5 , Valeria Cremonini  6 , Eleonora Nanni  7 , Gianandrea Pasquinelli  8 , Paola Ferri  9
Affiliations
Observational Study

Effectiveness of a video lesson for the correct use in an emergency of the automated external defibrillator (AED)

Ivan Rubbi et al. Acta Biomed. .

Abstract

Background and aim of the work: Every year around 275 thousand people in Europe and 420 thousand in the United States are affected by sudden cardiac arrest. Early electrical defibrillation before the arrival of emergency services can improve survival. Training the population to use the AED is essential. The training method currently in use is the BLSD course, which limits training to a population cohort and may not be enough to meet the requirements of the proposed Law no. 1839/2019. This study aims to verify the effectiveness of an online course that illustrates the practical use of the AED to a population of laypeople.

Methods: An observational study was conducted to compare a lay population undergoing the view of a video spot and a cohort of people who had participated in BLSD Category A courses. The performances of the two groups were measured immediately after the course and 6 months later.

Results: Overall, the video lesson reported positive results. Six months later the skills were partially retained. The cohort that followed the video lesson showed significant deterioration in the ability to correctly position the pads and in safety.

Conclusions: Although improved through significant reinforcements, the video spot represents a valid alternative training method for spreading defibrillation with public access and could facilitate the culture of defibrillation as required by the new Italian law proposal.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Phase 1 of the study
Graphic 1.
Graphic 1.
Distribution of students performance in the first phase
Graphic 2.
Graphic 2.
Retention of skills with the video lesson at T0 and T1.
See this image and copyright information in PMC

References

    1. World Health Organization. Cardiovascular Diseases. 2020 Available from: https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1 . (Accessed 18 April 2020)
    1. Istat. Indagine su decessi e cause di morte. 2019 Available from: https://www.istat.it/it/archivio/4216 . (Accessed 18 April 2020)
    1. Moya-Mitjans À, Lidón RM. Automatic External Defibrillator in Sudden Out-of-hospital Cardiac Arrest: In Search of Effective Treatment. Rev Esp Cardiol (Engl Ed) 2018;71:64–6. - PubMed
    1. Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE-27 Nations, ONE Europe. ONE Registry: A prospective one-month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016;105:188–95. - PubMed
    1. Lapucci G, Bondi B, Rubbi I, et al. A randomized comparison trial of two and four-step approaches to teaching Cardio-Pulmonary Reanimation. Acta Biomed. 2018;89(4-S):37–44. - PMC - PubMed

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