A brief reeducation in cardiopulmonary resuscitation after six months-the benefit from timely repetition
1Department of Anesthesiology, Reanimatology and Intensive Care Medicine, Rijeka University Hospital, School of Medicine, Rijeka
DOI: 10.22514/SV32.102008.5 Vol.3,Issue 2,October 2008 pp.24-28
Published: 01 October 2008
Objectives. Sudden cardiac death is a major cause of death in today’s world. During the minutes passing from the onset of cardiac arrest to the arrival of professional help, the cardiac arrest victim can only rely upon cardio-pulmonary resuscitation (CPR) provided by educated bystanders. Our aim was to explore the possibility of whether a short and affordable course of CPR reeducation could have a significant effect on skills retention and quality of CPR delivered.
Methods. We performed a prospective randomized study that included 72 first and second year medical students who had no clinical experience and no prior training in CPR. Subjects were educated in CPR in accordance with a standardized CPR education protocol. Six months later, half of the studied group (randomly chosen) underwent short reeducation in CPR. One year after initial education they were all tested for CPR skills. The results were printed and filmed.
Results. Students who attended the short reeducation were significantly better in approaching the victim safely, in obtaining a clear airway and in checking the pulse of the victim.
Conclusions. A short and inexpensive course of reeducation, carried out six months after initial education, may render CPR performance more effective for the victim and safer for the rescuer.
medical education, resus-citation, medical students, basic life support
VEDRAN FRKOVIĆ,ALAN ŠUSTIĆ,FRED ZEIDLER,ALEN PROTIĆ,KRISTIAN DEŠA . A brief reeducation in cardiopulmonary resuscitation after six months-the benefit from timely repetition. Signa Vitae. 2008. 3(2);24-28.
1. Podrid PJ, Myerburg RJ. Epidemiology and stratification of risk for sudden cardiac death. Clin Cardiol 2005;28(11 Suppl 1):11-3.
2. Sanders AB, Ewy GA. Cardiopulmonary resuscitation in the real world: when will the guidelines get the message? JAMA 2005;293(3):363-5.
3. Vukmir RB. Witnessed arrest, but not delayed bystander cardiopulmonary resuscitation improves prehospital cardiac arrest survival. Resuscitation 2006;69(2):229-34.
4. Gallagher EJ, Lombardi G, Gennis P. Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest. JAMA 1995;274(24):1922-5.
5. Hendry JM. Poor Quality CPR Often Performed by Trained Medical Professionals. Available from: http://www.merginet.com/index. cfm?searched=/clinical/cardiac/PoorQualityCPR.cfm. Accessed: November 18. 2006.
6. Chamberlain D, Smith A, Woollard M, Colquhoun M, Handley AJ, Leaves S, et al. Trials of teaching methods in basic life support (3): comparison of simulated CPR performance after first training and at 6 months, with a note on the value of re-training. Resuscitation 2002;53(2):179-87.
7. Donnelly P, Assar D, Lester C. A comparison of manikin CPR performance by lay persons trained in three variations of basic life support guidelines. Resuscitation 2000;45(3):195-9.
8. Handley AJ, Koster R, Monsieurs K, Perkins GD, Sian D, Bossaert L. European Resuscitation Council Guidelines for Resuscitation 2005 Section 2. Adult basic life support and use of automated external defibrillators Resuscitation 2005;67 Suppl 1:S7-23.
9. Ornato JP. Special resuscitation situations: near drowning, traumatic injury, electric shock, and hypothermia. Circulation 1986;74(6 Pt 2): IV23-6.
10. Kloeck W, Cummins RO, Chamberlain D, Bossaert L, Callanan V, Carli P, et al. Special resuscitation situations: an advisory statement from the International Liaison Committee on Resuscitation. Circulation 1997;95(8):2196-210.
11. Hamilton R. Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. J Adv Nurs 2005;51(3):288-97.
12. Riegel B, Birnbaum A, Aufderheide TP, Thode HC Jr, Henry MC, Van Ottingham L, et al. PAD investigators. Predictors of cardiopulmonary resuscitation and automated external defibrillator skill retention. Am Heart J 2005;150:927-32.
13. Group of authors. The skill teaching algorithm in four stages. In: Bullock I, Colquhoun M, editors. Generic instructor course. Advanced life support instructor manual. Rochester (UK): Resuscitation Council (UK) and European Resuscitation Council (ERC); 2001. p. 25-6.
14. Handley AJ, Monsieurs KG, Bossaert LL. European Resuscitation Council Guidelines 2000 for Adult Basic Life Support. Resuscitation 2001;48(3):199-205.
15. Kaye W, Rallis SF, Mancini ME, Linhares KC, Angell ML, Donovan DS, et al. The problem of poor retention of cardiopulmonary resuscitation skills may lie with the instructor, not the learner or the curriculum. Resuscitation 1991;21(1):67-87.
16. Flesche CW, Zucker TP, Lorenz C, Neruda B, Tarnow J. The carotid pulse check as a diagnostic tool to assess pulselessness during adult basic life support. Euroanesthesia 1995;95:72. Abstract.
17. Bahr J, Klingler H, Panzer W, Rode H, Kettler D. Skills of lay people in checking the carotid pulse. Resuscitation 1997;35(1):23-6.
18. Lester CA, Donnelly PD, Assar D. Lay CPR trainees: retraining, confidence and willingness to attempt resuscitation 4 years after training. Resuscitation 2000;45(2):77-82.
19. Axelsson A, Thoren A, Holmberg S, Herlitz J. Attitudes of trained Swedish lay rescuers toward CPR performance in an emergency. A survey of 1012 recently trained CPR rescuers. Resuscitation 2000;44(1):27-36.
20. Koh KF. Clinical update on managing the obstructed airway. Annals of the Academy of Medicine, Singapore. 2002;31(2):253-6.
21. Axelsson A, Herlitz J, Fridlund B. How bystanders perceive their cardiopulmonary resuscitation intervention; a qualitative study. Resuscita-tion 2000;47(1):71-81.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.