Layperson training for cardiopulmonary resuscitation: When less is better

Current Opinion in Critical Care

Volumn 13, Issue 3, 2007, Pages 256-260

  Roppolo, Lynn P ^a,b   Saunders, Timothy ^a   Pepe, Paul E ^a   Idris, Ahamed H ^a  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Automated external defibrillator; Basic life support; Cardiopulmonary resuscitation; Manikin training; Skills retention; Video self instruction

Indexed keywords

AUDIOVISUAL EQUIPMENT; AUTOMATED EXTERNAL DEFIBRILLATOR; DEFIBRILLATION; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; RESUSCITATION; REVIEW; VIDEORECORDING;

CARDIOPULMONARY RESUSCITATION; ELECTRIC COUNTERSHOCK; HEALTH EDUCATION; HUMANS; LEARNING; ORGANIZATIONAL INNOVATION; VIDEOTAPE RECORDING;

EID: 34249028992     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e32814db81f     Document Type: Review

References (47)

1. American Heart Association News. Noteworthy numbers from heart disease and stroke statistics-2003 update. Statistical update base on 2000 numbers. http://www.americanheart.org/presenter.jhtml?identifier=3007338; 2003.
2. Gallagher EJ, Lombardi G, Gennis P. Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest. JAMA 1995; 274:1922-1925.
3. Holmberg M, Holmberg S, Herlitz J. Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation 2000; 47:59-70.
4. Caffrey SL, Willoughby PJ, Pepe PE, Becker LB. Public use of automated external defibrillators. N Engl J Med 2002; 347:1242-1247.
5. Hallstrom AP, Ornato JP, Weisfeldt M, et al. Public-access defibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med 2004; 351:637-646.
6. Cummins RO, Ornato JP, Thies WH, Pepe PH. Improving survival from sudden cardiac-arrest - the chain of survival concept - a statement for health-professionals from the Advanced Cardiac Life-Support Subcommittee and the Emergency Cardiac Care Committee, American-Heart-Association. Circulation 1991; 83:1832-1847.
7. Van Hoeyweghen RJ, Bossaert LL, Mullie A, et al. Quality and efficiency of bystander CPR. Belgian Cerebral Resuscitation Study Group. Resuscitation 1993; 26:47-52.
8. Cummins RO, Eisenberg MS. Prehospital cardiopulmonary resuscitation. Is it effective? JAMA 1985; 253:2408-2412.
9. Emergency Cardiac Care Committee and Task Forces of the American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 1: introduction. Circulation 2005; 112:IV12-IV46.
10. Platz E, Scheatzle MD, Pepe PE, Dearwater S. Attitudes towards CPR training in family members of patients with heart disease. Resuscitation 2000; 47:273-280.
11. Flint LS Jr, Billi JE, Kelly K, et al. Education in adult basic life support training programs. Ann Emerg Med 1993; 22:468-474.
12. Brennan RT, Braslow A. Are we training the right people yet? A survey of participants in public cardiopulmonary resuscitation classes. Resuscitation 1998; 37:21-25.
13. White RD, Hankins DG, Bugliosi TF. Seven years' experience with early defibrillation by police paramedics in an emergency medical services system. Resuscitation 1998; 39:145-151.
14. Eisenberg M, Bergner L, Hallstrom A. Paramedic programs and out-of-hospital cardiac arrest: part I. Factors associated with successful resuscitation. Am J Public Health 1979; 69:30-38.
15. Litwin PE, Eisenberg MS, Hallstrom AP, Cummins RO. The location of collapse and its effect on survival from cardiac-arrest. Ann Emerg Med 1987; 16:787-791.
16. McCormack AP, Damon SK, Eisenberg MS. Disagreeable physical characteristics affecting bystander CPR. Ann Emerg Med 1989; 18:283-285.
17. Becker LB, Ostrander MP, Barrett J, Kondos GT. Outcome of CPR in a large metropolitan-area - where are the survivors? Ann Emerg Med 1991; 20:355-361.
18. American Heart Association. Heartsaver AED student workbook. Dallas: American Heart Association; 2006.
19. Kaye W, Mancini ME. Teaching adult resuscitation in the United States-time for a rethink. Resuscitation 1998; 37:177-187.
20. Braslow A, Brennan RT, Newman MM, et al. CPR training without an instructor: development and evaluation of a video self-instructional system for effective performance of cardiopulmonary resuscitation. Resuscitation 1997; 34:207-220.
21. Swor R, Khan I, Domeier R, et al. CPR training and CPR performance: do CPR-trained bystanders perform CPR? Acad Emerg Med 2006; 13:596-601. This is a noteworthy analysis identifying reasons for bystanders not performing CPR. The most common identified reasons included panic or lack of confidence.
22. Chamberlain DA, Hazinski MF. Education in resuscitation: an ILCOR symposium: Utstein Abbey: Stavanger, Norway: June 22-24, 2001. Circulation 2003; 108:2575-2594.
23. Isbye DL, Rasmussen LS, Lippert FK, et al. Laypersons may learn basic life support in 24 min using a personal resuscitation manikin. Resuscitation 2006; 69:435-442. This study compared VSI with traditional CPR instruction and evaluated retention at 3 months.
24. Lynch B, Einspruch EL, Nichol G, et al. Effectiveness of a 30-min CPR self-instruction program for lay responders: a controlled randomized study. Resuscitation 2005; 67:31-43.
25. Todd KH, Heron SL, Thompson M, et al. Simple CPR: a randomized, controlled trial of video self-instructional cardiopulmonary resuscitation training in an African American church congregation. Ann Emerg Med 1999; 34:730-737.
26. Atkinson PR, Bingham J, McNicholl BP, et al. Telemedicine and cardiopulmonary resuscitation: the value of video-link and telephone instruction to a mock bystander. J Telemed Telecare 1999; 5:242-245.
27. Todd KH, Braslow A, Brennan RT, et al. Randomized, controlled trial of video self-instruction versus traditional CPR training. Ann Emerg Med 1998; 31:364-369.
28. Batcheller AM, Brennan RT, Braslow A, et al. Cardiopulmonary resuscitation performance of subjects over forty is better following half-hour video self-instruction compared to traditional four-hour classroom training. Resuscitation 2000; 43:101-110.
29. Roppolo L, Pepe P, Campbell L, et al. Prospective, randomized trial of the effectiveness and retention of 30-minute layperson training for cardiopulmonary resuscitation and automated external defibrillators: the American Airlines Study. Resuscitation (in press).
30. Reder S, Cummings P, Quan L. Comparison of three instructional methods for teaching cardiopulmonary resuscitation and use of an automatic external defibrillator to high school students. Resuscitation 2006; 69:443-453.
31. Makinen M, Castren M, Tolska T, et al. Teaching basic lifesupport to nurses. Eur J Anaesthesiol 2006; 23:327-331. This is a provocative study demonstrating that nurses who only had Internet-based CPR education performed similarly to nurses who had no training.
32. Peterson R. Teaching cardiopulmonary resuscitation. Crit Care Nurse 2006; 26:55-59. This is an interesting review article focusing on the evolution of computer-based training via the Internet for teaching CPR.
33. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005; 293:299-304.
34. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 2005; 293:305-310.
35. Williamson LJ, Larsen PD, Tzeng YC, Galletly DC. Effect of automatic external defibrillator audio prompts on cardiopulmonary resuscitation performance. Emerg Med J 2005; 22:140-143.
36. Wik L, Myklebust H, Auestad BH, Steen PA. Twelve-month retention of CPR skills with automatic correcting verbal feedback. Resuscitation 2005; 66:27-30.
37. Chiang WC, Chen WJ, Chen SY, et al. Better adherence to the guidelines during cardiopulmonary resuscitation through the provision of audio-prompts. Resuscitation 2005; 64:297-301.
38. Fossel M, Kiskaddon RT, Sternbach GL. Retention of cardiopulmonary resuscitation skills by medical students. J Med Educ 1983; 58:568-575.
39. Moser DK, Dracup K, Guzy PM, et al. Cardiopulmonary resuscitation skills retention in family members of cardiac patients. Am J Emerg Med 1990; 8:498-503.
40. Chamberlain D, Smith A, Woollard M, 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; 53:179-187.
41. Kaye W, Rallis SF, Mancini ME, et al. The problem of poor retention of cardiopulmonary resuscitation skills may lie with the instructor, not the learner or the curriculum. Resuscitation 1991; 21:67-87.
42. Brennan RT, Braslow A. Skill mastery in public CPR classes. Am J Emerg Med 1998; 16:653-657.
43. Shadmehr R, Holcomb HH. Neural correlates of motor memory consolidation. Science 1997; 277:821-825.
44. Hornstein SL, Mulligan NW. Memory of action events: the role of objects in memory of self- and other-performed tasks. Am J Psychol 2001; 114:199-217.
45. Nilsson LG, Nyberg L, Klingberg T, et al. Activity in motor areas while remembering action events. Neuroreport 2000; 11:2199-2201.
46. Bilger MC, Giesen BC, Wollan PC, White RD. Improved retention of the EMS activation component (EMSAC) in adult CPR education. Resuscitation 1997; 35:219-224.
47. Handley JA, Handley AJ. Four-step CPR-improving skill retention. Resuscitation 1998; 36:3-8.