Four-stage teaching technique and chest compression performance of medical students compared to conventional technique

Croatian Medical Journal

Volumn 53, Issue 5, 2012, Pages 486-495

  Jenko, Matej ^a   Frangež, Maja ^a   Manohin, Aleksander ^a  

^a UNIVERSITY OF LJUBLJANA   (Slovenia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMPRESSION; HUMAN; MEDICAL STUDENT; RESUSCITATION; SELF EVALUATION; TEACHING;

CARDIOPULMONARY RESUSCITATION; CHEST WALL OSCILLATION; CLINICAL COMPETENCE; CROATIA; DIAGNOSTIC SELF EVALUATION; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; HUMANS; MALE; MANIKINS; QUESTIONNAIRES; STUDENTS, MEDICAL; TEACHING; TEACHING MATERIALS;

EID: 84871864012     PISSN: 03539504     EISSN: 13328166     Source Type: Journal    
DOI: 10.3325/cmj.2012.53.486     Document Type: Article

References (66)

1. Jacobs I, Nadkarni V, Bahr J, Berg RA, Billi JE, Bossaert L, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation. Resuscitation. 2004;63:233-49.
2. L eal J, Luengo-Fernández R, Gray A, Petersen S, Rayner M. Economic burden of cardiovascular diseases in the enlarged European Union. Eur Heart J. 2006;27:1610-9.
3. L loyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Heart disease and stroke statistics - 2010 update: a report from the American Heart Association. Circulation. 2010;121:e46-215.
4. B erdowski J, Berg RA, Tijssen JGP, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010;81:1479-87.
5. H aukoos JS, Witt G, Gravitz C, Dean J, Jackson DM, Candlin T, et al. Out-of-hospital cardiac arrest in Denver, Colorado: epidemiology and outcomes. Acad Emerg Med. 2010;17:391-8.
6. S tromsoe A, Andersson B, Ekstrom L, Herlitz J, Axelsson A, Göransson KE, et al. Education in cardiopulmonary resuscitation in Sweden and its clinical consequences. Resuscitation. 2010;81:211-6.
7. Klemencic A, Jevsenak-Persolja M, Cvitkovic D, Skufca Sterle M, Stare S. Treatment of out-of-hospital cardiac arrest in Ljubljana: Outcome report for 9 years (2001-2009). Resuscitation. 2010;81:S36.
8. G rmec S, Krizmaric M, Mally S, Kozelj A, Spindler M, Lesnik B. Utstein style analysis of out-of-hospital cardiac arrest - bystander CPR and end expired carbon dioxide. Resuscitation. 2007;72:404-14.
9. G hose R, Lyon RM, Clegg GR, Gray AJ. Bystander CPR in south east Scotland increases over 16 years. Resuscitation. 2010;81:1488-91.
10. Nordberg P, Hollenberg J, Herlitz J, Rosenqvist M, Svensson L. Aspects on the increase in bystander CPR in Sweden and its association with outcome. Resuscitation. 2009;80:329-33.
11. Ristagno G, Tang W, Chang YT, Jorgenson DB, Russell JK, Huang L, et al. The quality of chest compressions during cardiopulmonary resuscitation overrides importance of timing of defibrillation. Chest. 2007;132:70-5.
12. L arsen MP, Eisenberg MS, Cummins RO, Hallstrom AP. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med. 1993;22:1652-8.
13. Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Larsen MP. Estimating effectiveness of cardiac arrest interventions: a logistic regression survival model. Circulation. 1997;96:3308.
14. E isenberg MS, Horwood BT, Cummins RO, Reynolds-Haertle R, Hearne TR. Cardiac arrest and resuscitation: a tale of 29 cities. Ann Emerg Med. 1990;19:179-86.
15. T hompson RG, Hallstrom AP, Cobb LA. Bystander-initiated cardiopulmonary resuscitation in the management of ventricular fibrillation. Ann Intern Med. 1979;90:737.
16. Dowie R, Campbell H, Donohoe R, Clarke P. "Event tree" analysis of out-of-hospital cardiac arrest data: confirming the importance of bystander CPR. Resuscitation. 2003;56:173-81.
17. Wik L, Kramer-Johansen J, Myklebust H, Sorebo H, Svensson L, Fellows B, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299-304.
18. Rajapakse R, Noc M, Kersnik J. Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wien Klin Wochenschr. 2010;122:667-72.
19. Parnell MM, Larsen PD. Poor quality teaching in lay person CPR courses. Resuscitation. 2007;73:271-8.
20. Chamberlain DA. Education in resuscitation. Resuscitation. 2003;59:11-43.
21. 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;21:67-87.
22. B rennan RT, Braslow A, Batcheller AM, Kaye W. A reliable and valid method for evaluating cardiopulmonary resuscitation training outcomes. Resuscitation. 1996;32:85-93.
23. G reif R, Egger L, Basciani RM, Lockey A, Vogt A. Emergency skill training - a randomized controlled study on the effectiveness of the 4-stage approach compared to traditional clinical teaching. Resuscitation. 2010;81:1692-7.
24. Peyton J. Teaching and learning in medical practice. Rickmansworth (UK): Manticore Europe; 1998.
25. B arelli A, Scapigliati A. The four-stage approach to teaching skills: the end of a dogma? Resuscitation. 2010;81:1607-8.
26. Nishiyama C, Iwami T, Kawamura T, Ando M, Yonemoto N, Hiraide A, et al. Effectiveness of simplified chest compression-only CPR training for the general public: a randomized controlled trial. Resuscitation. 2008;79:90-6.
27. H eidenreich JW, Sanders AB, Higdon TA, Kern KB, Berg RA, Ewy GA. Uninterrupted chest compression CPR is easier to perform and remember than standard CPR. Resuscitation. 2004;63:123-30.
28. H üpfl M, Selig HF, Nagele P. Chest-compression-only versus standard cardiopulmonary resuscitation: a meta-analysis. Lancet. 2010;376:1552-7.
29. S tarc B, Pecan M. Training of medical students in resuscitation at the University of Ljubljana. Resuscitation. 1996;32:19-22.
30. G rzeskowiak M. The effects of teaching basic cardiopulmonary resuscitation - a comparison between first and sixth year medical students. Resuscitation. 2006;68:391-7.
31. L ester CA, Donnelly PD, Assar D. Lay CPR trainees: retraining, confidence and willingness to attempt resuscitation 4 years after training. Resuscitation. 2000;45:77-82.
32. H andley AJ, Koster R, Monsieurs K, Perkins GD, Davies S, 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.
33. Kramer-Johansen J, Edelson DP, Losert H, Kohler K, Abella BS. Uniform reporting of measured quality of cardiopulmonary resuscitation (CPR). Resuscitation. 2007;74:406-17.
34. E delson DP, Abella BS, Kramer-Johansen J, Wik L, Myklebust H, Barry AM, et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation. 2006;71:137-45.
35. L ukas RP, Harding U, Weber TP, Quan W, Van Aken H, Bohn A. The effect of chest compression depth on short term survival during out of hospital cardiac arrest. Resuscitation. 2010;81:S11.
36. D onnelly PD, Lester CA, Morgan CL, Assar D. Evaluating CPR performance in basic life support: the VIDRAP protocol. Resuscitation. 1998;36:51-7.
37. L ester CA, Morgan CL, Donnelly PD, Assar D. Assessing with CARE: an innovative method of testing the approach and casualty assessment components of basic life support, using video recording. Resuscitation. 1997;34:43-9.
38. H andley AJ. Teaching hand placement for chest compression - a simpler technique. Resuscitation. 2002;53:29-36.
39. Madden C. Undergraduate nursing students' acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26:218-27.
40. Kramer-Johansen J, Myklebust H, Wik L, Fellows B, Svensson L, Srrebr H, et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation. 2006;71:283-92.
41. Abella BS, Sandbo N, Vassilatos P, Alvarado JP, O'Hearn N, Wigder HN, et al. Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation. 2005;111:428-34.
42. Jäntti H, Silfvast T, Turpeinen A, Kiviniemi V, Uusaro A. Influence of chest compression rate guidance on the quality of cardiopulmonary resuscitation performed on manikins. Resuscitation. 2009;80:453-7.
43. Field R, Davies M, Akhtar N, Soar J, Perkins GD. Chest compression quality falls with rates above 120min. Resuscitation. 2010;81:S11.
44. L ei Z, Qing H, Min Y. The effect of two different counting methods on the quality of CPR on a manikin - a randomized controlled trial. Resuscitation. 2009;80:685-8.
45. Kern KB, Sanders AB, Raife J, Milander MM, Otto CW, Ewy GA. A study of chest compression rates during cardiopulmonary resuscitation in humans. The importance of rate-directed chest compressions. Arch Intern Med. 1992;152:145-9.
46. Chiang WC, Chen WJ, Chen SY, Ko PCI, Lin CH, Tsai MS, et al. Better adherence to the guidelines during cardiopulmonary resuscitation through the provision of audio-prompts. Resuscitation. 2005;64:297-301.
47. D onnelly 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;45:195-9.
48. Ashton A, McCluskey A, Gwinnutt CL, Keenan AM. Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min. Resuscitation. 2002;55:151-5.
49. I sabelle B, Stickney R, Chapman F, Wik L. Can verbal guidance improve chest compression depth by nurses? Resuscitation. 2010;8:S52.
50. S wor R. A randomized controlled trial of chest compression only CPR for older adults - a pilot study. Resuscitation. 2003;58:177-85.
51. Pozner CN, Almozlino A, Elmer J, Poole S, McNamara D, Barash D. Cardiopulmonary resuscitation feedback improves the quality of chest compression provided by hospital health care professionals. Am J Emerg Med. 2011;29:618-25.
52. H andley AJ, Koster R, Monsieurs K, Perkins GD, Davies S, 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.
53. O wen A, Kocierz L, Aggarwal N, Hulme J. Comparison of the errors in basic life support performance after training using the 2000 and 2005 ERC guidelines. Resuscitation. 2010;81:766-8.
54. Chamberlain D, Smith A, Colquhoun M, Handley AJ, Kern KB, Woollard M. Randomised controlled trials of staged teaching for basic life support: 2. Comparison of CPR performance and skill retention using either staged instruction or conventional training. Resuscitation. 2001;50:27-37.
55. G ianotto-Oliveira R, Oliveira EM, Nishimura LS, Quilici AP, Gonzalez MM, Abrao KC, et al. Effectiveness of chest compressions performed by lay students before and after the course "CPR Anytime: Hands-only." Resuscitation. 2010;81:S95.
56. E ftestol T. Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest. Circulation. 2002;105:2270-3
57. H andley AJ. Compression-only CPR-To teach or not to teach? Resuscitation. 2009;80:752-4.
58. Ramaraj R, Ewy GA. Rationale for continuous chest compression cardiopulmonary resuscitation. Heart. 2009;95:1978-82.
59. Assar D, Chamberlain D, Colquhoun M, Donnelly P, Handley AJ, Leaves S, et al. Randomised controlled trials of staged teaching for basic life support. 1. Skill acquisition at bronze stage. Resuscitation. 2000;45:7-15.
60. Perkins GD, Boyle W, Bridgestock H, Davies S, Oliver Z, Bradburn S, et al. Quality of CPR during advanced resuscitation training. Resuscitation. 2008;77:69-74.
61. Cho GC, Sohn YD, Kang KH, Lee WW, Lim KS, Kim W, et al. The effect of basic life support education on laypersons' willingness in performing bystander hands only cardiopulmonary resuscitation. Resuscitation. 2010;81:691-4.
62. I sbye DL, Rasmussen LS, Lippert FK, Rudolph SF, Ringsted CV. Laypersons may learn basic life support in 24min using a personal resuscitation manikin. Resuscitation. 2006;69:435-42.
63. B eckers S, Fries M, Bickenbach J, Derwall M, Kuhlen R, Rossaint R. Minimal instructions improve the performance of laypersons in the use of semiautomatic and automatic external defibrillators. Crit Care. 2005;9:R110-6.
64. Milander MM, Hiscok PS, Sanders AB, Kern KB, Berg RA, Ewy GA. Chest compression and ventilation rates during cardiopulmonary resuscitation: the effects of audible tone guidance. Acad Emerg Med. 1995;2:708-13.
65. O rde S, Celenza A, Pinder M. A randomised trial comparing a 4-stage to 2-stage teaching technique for laryngeal mask insertion. Resuscitation. 2010;81:1687-91.
66. T adel S, Horvat M, Noc M. Treatment of out-of-hospital cardiac arrest in Ljubljana: outcome report according to the "Utstein" style. Resuscitation. 1998;38:169-76.