TY - JOUR
T1 - Trials of teaching methods in basic life support (4)
T2 - Comparison of simulated CPR performance at unannounced home testing after conventional or staged training
AU - Smith, Anna
AU - Colquhoun, Michael
AU - Woollard, Malcolm
AU - Handley, Anthony J.
AU - Kern, Karl B.
AU - Chamberlain, Douglas
N1 - Funding Information:
This study was supported by grants from the British Heart Foundation and from the Resuscitation Council (UK). We are grateful to all our volunteers in this study of staged CPR, particularly those who were willing to undergo home testing. The training was organised by Mr. Steven Leaves. We thank him and all his trainers, and those who helped to analyse the data, for the time and care they devoted to the project. The authors are also grateful to Dr. Robert G Newcombe PhD, CStat, Hon MFPHM, Senior Lecturer in Medical Statistics, University of Wales College of Medicine for his help with the statistics. DC is supported in Cardiff by a grant (expenses only) from the Laerdal Foundation.
PY - 2004/4
Y1 - 2004/4
N2 - This study compares the retention of basic life support (BLS) skills after 6 and 12 months by lay persons trained either in a conventional manner, or using a staged approach. Three classes, each of 2h, were offered to volunteers over a period of 4 months. For the conventional group, the second and third classes consisted of review of skills. Those in the staged group were first taught chest compression alone; chest compression with ventilation in a ratio of 50:5 was introduced at the second class; full standard CPR was taught at the third class. A total of 495 volunteers entered the study, 262 being randomly allocated to conventional training, and 233 to staged training. More of those who received staged training attended a second (78 volunteers) and third class (41 volunteers), compared with those who received conventional training (36 and 17, respectively). The objective of this study, however, was to compare the strategies of the different training methods. A total of 291 volunteers (167 conventional and 124 staged training) were available for unannounced home testing of full conventional CPR 6 months after initial training, and 260 volunteers (135 conventional and 125 staged training) were tested at 12 months. At 6 months, those taught by the staged method were significantly better at time to first compression (P<0.0001), compression rate (P=0.024), and hand position (P=0.0001). At 12 months, those taught by the staged method were significantly better at shouting for help (P=0.005), time to first compression (P<0.0001), and compression depth (P=0.003). Those taught conventionally were significantly better at checking for a carotid pulse at both 6 and 12 months (P<0.0001). These results suggest that training lay persons in basic life support skills using a staged approach leads to overall better skill retention at 6 and 12 months, and has other advantages including a greater willingness to re-attend follow-up classes.
AB - This study compares the retention of basic life support (BLS) skills after 6 and 12 months by lay persons trained either in a conventional manner, or using a staged approach. Three classes, each of 2h, were offered to volunteers over a period of 4 months. For the conventional group, the second and third classes consisted of review of skills. Those in the staged group were first taught chest compression alone; chest compression with ventilation in a ratio of 50:5 was introduced at the second class; full standard CPR was taught at the third class. A total of 495 volunteers entered the study, 262 being randomly allocated to conventional training, and 233 to staged training. More of those who received staged training attended a second (78 volunteers) and third class (41 volunteers), compared with those who received conventional training (36 and 17, respectively). The objective of this study, however, was to compare the strategies of the different training methods. A total of 291 volunteers (167 conventional and 124 staged training) were available for unannounced home testing of full conventional CPR 6 months after initial training, and 260 volunteers (135 conventional and 125 staged training) were tested at 12 months. At 6 months, those taught by the staged method were significantly better at time to first compression (P<0.0001), compression rate (P=0.024), and hand position (P=0.0001). At 12 months, those taught by the staged method were significantly better at shouting for help (P=0.005), time to first compression (P<0.0001), and compression depth (P=0.003). Those taught conventionally were significantly better at checking for a carotid pulse at both 6 and 12 months (P<0.0001). These results suggest that training lay persons in basic life support skills using a staged approach leads to overall better skill retention at 6 and 12 months, and has other advantages including a greater willingness to re-attend follow-up classes.
KW - Basic life support
KW - Cardiopulmonary resuscitation
KW - Reanimación cardiopulmonar
KW - Reanimação Cardio-pulmonar
KW - Retenção de Competências
KW - Skill decay
KW - Skill retention
KW - Suporte Básico de Vida
KW - Training
KW - Treino
UR - http://www.scopus.com/inward/record.url?scp=1842687965&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1842687965&partnerID=8YFLogxK
U2 - 10.1016/j.resuscitation.2003.12.014
DO - 10.1016/j.resuscitation.2003.12.014
M3 - Article
C2 - 15081180
AN - SCOPUS:1842687965
SN - 0300-9572
VL - 61
SP - 41
EP - 47
JO - Resuscitation
JF - Resuscitation
IS - 1
ER -