Evaluation of Three Methods for CPR Training to Lifeguards: A Randomised Trial Using Traditional Procedures and New Technologies
Abstract
:1. Introduction
2. Materials and Methods
2.1. Pre-Phase
2.2. Test Phase
2.3. Instruments
2.4. Variables
2.5. Ramdomisation
2.6. Statistical Analysis
2.7. Ethical Considerations
3. Results
3.1. Compressions
3.2. Ventilations
3.3. CPR Quality
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
- World Health Organization. Global Report on Drowning; World Health Organization: Ginebra, Switzerland, 2014. [Google Scholar]
- Abelairas-Gómez, C.; Tipton, M.J.; González-Salvado, V.; Bierens, J.J.L.M. El ahogamiento: Epidemiología, prevención, fisiopatología, reanimación de la víctima ahogada y tratamiento hospitalario. Emergencias 2019, 31, 270–280. [Google Scholar] [PubMed]
- Truhlář, A.; Deakin, C.D.; Soar, J.; Khalifa, G.E.A.; Alfonzo, A.; Bierens, J.J.; Brattebø, G.; Brugger, H.; Dunning, J.; Hunyadi-Antičević, S.; et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. Resuscitation 2015, 95, 148–201. [Google Scholar] [CrossRef] [PubMed]
- Szpilman, D.; Tipton, M.; Sempsrott, J.; Webber, J.; Bierens, J.; Dawes, P.; Seabra, R.; Barcala-Furelos, R.; Queiroga, A.C. Drowning timeline: A new systematic model of the drowning process. Am. J. Emerg. Med. 2016, 34, 2224–2226. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Szpilman, D.; Webber, J.; Quan, L.; Bierens, J.J.; Morizot-Leite, L.; Langendorfer, S.J.; Beerman, S.; Løfgren, B. Creating a drowning chain of survival. Resuscitation 2014, 85, 1149–1152. [Google Scholar] [CrossRef] [PubMed]
- Greif, R.R.; Lockey, A.S.; Conaghan, P.P.; Lippert, A.A.; De Vries, W.W.; Monsieurs, K.G.; Ballance, J.H.W.J.; Barelli, A.; Biarent, D.; Bossaert, L.; et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 10. Education and implementation of resuscitation. Resuscitation 2015, 95, 288–301. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Monsieurs, K.G.; Nolan, J.P.; Bossaert, L.L.; Greif, R.; Maconochie, I.K.; Nikolaou, N.I.; Perkins, G.D.; Soar, J.; Truhlář, A.; Wyllie, J.; et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 2015, 95, 1–80. [Google Scholar] [CrossRef] [PubMed]
- Fernández-Méndez, F.; Barcala-Furelos, R.; Otero-Agra, M.; Santos-Folgar, M.; Rodríguez-Núñez, A.; Fernández-Méndez, M. Evaluation of the thoracic compression technique using APPs. Do they help or hinder cardiopulmonary resuscitation? Med. Intensiv. 2020, 44, 72–79. [Google Scholar] [CrossRef] [PubMed]
- Ringh, M.; Rosenqvist, M.; Hollenberg, J.; Jonsson, M.; Fredman, D.; Nordberg, P.; Järnbert-Pettersson, H.; Hasselqvist-Ax, I.; Riva, G.; Svensson, L. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. N. Engl. J. Med. 2015, 372, 2316–2325. [Google Scholar] [CrossRef]
- Yeung, J.; Meeks, R.; Edelson, D.; Gao, F.; Soar, J.; Perkins, G.D. The use of CPR feedback/prompt devices during training and CPR performance: A systematic review. Resuscitation 2009, 80, 743–751. [Google Scholar] [CrossRef] [Green Version]
- Perkins, G.D.; Colquhoun, M.; Simons, R. Training manikins. In ABC of Resuscitation, 5th ed.; Colquhoun, M., Handley, A.J., Evans, T.R., Eds.; BMJ Books: London, UK, 2004; pp. 97–101. [Google Scholar]
- Méndez-Martínez, C.; Martínez-Isasi, S.; García-Suárez, M.; De La Peña-Rodríguez, M.A.; Gómez-Salgado, J.; Fernández, D. Acquisition of Knowledge and Practical Skills after a Brief Course of BLS-AED in First-Year Students in Nursing and Physiotherapy at a Spanish University. Int. J. Environ. Res. Public Health 2019, 16, 766. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Fungueiriño-Suárez, R.; Barcala-Furelos, R.; González-Fermoso, M.; Martínez-Isasi, S.; Fernández-Méndez, F.; González-Salvado, V.; Navarro-Patón, R.; Rodríguez-Núñez, A. Coastal Fishermen as Lifesavers While Sailing at High Speed: A Crossover Study. BioMed. Res. Int. 2018, 2018, 2747046. [Google Scholar]
- Martín-Fernández, A.; Marco-Cuenca, G.; Salvador-Oliván, J.A. Evaluación y acreditación de las aplicaciones móviles relacionadas con la salud. Rev. Esp. Salud Pública 2020, 94, e202008085. [Google Scholar]
- Abelairas, C.; Romo, V.; Barcala, R.J.; Palacios, J. Efecto de la fatiga física del socorrista en los primeros cuatro minutos de la reanimación cardiopulmonar posrescate acuático. Emergencias 2013, 25, 184–190. [Google Scholar]
- Zapletal, B.; Greif, R.; Stumpf, D.; Nierscher, F.J.; Frantal, S.; Haugk, M.; Ruetzler, K.; Schlimp, C.; Fischer, H. Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: A randomised simulation study. Resuscitation 2014, 85, 560–566. [Google Scholar] [CrossRef]
- Barcala-Furelos, R.; Aranda-García, S.; Abelairas-Gómez, C.; Martínez-Isasi, S.; López-Mesa, F.; Oleagordia-Aguirre, A.; Palacios-Aguilar, J.; Szpilman, D. Recomendaciones de salud laboral para socorristas ante emergencias acuáticas en la era Covid-19: Prevención, rescate y reanimación. Rev. Esp. Salud Pública 2020, 94, e202006074. [Google Scholar] [PubMed]
- Baldi, E.; Cornara, S.; Contri, E.; Epis, F.; Fina, D.; Zelaschi, B.; Dossena, C.; Fichtner, F.; Tonani, M.; Di Maggio, M.; et al. Real-time visual feedback during training improves laypersons’ CPR quality: A randomized controlled manikin study. CJEM 2017, 19, 480–487. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Variables | TT (A) | AP (B) | FT (C) | Inter-Group p | Intra-Group p | |
---|---|---|---|---|---|---|
Total number of compressions | Media (SD) | 254.1 (54.8) | 253.9 (35.6) | 247.2 (47.9) | 0.932 | |
Median (IQ) | 252.5 (233.0–304.0) | 251.0 (231.0–263.0) | 240.5 (209.0–284.0) | |||
% hands positioning | Mean (SD) | 74.8 (26.7) | 73.0 (36.2) | 85.7 (28.5) | 0.154 | |
Median (IQ) | 80.7 (60.9–99.4) | 89.5 (63.6–98.2) | 99.8 (96.7–100.0) | |||
Millimetres of depth achieved | Mean (SD) | 47.6 (8.8) | 50.3 (5.8) | 54.1 (4.9) | 0.112 | |
Median (IQ) | 47.0 (40.0–56.0) | 49.0 (46.0–56.0) | 55.5 (51.0–58.0) | |||
% compressions at correct depth | Mean (SD) | 30.8 (30.4) | 40.5 (34.2) | 68.2 (32.6) | 0.042 | A vs. C = 0.047 |
Median (IQ) | 24.5 (0.0–49.0) | 34.0 (15.0–61.0) | 75.5 (51.0–96.0) | |||
% correct chest recoil | Mean (SD) | 76.8 (26.4) | 91.7 (13.3) | 94.6 (9.9) | 0.139 | |
Median (IQ) | 86.1 (56.3–99.6) | 99.8 (76.6–100.0) | 99.5 (95.0–100.0) | |||
Mean rate | Mean (SD) | 125.5 (22.6) | 112.9 (11.5) | 118.5 (15.5) | 0.276 | |
Median (IQ) | 131.0 (120.0–143.0) | 112.0 (108.0–121.0) | 114.0 (112.0–130.0) | |||
Quality of compressions | Mean (SD) | 77.7 (16.2) | 81.7 (10.9) | 93.8 (13.9) | 0.039 | A vs. C = 0.045 |
Median (IQ) | 73.6 (67.8–92.2) | 82.2 (74.1–85.3) | 95.1 (89.9–104.0) | |||
Total number of ventilations | Mean (SD) | 15.7 (3.9) | 15.3 (1.4) | 14.2 (1.8) | 0.048 * | A vs. C = 0.043 ** |
Median (IQ) | 16.5 (16.0–18.0) | 16.0 (16.0–16.0) | 14.0 (14.0–16.0) | |||
Mean volume | Mean (SD) | 788.0 (281.7) | 762.2 (274.8) | 541.1 (115.7) | 0.069 | |
Median (IQ) | 755.0 (630.0–950.0) | 700.0 (670.0–870.0) | 560.0 (480.0–580.0) | |||
% correct ventilations | Mean (SD) | 21.6 (29.6) | 11.6 (18.0) | 41.1 (33.1) | 0.087 | |
Median (IQ) | 8.5 (0.0–31.3) | 6.3 (0.0–12.5) | 42.9 (14.3–75.0) | |||
Overall quality of CPR | Mean (SD) | 49.4 (17.3) | 46.5 (10.6) | 68.0 (18.6) | 0.027 * | A vs. C = 0.028 ** B vs. C = 0.014 ** |
Median (IQ) | 41.4 (37.9–56.4) | 48.4 (38.3–53.0) | 69.0 (51.9–73.5) |
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González-Santano, D.; Fernández-García, D.; Silvestre-Medina, E.; Remuiñán-Rodríguez, B.; Rosell-Ortiz, F.; Gómez-Salgado, J.; Sobrido-Prieto, M.; Ordás-Campos, B.; Martínez-Isasi, S. Evaluation of Three Methods for CPR Training to Lifeguards: A Randomised Trial Using Traditional Procedures and New Technologies. Medicina 2020, 56, 577. https://doi.org/10.3390/medicina56110577
González-Santano D, Fernández-García D, Silvestre-Medina E, Remuiñán-Rodríguez B, Rosell-Ortiz F, Gómez-Salgado J, Sobrido-Prieto M, Ordás-Campos B, Martínez-Isasi S. Evaluation of Three Methods for CPR Training to Lifeguards: A Randomised Trial Using Traditional Procedures and New Technologies. Medicina. 2020; 56(11):577. https://doi.org/10.3390/medicina56110577
Chicago/Turabian StyleGonzález-Santano, Daniel, Daniel Fernández-García, Elena Silvestre-Medina, Beatriz Remuiñán-Rodríguez, Fernando Rosell-Ortiz, Juan Gómez-Salgado, María Sobrido-Prieto, Beatriz Ordás-Campos, and Santiago Martínez-Isasi. 2020. "Evaluation of Three Methods for CPR Training to Lifeguards: A Randomised Trial Using Traditional Procedures and New Technologies" Medicina 56, no. 11: 577. https://doi.org/10.3390/medicina56110577