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Original Research

Open Access

Does basic life support training simplification foster retention of life saving maneuvers?

  • PASCAL CASSAN1
  • JOSEPHINE ESCUTNAIRE1
  • JACQUES MANSOURATI2,3
  • EVGENIYA BABYKINA2
  • DANIEL MEYRAN1
  • ETIENNE ALIOT5
  • CELINE DOS SANTOS4
  • HERVE HUBERT2

1French Red Cross, First Aid and Emergency Department, Paris, France

2Public Health Department EA 2694, University of Lille, Lille, France

3Department of Cardiology, University Hospital of Brest and EA 4324 ORPHY, University of Western Brittany, Brest, France

4Fédération Française de Cardiologie, Paris, France

5Department of Cardiology, University Hospital of Nancy, Nancy, France

DOI: 10.22514/SV111.052016.3 Vol.11,Issue 1,May 2016 pp.33-55

Published: 02 May 2016

*Corresponding Author(s): HERVE HUBERT E-mail: herve.hubert@registreac.org

Abstract

Objectives. Simplification of Basic Life Support was proposed with the introduction of Chest-Compression only Cardio-Pulmonary Resuscitation (CC-CPR) as an alternative to Standard CPR (S-CPR). This study aimed to compare retention of knowledge, in the general public, of both CPR techniques (CC-CPR vs. S-CPR).

Design, setting and participants. Multicentric prospective comparative cohort study. A training program was conducted among 906 individuals who were assigned to CC-CPR or to S-CPR group. They were evaluated before training (T0), after training (T1) and six months later (T2) on 17 CPR assessment criteria, they were evaluated twice at each time period and one global CPR performance score.

Results. Initial knowledge was low. At T1, all CPR performance criteria improved significantly. Results were similar in both groups except for the rate of trainees calling for help and the time to turn on the automated external defibrillator and to deliver the first shock. At T2, the knowledge level was lower than at T1. Finally, CPR performance score was lower in both groups at T2 compared to T1 but statistically higher than at T0. CPR performance score was higher in the CC-CPR group than in the S-CPR group at T2 (p=0.041).

Conclusions. Performance score was significantly higher in the CC-CPR group. CC-CPR training seems to result in better retention and a faster reaction in the setting of an out of hospital cardiac arrest. Moreover, the retention of knowledge among a trained population fades partially with time. Regular CPR training should therefore be proposed to avoid the loss of benefit with time.

Keywords

cardio-pulmonary resuscitation, basic life support, chest compression, mouth-to-mouth ventilation, training, retention

Cite and Share

PASCAL CASSAN,JOSEPHINE ESCUTNAIRE,JACQUES MANSOURATI,EVGENIYA BABYKINA,DANIEL MEYRAN,ETIENNE ALIOT,CELINE DOS SANTOS,HERVE HUBERT. Does basic life support training simplification foster retention of life saving maneuvers?. Signa Vitae. 2016. 11(1);33-55.

References

1. 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.

2. Weston CF, Wilson RJ, Jones SD. Predicting survival from out-of-hospital cardiac arrest: a multivariate analysis. Resuscitation

1997;34(1):27-34.

3. Jelinek GA, Gennat H, Celenza T, O’Brien D, Jacobs I, Lynch D. Community attitudes towards performing cardiopulmonary resuscitation in Western Australia. Resuscitation 2001;51(3):239-46.

4. Kuramoto N, Morimoto T, Kubota Y, Maeda Y, Seki S, Takada K, et al. Public perception of and willingness to perform bystander CPR in Japan. Resuscitation 2008;79(3):475-81.

5. Bohm K, Rosenqvist M, Herlitz J, Hollenberg J, Svensson L. Survival is similar after standard treatment and chest compression only in out-of-hospital bystander cardiopulmonary resuscitation. Circulation

2007;116(25):2908-12.

6. Hallstrom A, Cobb L, Johnson E, Copass M. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med 2000;342(21):1546-53.

7. Hazinski MF, Nolan JP, Billi JE, Bottiger BW, Bossaert L, de Caen AR, et al. Part 1: Executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation 2010;122(16 Suppl 2):S250-75.

8. Iwami T, Kawamura T, Hiraide A, Berg RA, Hayashi Y, Nishiuchi T, et al. Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Circulation

2007;116(25):2900-7.

9. Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation 2010;81(10):1219-76.

10. Olasveengen TM, Wik L, Steen PA. Standard basic life support vs. continuous chest compressions only in out-of-hospital cardiac arrest. Acta Anaesthesiol Scand 2008;52(7):914-9.

11. Ong ME, Ng FS, Anushia P, Tham LP, Leong BS, Ong VY, et al. Comparison of chest compression only and standard cardiopulmonary resuscitation for out-of-hospital cardiac arrest in Singapore. Resuscitation 2008;78(2):119-26.

12. SOS-KANTO study group. Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet 2007;369(9565):920-6.

13. Waalewijn RA, Tijssen JG, Koster RW. Bystander initiated actions in out-of-hospital cardiopulmonary resuscitation: results from the Amsterdam Resuscitation Study (ARRESUST). Resuscitation

2001;50(3):273-9.

14. Berg RA, Hemphill R, Abella BS, Aufderheide TP, Cave DM, Hazinski MF, et al. Part 5: adult basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122(18 Suppl 3):S685-705.

15. Sayre MR, Berg RA, Cave DM, Page RL, Potts J, White RD. Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation 2008;117(16):2162-7.

16. Hill K, Mohan C, Stevenson M, McCluskey D. Objective assessment of cardiopulmonary resuscitation skills of 10-11-year-old schoolchildren using two different external chest compression to ventilation ratios. Resuscitation 2009;80(1):96-9.

17. 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(1):90-6.

18. Nishiyama C, Iwami T, Kawamura T, Ando M, Yonemoto N, Hiraide A, et al. Quality of chest compressions during continuous CPR; comparison between chest compression-only CPR and conventional CPR. Resuscitation 2010;81(9):1152-5.

19. Dumas F, Rea TD, Fahrenbruch C, Rosenqvist M, Faxen J, Svensson L, et al. Chest compression alone cardiopulmonary resuscitation is associated with better long-term survival compared with standard cardiopulmonary resuscitation. Circulation 2013;127(4):435-41.

20. Iwami T, Kitamura T, Kawamura T, Mitamura H, Nagao K, Takayama M, et al. Chest compression-only cardiopulmonary resuscitation for out-of-hospital cardiac arrest with public-access defibrillation: a nationwide cohort study. Circulation

2012;126(24):2844-51.

21. Atwood C, Eisenberg MS, Herlitz J, Rea TD. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation

2005;67(1):75-80.

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