Retention of cardiopulmonary resuscitation skills after hands-only training versus conventional training in novices: a randomized controlled trial.
- Author:
Young Joon KIM
1
;
Youngsuk CHO
;
Gyu Chong CHO
;
Hyun Kyung JI
;
Song Yi HAN
;
Jin Hyuck LEE
Author Information
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords: Cardiopulmonary resuscitation; Retention (psychology); Education; Training
- MeSH: Cardiopulmonary Resuscitation*; Education; Heart Arrest; Manikins; Retention (Psychology); Thorax; Ventilation
- From: Clinical and Experimental Emergency Medicine 2017;4(2):88-93
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: Cardiopulmonary resuscitation (CPR) training can improve performance during simulated cardiac arrest; however, retention of skills after training remains uncertain. Recently, hands-only CPR has been shown to be as effective as conventional CPR. The purpose of this study is to compare the retention rate of CPR skills in laypersons after hands-only or conventional CPR training. METHODS: Participants were randomly assigned to 1 of 2 CPR training methods: 80 minutes of hands-only CPR training or 180 minutes of conventional CPR training. Each participant's CPR skills were evaluated at the end of training and 3 months thereafter using the Resusci Anne manikin with a skill-reporting software. RESULTS: In total, 252 participants completed training; there were 125 in the hands-only CPR group and 127 in the conventional CPR group. After 3 months, 118 participants were randomly selected to complete a post-training test. The hands-only CPR group showed a significant decrease in average compression rate (P=0.015), average compression depth (P=0.031), and proportion of adequate compression depth (P=0.011). In contrast, there was no difference in the skills of the conventional CPR group after 3 months. CONCLUSION: Conventional CPR training appears to be more effective for the retention of chest compression skills than hands-only CPR training; however, the retention of artificial ventilation skills after conventional CPR training is poor.
