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BMC Emergency Medicine
Published in: BMC Emergency Medicine 1/2008

Open Access 01-12-2008 | Research article

Practical examination of bystanders performing Basic Life Support in Germany: a prospective manikin study

Authors: Christoph HR Wiese, Henryk Wilke, Jan Bahr, Bernhard M Graf

Published in: BMC Emergency Medicine | Issue 1/2008

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Abstract

Background

In an out-of-hospital emergency situation bystander intervention is essential for a sufficient functioning of the chain of rescue. The basic measures of cardiopulmonary resuscitation (Basic Life Support – BLS) by lay people are therefore definitely part of an effective emergency service of a patient needing resuscitation. Relevant knowledge is provided to the public by various course conceptions. The learning success concerning a one day first aid course ("LSM" course in Germany) has not been much investigated in the past. We investigated to what extent lay people could perform BLS correctly in a standardised manikin scenario. An aim of this study was to show how course repetitions affected success in performing BLS.

Methods

The "LSM course" was carried out in a standardised manner. We tested prospectively 100 participants in two groups (Group 1: Participants with previous attendance of a BLS course; Group 2: Participants with no previous attendance of a BLS course) in their practical abilities in BLS after the course. Success parameter was the correct performance of BLS in accordance with the current ERC guidelines.

Results

Twenty-two (22%) of the 100 investigated participants obtained satisfactory results in the practical performance of BLS. Participants with repeated participation in BLS obtained significantly better results (Group 1: 32.7% vs. Group 2: 10.4%; p < 0.01) than course participants with no relevant previous knowledge.

Conclusion

Only 22% of the investigated participants at the end of a "LSM course" were able to perform BLS satisfactorily according to the ERC guidelines. Participants who had previously attended comparable courses obtained significantly better results in the practical test. Through regular repetitions it seems to be possible to achieve, at least on the manikin, an improvement of the results in bystander resuscitation and, consequently, a better patient outcome. To validate this hypothesis further investigations are recommended by specialised societies.
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Literature
1.
Ahnefeld FW: Emergency medicine. Handbuch des Rettungswesens, Grundwerk, Stuttgart. 1972
2.
Bahr J: Bystander CPR Training. Results of the Project of Bystander CPR in Goettingen. Selbstverlag, Göttingen. 1994
3.
European Resuscitation Council: European Resuscitation Council Guidelines for Resuscitation 2005. Resuscitation. 2005, 67: S1-S189. 10.1016/j.resuscitation.2005.10.001.CrossRef
4.
Bahr J: "The people have only looked ... "-backgrounds not to help in cardiac arrest. Rettungsdienst. 1996, 19: 6-9.
5.
Chang MY, Lin M: Predictors of survival and hospital outcome of prehospital cardiac arrest in southern Taiwan. J Formos Med Assoc. 2005, 104: 639-646.PubMed
6.
Herlitz J, Engdahl J, Svensson L, Angquist KA, Young M, Holmberg S: Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. Am Heart J. 2005, 149: 61-66. 10.1016/j.ahj.2004.07.014.CrossRefPubMed
7.
Herlitz J, Svensson L, Holmberg S, Angquist KA, Young M: Efficacy of bystander CPR: intervention by lay people and by health care professionals. Resuscitation. 2005, 66: 291-295. 10.1016/j.resuscitation.2005.04.003.CrossRefPubMed
8.
Wiese CHR, Bartels U, Bahr J, Graf BM: Obligatory first aid courses. What can we expect?. Notfall Rettungsmed. 2006, 9: 597-603. 10.1007/s10049-006-0852-9.CrossRef
9.
Wiese CHR, Bartels U, Bahr J, Graf BM: Practical examination of first aid bystanders performing Basic Life Support. Notfall Rettungsmed. 2007, 10: 221-228. 10.1007/s10049-007-0912-9.CrossRef
10.
Koch B, Winkels S: Bystander CPR. A national survey. Notfall Rettmed. 1998, 1: 28-35. 10.1007/s100490050019.CrossRef
11.
Burghofer K, Schlechtriemen T, Lackner CK: Research consequences for bystander CPR. Notfall Rettmed. 2005, 8: 408-411. 10.1007/s10049-005-0762-2.CrossRef
12.
Handley AJ, Koster R, Monsiours K, Perkins GD, Davies S, Bossaert LL, European Resuscitation Council: European Resuscitation Council Guidelines for resuscitation 2005. Section 2. Adult basic life support. Resuscitation. 2005, 67 (Suppl 1): S7-S23. 10.1016/j.resuscitation.2005.10.007.CrossRefPubMed
13.
Gail HE, Kühner RF: Bystander CPR in trauma emergencies. Notfallmed. 1990, 16: 419-424.
14.
Herlitz J, Engdahl J, Svensson L, Young M, Angquist KA, Holmberg S: Is female sex associated with increased survival after out-of-hospital cardiac arrest?. Resuscitation. 2004, 60: 197-203. 10.1016/j.resuscitation.2003.09.012.CrossRefPubMed
15.
Swor R, Khan I, Domeier R, Honeycutt L, Chu K, Compton S: CPR training and CPR performance: do CPR-trained bystanders perform CPR?. Acad Emerg Med. 2006, 13: 596-601.CrossRefPubMed
16.
Parnell MM, Larsen PD: Poor quality teaching in lay person CPR courses. Resuscitation. 2007, 73: 271-278. 10.1016/j.resuscitation.2006.09.008.CrossRefPubMed
17.
Salako SE: The declaration of Helsinki 2000: Ethical principles and the dignity of difference. Med Law. 2006, 25: 341-354.PubMed
18.
European Resuscitation Council: Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. An international consensus on science. Resuscitation. 2000, 46: 1-448. 10.1016/S0300-9572(00)00299-9.CrossRef
19.
European Resuscitation Council: Guidelines for basic life support. Resuscitation. 1992, 24: 103-110. 10.1016/0300-9572(92)90015-5.CrossRef
20.
Handley AJ, Bahr J, Baskett P, Bossaert L, Chamberlain D, Dick W, Ekström L, Juchems R, Kettler D, Marsden A, Moeschler O, Monsieurs K, Parr M, Petit P, van Drenth A: The 1998 European Resuscitation Council Guidelines for adult single rescuer basic life support. A statement from the Working Group on Basic Life Support, and approved by the executive committee of the European Resuscitation Council. Resuscitation. 1998, 37: 67-80. 10.1016/S0300-9572(98)00036-7.CrossRefPubMed
21.
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: 1546-1553. 10.1056/NEJM200005253422101.CrossRefPubMed
22.
Markstaller K, Eberle B, Dick WF: "Topless" cardiopulmonary resuscitation. Fashion or science?. Notfall Rettmed. 2005, 8: 87-95. 10.1007/s10049-005-0717-7.CrossRef
23.
Bohm K, Roenquist 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: 2894-2896. 10.1161/CIRCULATIONAHA.107.710194.CrossRef
24.
SOS-KANTO study group: Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet. 2007, 369: 920-926. 10.1016/S0140-6736(07)60451-6.CrossRef
25.
Palese A, Trenti G, Sbrojavacca R: Effectiveness of retraining after basic cardiopulmonary resuscitation courses: a literature review. Assist Inferm Ric. 2003, 22: 68-75.PubMed
26.
27.
Kettler D, Bahr J, Busse C, Mantzaris A: Effects of bystander resuscitation. Anästhesiol Intensivmed Notfallmed Schmerzther. 1992, 27: 244-247. 10.1055/s-2007-1000290.CrossRefPubMed
28.
Safar P: Ventilatory efficacy of mouth-to-mouth artificial ventilation: airway obstruction during manual and mouth-to-mouth artificial ventilation. JAMA. 1958, 167: 335-341.CrossRef
29.
Safar P, Brown TC, Holtey WJ, Wilder RJ: Ventilation and circulation with closed chest cardiac massage in man. J Am Med Assoc. 1961, 176: 574-576.CrossRef
30.
Bossaert L, van Hoeyweghen R: Bystander CPR in out-of-hospital cardiac arrest. Resuscitation. 1989, 17: 55-69. 10.1016/0300-9572(89)90091-9.CrossRef
31.
Lindner KH, Wenzel V: Cardiopulmonary resuscitation – Mechanically ways. Anaesthesist. 1997, 46: 220-230. 10.1007/s001010050395.CrossRefPubMed
32.
Saternus KS: Direct and indirect thoracic trauma during resuscitation. Z Rechtsmed. 1981, 86: 161-10.1007/BF00203793.CrossRefPubMed
33.
Berg RA, Hilwig RW, Kern HB, Babar I, Ewy GA: Simulated mouth-to-mouth ventilation and chest compressions (bystander cardiopulmonary resuscitation) improves outcome in a swine model of prehospital paediatric cardiac arrest. Crit Care Med. 1999, 27: 1893-1899. 10.1097/00003246-199909000-00030.CrossRefPubMed
34.
Berg RA, Hilwig RW, Kern KB, Ewy GA: "Bystander" chest compressions and assisted ventilation independently improve outcome from piglet asphyxial pulseless "cardiac arrest". Circulation. 2000, 101: 1743-1748.CrossRefPubMed
35.
Heidenreich 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: 123-130. 10.1016/j.resuscitation.2004.04.011.CrossRefPubMed
36.
Wenzel V, Lindner KH, Prengel AW: Ventilation during cardiopulmonary resuscitation. Anaesthesist. 1997, 46: 133-141. 10.1007/s001010050383.CrossRefPubMed
37.
Reith MW, Widmann JH, Ruppert M, Hanle S, Lackner CK, Kerkmann R, Schweiberer L, Peter K: Evaluation of the process and result quality of airway control. Notfall Rettmed. 1999, 2: 18-28. 10.1007/s100490050092.CrossRef
38.
Van Hoeyweghen RJ, Bossaert LL, Mullie A, Calle P, Martens P, Buylert WA, et al: Belgian Resuscitation Group. Quality and efficiency of bystander CPR. Resuscitation. 1993, 26: 47-52. 10.1016/0300-9572(93)90162-J.CrossRefPubMed
39.
Wik L, Steen PA, Bircher NG: Quality of bystander cardiopulmonary resuscitation influences outcome after prehospital cardiac arrest. Resuscitation. 1994, 28: 195-203. 10.1016/0300-9572(94)90064-7.CrossRefPubMed
40.
Gallagher EJ, Lombardi G, Gennis P: Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest. J Am Med Assoc. 1995, 274: 1922-1925. 10.1001/jama.274.24.1922.CrossRef
Metadata
Title
Practical examination of bystanders performing Basic Life Support in Germany: a prospective manikin study
Authors
Christoph HR Wiese
Henryk Wilke
Jan Bahr
Bernhard M Graf
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2008
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/1471-227X-8-14

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