Skip to main content
Top
Published in: International Journal of Emergency Medicine 1/2019

Open Access 01-12-2019 | Cardiopulmonary Resuscitation | Original Research

To enhance the quality of CPR performed by youth layman

Authors: Anna Abelsson, Annette Nygårdh

Published in: International Journal of Emergency Medicine | Issue 1/2019

Login to get access

Abstract

Background

By educating laymen, survival after cardiac arrest can increase in society. It is difficult to reach the entire population with cardiopulmonary resuscitation (CPR) training. However, if 15% of the population knows how to perform CPR, an increase in short- and long-term survival in patients suffering a cardiac arrest could be seen. To educate youth is a way to reach parts of the population. This study aimed to investigate the effect of a 2-h CPR intervention for youth.

Methods

Data were collected through an intervention utilizing simulation and consisted of a pre- and post-assessment of 50 participants’ CPR performance.

Results

The participants’ compression depths are, after training, within guidelines. However, the compression rate increases from within limits (117) to become too fast (128). The range of the minimum compression rate rises from 70 to 92 which is an improvement. The ventilation volume increases from 112 ml in pre-test to 579 ml in post-test. In the pre-test, 88% of the participants did not succeed in securing an open airway; only six participants succeeded in securing an open airway. In the post-test, 49% of the participants underperform in the ventilation. However, only 12 participants failed in securing an open airway in the post-test. Compression recoil and hand position marginally improved from pre- to post-test.

Conclusion

Educating young people at school is one way to disseminate CPR knowledge in society. In this study, the ventilation of the patient arose as a major weakness. To be able to establish an open airway and ventilate the patient with the correct volume as well as to overcome the psychological barrier to initiate mouth-to-mouth ventilation seems to require more than 2 h training. The training may need to consist of repeated sessions over the year with feedback, to give young people the skills to perform CPR with good quality.
Literature
2.
go back to reference Monsieurs GK, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, Perkins GD, Soar J, Truhlář A, Wyllieet J, et al. European resuscitation council guidelines for resuscitation. Section 1. Executive summary. Resuscitation. 2015;95:1–80.CrossRef Monsieurs GK, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, Perkins GD, Soar J, Truhlář A, Wyllieet J, et al. European resuscitation council guidelines for resuscitation. Section 1. Executive summary. Resuscitation. 2015;95:1–80.CrossRef
3.
go back to reference Böttiger BW, Aken Van H. Kids save lives – training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015;94:A5–7.CrossRef Böttiger BW, Aken Van H. Kids save lives – training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015;94:A5–7.CrossRef
4.
go back to reference Wilks J, Kanasa H, Pendergast D, Ken C. Emergency response readiness for primary school children. Aust Health Rev. 2016;40:357–63.CrossRef Wilks J, Kanasa H, Pendergast D, Ken C. Emergency response readiness for primary school children. Aust Health Rev. 2016;40:357–63.CrossRef
5.
go back to reference Lukas RP, Van Aken H, Mölhoff T, Weber T, Rammert M, Wild E, Bohn A. Kids save lives: a six-year longitudinal study of schoolchildren learning cardiopulmonary resuscitation: who should do the teaching and will the effects last? Resuscitation. 2016;101:35–40.CrossRef Lukas RP, Van Aken H, Mölhoff T, Weber T, Rammert M, Wild E, Bohn A. Kids save lives: a six-year longitudinal study of schoolchildren learning cardiopulmonary resuscitation: who should do the teaching and will the effects last? Resuscitation. 2016;101:35–40.CrossRef
7.
go back to reference The National Agency for Education. Ordinance (SKOLFS 2010: 37) on curricula for primary and lower secondary schools, preschool classes and the leisure center. Stockholm: The National Agency for Education; 2018. The National Agency for Education. Ordinance (SKOLFS 2010: 37) on curricula for primary and lower secondary schools, preschool classes and the leisure center. Stockholm: The National Agency for Education; 2018.
8.
go back to reference Vaillancourt C, Kasaboski A, Charette M, Islam R, Osmond M, Wells GA, Stiell IG, Brehaut JC, Grimshaw JM. Barriers and facilitators to CPR training and performing CPR in an older population most likely to witness cardiac arrest: a national survey. Resuscitation. 2013;84:1747–52.CrossRef Vaillancourt C, Kasaboski A, Charette M, Islam R, Osmond M, Wells GA, Stiell IG, Brehaut JC, Grimshaw JM. Barriers and facilitators to CPR training and performing CPR in an older population most likely to witness cardiac arrest: a national survey. Resuscitation. 2013;84:1747–52.CrossRef
9.
go back to reference de Paiva EF, Padilha Rde Q, Sgobero JK, Ganem F, Cardoso LF. Disseminating cardiopulmonary resuscitation training by distributing 9,200 personal manikins. Acad Emerg Med. 2014;21:886–91.CrossRef de Paiva EF, Padilha Rde Q, Sgobero JK, Ganem F, Cardoso LF. Disseminating cardiopulmonary resuscitation training by distributing 9,200 personal manikins. Acad Emerg Med. 2014;21:886–91.CrossRef
10.
go back to reference Iskrzycki L, Zysko D, Koch JJ, Gawlowski P, Szarpak L, Smereka J. Can children teach their parents cardiopulmonary resuscitation and does teaching influence the retention of their knowledge? Am J Emerg Med. 2016;34:1159–60.CrossRef Iskrzycki L, Zysko D, Koch JJ, Gawlowski P, Szarpak L, Smereka J. Can children teach their parents cardiopulmonary resuscitation and does teaching influence the retention of their knowledge? Am J Emerg Med. 2016;34:1159–60.CrossRef
11.
go back to reference Jones I, Whitfield R, Colquhoun M, Chamberlain D, Vetter N, Newcombe R. At what age can schoolchildren provide effective chest compressions? An observational study from the Heartstart UK schools training programme. BMJ. 2007;334:1201.CrossRef Jones I, Whitfield R, Colquhoun M, Chamberlain D, Vetter N, Newcombe R. At what age can schoolchildren provide effective chest compressions? An observational study from the Heartstart UK schools training programme. BMJ. 2007;334:1201.CrossRef
12.
go back to reference Semeraro F, Scapigliati A, Ristagno G, Luciani A, Gandolfi S, Lockey A, Müller MP, Wingen S, Böttiger BW. Virtual reality for CPR training: how cool is that? Dedicated to the “next generation”. Resuscitation. 2017;121:1–2.CrossRef Semeraro F, Scapigliati A, Ristagno G, Luciani A, Gandolfi S, Lockey A, Müller MP, Wingen S, Böttiger BW. Virtual reality for CPR training: how cool is that? Dedicated to the “next generation”. Resuscitation. 2017;121:1–2.CrossRef
13.
go back to reference Böttiger BW, Semeraro F, Wingen S. “Kids save lives”: educating schoolchildren in cardiopulmonary resuscitation is a civic duty that needs support for implementation. JAHA. 2017;6:1–4. Böttiger BW, Semeraro F, Wingen S. “Kids save lives”: educating schoolchildren in cardiopulmonary resuscitation is a civic duty that needs support for implementation. JAHA. 2017;6:1–4.
14.
go back to reference Mpotos N, Iserbyt P. Children saving lives: training towards CPR excellence levels in chest compression based on age and physical characteristics. Resuscitation. 2017;121:135–40.CrossRef Mpotos N, Iserbyt P. Children saving lives: training towards CPR excellence levels in chest compression based on age and physical characteristics. Resuscitation. 2017;121:135–40.CrossRef
15.
go back to reference Greer N, McCormick C, McCluskey D. Assessment of CPR performance by 13–14-year-old schoolchildren after a single 2 h training session. Heart. 2010;96:A28–9.CrossRef Greer N, McCormick C, McCluskey D. Assessment of CPR performance by 13–14-year-old schoolchildren after a single 2 h training session. Heart. 2010;96:A28–9.CrossRef
16.
go back to reference Perkins GD, Handley AJ, Koster WR, Castrén M, Smyth MA, Olasveengen T, Monsieurs KG, Raffay V, Gräsner JT, Wenzelet V, et al. European Resuscitation Council guidelines for resuscitation 2015: section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81–99. Perkins GD, Handley AJ, Koster WR, Castrén M, Smyth MA, Olasveengen T, Monsieurs KG, Raffay V, Gräsner JT, Wenzelet V, et al. European Resuscitation Council guidelines for resuscitation 2015: section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81–99.
17.
go back to reference Stiell IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW, Morrison LJ, Christenson J, Aufderheide TP, Davis DP, et al. Resuscitation Outcomes Consortium Investigators. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? Circulation 2014;130:1962–1970.CrossRef Stiell IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW, Morrison LJ, Christenson J, Aufderheide TP, Davis DP, et al. Resuscitation Outcomes Consortium Investigators. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? Circulation 2014;130:1962–1970.CrossRef
18.
go back to reference Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, Gazmuri RJ, Travers AH, Rea T. Part 5: adult basic life support and cardiopulmonary resuscitation quality 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132:414–35.CrossRef Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, Gazmuri RJ, Travers AH, Rea T. Part 5: adult basic life support and cardiopulmonary resuscitation quality 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132:414–35.CrossRef
19.
go back to reference Berg RA, Sanders AB, Kern KB, Hilwig RW, Heidenreich JW, Porter ME. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation. 2001;104:2465–70.CrossRef Berg RA, Sanders AB, Kern KB, Hilwig RW, Heidenreich JW, Porter ME. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation. 2001;104:2465–70.CrossRef
20.
go back to reference Bohn A, Van Aken HK, Möllhoff T, Wienzek H, Kimmeyer P, Wild E, Döpker S, Lukas RP, Weber TP. Teaching resuscitation in schools: annual tuition by trained teachers is effective starting at age 10. A four-year prospective cohort study. Resuscitation. 2012;83:619–25.CrossRef Bohn A, Van Aken HK, Möllhoff T, Wienzek H, Kimmeyer P, Wild E, Döpker S, Lukas RP, Weber TP. Teaching resuscitation in schools: annual tuition by trained teachers is effective starting at age 10. A four-year prospective cohort study. Resuscitation. 2012;83:619–25.CrossRef
21.
go back to reference Paal P, Falk M, Sumann G, Demetz F, Beikircher W, Gruber E, Ellerton J, Brugger H. Comparison of mouth-to-mouth, mouth-to-mask and mouth-to-face-shield ventilation by lay persons. Resuscitation. 2006;70:117–23.CrossRef Paal P, Falk M, Sumann G, Demetz F, Beikircher W, Gruber E, Ellerton J, Brugger H. Comparison of mouth-to-mouth, mouth-to-mask and mouth-to-face-shield ventilation by lay persons. Resuscitation. 2006;70:117–23.CrossRef
22.
go back to reference Berthelot S, Plourde M, Bertrand I, Bourassa A, Couture MM, Berger-Pelletier E, St-Onge M, Leroux R, Le Sage N, Camden S. Push hard, push fast: quasi-experimental study on the capacity of elementary schoolchildren to perform cardiopulmonary resuscitation. Scand J Trauma Resusc Emerg Med. 2013;21:41.CrossRef Berthelot S, Plourde M, Bertrand I, Bourassa A, Couture MM, Berger-Pelletier E, St-Onge M, Leroux R, Le Sage N, Camden S. Push hard, push fast: quasi-experimental study on the capacity of elementary schoolchildren to perform cardiopulmonary resuscitation. Scand J Trauma Resusc Emerg Med. 2013;21:41.CrossRef
23.
go back to reference Aufderheide TP, Sigurdsson G, Pirrallo RG, Yannopoulos D, McKnite S, von Briesen C. Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation. 2004;109:1960–5.CrossRef Aufderheide TP, Sigurdsson G, Pirrallo RG, Yannopoulos D, McKnite S, von Briesen C. Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation. 2004;109:1960–5.CrossRef
24.
go back to reference Roberts BW, Kilgannon JH, Chansky ME, Mittal N, Wooden J, Trzeciak S. Association between postresuscitation partial pressure of arterial carbon dioxide and neurological outcome in patients with post cardiac arrest syndrome. Circulation. 2013;127:2107–13.CrossRef Roberts BW, Kilgannon JH, Chansky ME, Mittal N, Wooden J, Trzeciak S. Association between postresuscitation partial pressure of arterial carbon dioxide and neurological outcome in patients with post cardiac arrest syndrome. Circulation. 2013;127:2107–13.CrossRef
25.
go back to reference You KM, Kwon WY, Lee JC, Suh GJ, Kim KS, Park MJ, Kim S. Real-time tidal volume feedback guides optimal ventilation during simulated CPR. Am J Emerg Med. 2017;35:292–8.CrossRef You KM, Kwon WY, Lee JC, Suh GJ, Kim KS, Park MJ, Kim S. Real-time tidal volume feedback guides optimal ventilation during simulated CPR. Am J Emerg Med. 2017;35:292–8.CrossRef
27.
go back to reference Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation. 2011;82:447–53.CrossRef Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation. 2011;82:447–53.CrossRef
28.
go back to reference Plant N, Taylor K. How best to teach CPR to schoolchildren: a systematic review. Resuscitation. 2013;84:415–21.CrossRef Plant N, Taylor K. How best to teach CPR to schoolchildren: a systematic review. Resuscitation. 2013;84:415–21.CrossRef
29.
go back to reference World Medical Association. Declaration of Helsinki. Ethical principles for medical research involving human subjects. JAMA. 2013;310:2191–4.CrossRef World Medical Association. Declaration of Helsinki. Ethical principles for medical research involving human subjects. JAMA. 2013;310:2191–4.CrossRef
Metadata
Title
To enhance the quality of CPR performed by youth layman
Authors
Anna Abelsson
Annette Nygårdh
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2019
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/s12245-019-0247-6

Other articles of this Issue 1/2019

International Journal of Emergency Medicine 1/2019 Go to the issue