References

Abella BS, Alvarado JP, Myklebust H Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005a; 293:(3)305-10

Abella BS, Sandbo N, Vassilatos P Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation. 2005b; 111:(4)428-34

Abella BS, Edelson DP, Kim S CPR quality improvement during in-hospital cardiac arrest using a realtime audiovisual feedback system. Resuscitation. 2007; 73:(1)54-61

Atwood C, Eisenberg MS, Herlitz J Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation. 2005; 67:(1)75-80

Berg RA, Sanders AB, Milander M Efficacy of audio-prompted rate guidance in improving resuscitator performance of cardiopulmonary resuscitation on children. Acad Emerg Med. 1994; 1:(1)35-40

Bollig G, Wahl HA, Veel Svendsen M Primary school children are able to perform basic life-saving first aid measures. Resuscitation. 2009; 80:(6)689-92

Dine CJ, Gersh RE, Leary M Improving cardiopulmonary resuscitation quality and resuscitation training by combining audiovisual feedback and debriefing. Crit Care Med. 2008; 36:(10)2817-22

Handley AJ, Koster R, Monsieurs K European Resuscitation Council guidelines for resuscitation 2005. Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation. 2005; 67:S7-23

Hill K, Mohan C, Stevenson M 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)96-99

Isbye DL, Rasmussen LS, Ringsted C Disseminating cardiopulmonary resuscitation training by distributing 35000 personal manikins among school children. Circulation. 2007; 116:(12)1380-5

Jäntti H, Silfvast T, Turpeinen A Influence of chest compression rate guidance on the quality of cardiopulmonary resuscitation performed on manikins. Resuscitation. 2009; 80:(4)453-7

Jones I, Whitfield R, Colquhoun M At what age can schoolchildren provide effective chest compressions? An observational study from the heartstart UK schools training programme. BMJ. 2007; 334:(7605)1201-3

Kern KB, Sanders AB, Raife J A study of chest compression rates during cardiopulmonary resuscitation in humans. The importance of rate-directed chest compressions. Arch Intern Med. 1992; 152:(1)145-9

Kern KB, Stickney RE, Gallison L Metronome improves compression and ventilation rates during CPR on a manikin in a randomised trial. Resuscitation. 2009; 81:(2)206-10

Leary M, Abella BS The challenge of CPR quality: improvement in the real world. Resuscitation. 2008; 77:(1)1-3

Losert H, Sterz F, Kohler K Quality of cardiopulmonary resuscitation among highly trained staff in an emergency department setting. Arch Intern Med. 2006; 166:(21)2375-80

Matlock D, Hafner JW, Bockewitz EG ‘Stayin' Alive’: A Pilot Study to Test the Effectiveness of a Novel Mental Metronome in Maintaining Appropriate Compression Rates in Simulated Cardiac Arrest Scenarios. Ann Emerg Med. 2008; 52:(4)S67-S68

Niles D, Sutton RM, Donoghue AJ Rolling refreshers: a novel approach to maintain psyshomotor skill competence. Resuscitation. 2009; 80:(8)909-12

Oh JH, Lee SJ, Kim SE Effects of audio tone guidance on performance of CPR in simulated cardiac arrest with an advanced airway. Resuscitation. 2008; 79:(2)273-7

Rawlins L, Woollard M, Williams J, Hallam P Effect of listening to Nellie the Elephant during CPR training on performance of chest compressions by lay people: randomized crossover trial. BMJ. 2009; 339

Sutton RM, Donoghue A, Myklebust H The voice advisory manikin (VAM): An innovative approach to pediatric lay provider basic life support skills education. Resuscitation. 2007; 75:(1)161-8

Sutton RM, Niles D, Nysaether J Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescents. Pediatrics. 2009; 124:(2)494-9

Toner P, Connolly M, Laverty L Teaching basic life support to school children using medical students and teachers in a “peer-training” model – results of the “ABC for life” programme. Resuscitation. 2007; 75:(1)169-75

Wik L, Kramer-Johansen J, Myklebust H Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005; 293:(3)229-304

Yeung J, Meeks R, Edelson D The use of CPR feedback/prompt devices during training and CPR performance: A systematic review. Resuscitation. 2009; 80:(7)743-51

paediatrics
assessment
clinical skills
patient care

Improving cardiopulmonary resuscitation quality with help from a popular song

01 March 2012
Features
02 March 2012
Volume 2 · Issue 1

Abstract

Pediatric cardiorespiratory arrest (CRA) is a rare event that leads to death or survival with neurological sequelae in many cases. CRA in children usually occurs at home, and therefore the training of paramedics and lay people is essential in order to improve the victim's outcome, regardless of their age. Simple and inexpensive ways of improving bystanders' quality of cardiopulmonary resuscitation should be implemented. We hypothesized that a very popular song, with a rhythm that fits the CPR chest compressions rate target would be an effective audio guidance to train schoolchildren in CPR.

Most cardiac arrests occur at home; therefore, widespread training is required in order to educate as many lay people as possible in cardiopulmonary resuscitation (CPR) (Atwood et al, 2005; Isbye et al, 2007). As part of the strategy to increase bystander CPR, the training of schoolchildren has been recommended due to their ability to learn and retain knowledge and skills (Isbye et al, 2007; Toner et al, 2007;. Bollig et al, 2009; Hill et al, 2009).

As the quality of CPR is a major determinant of victim survival, it is concerning that CPR quality has been reported as poor, even in cases when it has been performed by a health care professional (Abella et al, 2005a; Wik et al, 2005; Losert et al, 2006; Jäntti et al, 2009). Although several devices which provide CPR feedback or prompts during training exist, (Isbye et al, 2007; Jones et al, 2007; Bollig et al, 2009; Hill et al, 2009) they are currently in a preliminary phase of development and their widespread use by lay people is not predicted within the next ten years.

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Cardiopulmonary resuscitation
Cardiac arrest
Children
Pediatric
Simulation
BLS training