The effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation implications for the future of citizen cardiopulmonary resuscitation training

Bentley J. Bobrow, Tyler F. Vadeboncoeur, Daniel W. Spaite, Jerald Potts, Kurt Denninghoff, Vatsal Chikani, Paula R. Brazil, Bob Ramsey, Benjamin S. Abella

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

Background-Bystander cardiopulmonary resuscitation (CPR) improves survival from out-of-hospital cardiac arrest (OHCA) but often is not performed. We hypothesized that subjects viewing very short Hands-Only CPR videos will (1) be more likely to attempt CPR in a simulated OHCA scenario and (2) demonstrate better CPR skills than untrained individuals. Methods and Results-This study is a prospective trial of 336 adults without recent CPR training randomized into 4 groups: (1) control (no training) (n=51); (2) 60-second video training (n=95); (3) 5-minute video training (n=99); and (4) 8-minute video training, including manikin practice (n=91). All subjects were tested for their ability to perform CPR during an adult OHCA scenario using a CPR-sensing manikin and Laerdal PC SkillReporting software. One half of the trained subjects were randomly assigned to testing immediately and the other half after a 2-month delay. Twelve (23.5%) controls did not even attempt CPR, which was true of only 2 subjects (0.7%; P=0.01) from any of the experimental groups. All experimental groups had significantly higher average compression rates (closer to the recommended 100/min) than the control group (P<0.001), and all experimental groups had significantly greater average compression depth (>38 mm) than the control group (P<'0.0001). Conclusions-Laypersons exposed to very short Hands-Only CPR videos are more likely to attempt CPR and show superior CPR skills than untrained laypersons. Clinical Trial Registration-URL: http://www. clinicaltrials.gov. Unique identifier: NCT01191736. (Circ Cardiovasc Qual Outcomes. 2011;4:220-226.)

Original languageEnglish (US)
Pages (from-to)220-226
Number of pages7
JournalCirculation: Cardiovascular Quality and Outcomes
Volume4
Issue number2
DOIs
StatePublished - Mar 1 2011

Keywords

  • Cardiopulmonary resuscitation
  • Heart arrest
  • Resuscitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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