Abstract
Out-of-hospital cardiorespiratory arrest is one of the leading causes of death in the Western world. Early assistance with quality Cardiopulmonary Resuscitation (CPR) and the use of a defibrillator may increase the percentage of survival after this process. The objective of this study was to evaluate the effect of CPR training and the management of an Automatic External Defibrillator (AED). A descriptive, cross-sectional, observational study was carried out among students in the first year of a Nursing and Physiotherapy degree of the University of León. To achieve this goal, a theoretical-practical educational intervention of four hours’ duration which included training on CPR, AED and Basic Life Support (BLS) was carried out. A total of 112 students were included. The results showed an increase in theoretical knowledge on BLS as well as on CPR and AED, and practical skills in CPR and AED management. A theoretical exposition of fifteen minutes and the practical training of CPR wasenough for the students to acquire the necessary theoretical knowledge, although the participants failed to reach quality criteria in CPR. Only 35.6% of students reached the right depth in compressions. Also, ventilation was not performed properly. Based on the results, we cannot determine that the percentage of overall quality of CPR was appropriate, since 57.6% was obtained in this respect and experts establish a value higher than 70% for quality CPR. There was a clear relationship between sex, weight, height and body max index (BMI), and quality CPR performance, being determinant variables to achieve quality parameters. Currently, Basic Life Support training in most universities is based on training methods similar to those used in the action described. The results obtained suggest implementing other training methods that favour the acquisition of quality CPR skills.
Highlights
Out-of-hospital cardiorespiratory arrest (OHCA) is one of the leading causes of death in Europe, being potentially reversible if treated at an early stage [1]
Among the various methods of Cardiopulmonary Resuscitation (CPR) training for Health Sciences students, we find some that propose reading for the theoretical training, educational videos on CPR and the defibrillator [7], training in knowledge and skills with its subsequent feedback [5], theoretical lessons taught by an instructor for the acquisition of knowledge, manikins to learn skills [8], high-fidelity simulation, online theoretical lessons and simulation with manikins [11], self-directed teaching, and traditional teaching for retraining groups [12]
Training in CPR based on fifteen minutes of theoretical exposure along with practice oriented to the acquisition of skills with feedback was enough to obtain good results in relation to the acquisition of knowledge of Basic Life Support (BLS), use of Automatic External Defibrillator (AED) and skills acquisition in CPR
Summary
Out-of-hospital cardiorespiratory arrest (OHCA) is one of the leading causes of death in Europe, being potentially reversible if treated at an early stage [1]. Res. Public Health 2019, 16, 766 which CPR is conducted immediately after the cardiorespiratory arrest is two to four times higher than that of those who do not receive it, so the start of assistance by witnesses takes on special importance [2]. Public Health 2019, 16, 766 which CPR is conducted immediately after the cardiorespiratory arrest is two to four times higher than that of those who do not receive it, so the start of assistance by witnesses takes on special importance [2] This survival rate increases when a defibrillator is used in addition to performing CPR, time being a key factor to maximise this percentage [1].
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