Abstract
Background: Evidence of cardiopulmonary resuscitation (CPR) performance has driven interest in procedures, e.g., debriefing to improve CPR quality. Aim: To investigate retention of skills with and without debriefing 3-months after CPR training on high-fidelity manikins (HFM) among participants involved in the “Heart Safe City Initiative” event (HSCI) in Makkah, Saudi Arabia. Methodology: A randomized controlled design was used during October 2017-January 2018. Participants were divided into two groups: an intervention group to receive debriefing after CPR (debriefing group or “subjects”), and a non-intervention group (“controls”). Participants were tested repeatedly: before training (pre-training test), immediately after and 3-months after training (retention or late test); and scores for each test were recorded. Results: The study’s subjects and controls did not vary by age, sex, nationality, and profession’s criteria (p > 0.05, all analyses). The mean retention posttests scores significantly varied between subjects and controls [t>(df = 200) = 27.7, p p = 0.18). Further, the immediate posttest scores were significantly higher than the pretests’ within the study population as a whole group [mean difference 38.05% ± 27.59%, t>(df = 201) = 13.5, p t>(105) = 14.31, p t>(df = 95) = 13.50, p t>(df = 201) = 20.85, p t>(df = 105) = 21.46, p t>(df = 95) = 22.12, p t>(df = 200),4.76, p t(df = 97) = -2.95, p Conclusions: Debriefing using HFM training achieves the target of improving the public’s skills of CPR. Considering the urgent need to recruit every society member to be a heartsaver; debriefing after CPR training helps improve the quality and retention of basic CPR skills.
Highlights
Cardiac arrest refers to the sudden cessation of cardiac activity with hemodynamic collapse takes place, typically due to sustained ventricular tachycardia/ventricular fibrillation (VF) [1] [2]
Cardiac arrest is a universal health problem correlated with high levels of mortality [3]
During the VF dysrhythmia which usually takes place in of-hospital cardiac arrest (OHCA) [2], CPR does provide a source of oxygenation to the tissues and may lead to restoration of a viable cardiac rhythm [20] [21]
Summary
Cardiac arrest refers to the sudden cessation of cardiac activity with hemodynamic collapse takes place, typically due to sustained ventricular tachycardia/ventricular fibrillation (VF) [1] [2]. In addition to the number of lives lost, cardiac arrest has a considerable economic impact; measured in terms of productive years of life lost due to premature death or avoidable neurologic disability, it constitutes a societal burden equal to or greater than that of other leading causes of death in the community [4]. This is why only prevention and the need to develop strategies for management of sudden cardiac death are warranted. Considering the urgent need to recruit every society member to be a heartsaver; debriefing after CPR training helps improve the quality and retention of basic CPR skills
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