Effectiveness of the 40-Minute Handmade Manikin Program to Teach Hands-on Cardiopulmonary Resuscitation at School Communities

Bystander training in cardiopulmonary resuscitation (CPR) is crucial to improve the victims’ survival and quality of life after sudden cardiac arrest. This observational study aimed to determine the success rate of 2 different programs of CPR training for children, adolescents, and adults in school...

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Bibliographic Details
Published in:The American journal of cardiology 2021-01, Vol.139, p.126-130
Main Authors: Nakagawa, Naomi K., Oliveira, Katia M.G., Lockey, Andrew, Semeraro, Federico, Aikawa, Priscila, Macchione, Mariangela, Carvalho-Oliveira, Regiani, Gouvêa, Gabriela B., Boaventura, Ana Paula, Maiworm, Adalgisa I., Calderaro, Marcelo, Hajjar, Ludhmila A., Motta, Eduardo V., Souza, Heraldo P., de André, Carmen D.S., Silva, Luiz F.F., Polastri, Thatiane F., Timerman, Sergio, Carmona, Maria José C., Böttiger, Bernd W.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Age
Body mass index
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Chest
Children
Compression
Compression tests
CPR
Female
Hand
Humans
Male
Manikins
Out-of-Hospital Cardiac Arrest - therapy
Quality of life
Respiration
Resuscitation
Schools
Skills
Success
Teenagers
Time Factors
Training
Young Adult
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Summary:Bystander training in cardiopulmonary resuscitation (CPR) is crucial to improve the victims’ survival and quality of life after sudden cardiac arrest. This observational study aimed to determine the success rate of 2 different programs of CPR training for children, adolescents, and adults in school communities. We assessed the development and acquisition of the following CPR skills: checking local safety, assessing victim's responsiveness, calling for help, assessing victim's breathing, and performing chest compression (hands and straight arms placement on the chest, compression velocity, depth, and chest release) using a 40-minute program with handmade manikins or the 120-minute program using intermediate-fidelity manikins. There were 1,630 learners (mean age 16 years, 38% male) in the 40-minute program, and 347 learners (mean age 27 years, 32% male) in the 120-minute program. The lowest successful pass rate of learners that developed CPR skills was 89.4% in the 40-minute program and 84.5% in the 120-minute program. The chances of success increased with age in the same program (compression rate and depth). The success rate also increased with the more extended and intermediate-cost program at the same age (assessing victim's responsiveness, calling for help, and assessing the victim's respiration). In conclusion, a 40-minute and cheaper (low-cost handmade manikin) CPR program was adequate to develop and acquire the overall CPR skills for ≥89% at school communities, independently of gender. However, some individual CPR skills can be further improved with increasing age and using the longer and intermediate-cost program.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2020.09.032