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Titolo:
Randomised controlled trials of staged teaching for basic life support 2. Comparison of CPR performance and skill retention using either staged instruction or conventional training
Autore:
Chamberlain, D; Smith, A; Colquhoun, M; Handley, AJ; Kern, KB; Woollard, M;
Indirizzi:
Lansdown Hosp, Prehosp Emergency Res Unit, Cardiff CF1 8OL, S Glam, Wales Lansdown Hosp Cardiff S Glam Wales CF1 8OL Cardiff CF1 8OL, S Glam, Wales Univ Arizona, Coll Med, Sarver Heart Ctr, Tucson, AZ 85724 USA Univ Arizona Tucson AZ USA 85724 , Sarver Heart Ctr, Tucson, AZ 85724 USA
Titolo Testata:
RESUSCITATION
fascicolo: 1, volume: 50, anno: 2001,
pagine: 27 - 37
SICI:
0300-9572(200107)50:1<27:RCTOST>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOPULMONARY-RESUSCITATION; CHEST COMPRESSION; ACQUISITION; TRAINEES; NURSES;
Keywords:
cardiopulmonary resuscitation; basic life support; training;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Chamberlain, D Lansdown Hosp, Prehosp Emergency Res Unit, Sanatorium Rd, Cardiff CF1 8OL,S Glam, Wales Lansdown Hosp Sanatorium Rd Cardiff S Glam Wales CF1 8OL es
Citazione:
D. Chamberlain et al., "Randomised controlled trials of staged teaching for basic life support 2. Comparison of CPR performance and skill retention using either staged instruction or conventional training", RESUSCITAT, 50(1), 2001, pp. 27-37

Abstract

Teaching CPR in stages is a strategy designed to improve skill acquisitionand retention. This method has been compared with conventional teaching ina randomised trial involving 495(-)volunteers. The first ('bronze') stage was simplified by omitting ventilation and giving compressions in sets of 50 with pauses to open the victim's airway; in the second ('silver') stage ventilation was introduced in a ratio of 50 compressions to five breaths, and in the third ('gold') stage, the volunteers were converted to conventional CPR. 51% of those taught by this method reattended for the second ('silver') stage compared with 25% who were taught conventional CPR and advised toreturn for a revision session. 38% of the staged group reattended for the third ('gold') compared with 8% for the conventional group. Modest improvement in skill acquisition has earlier been reported for the 'bronze' stage teaching, and this has been followed by better performance in some of the components tested after the subsequent stages. Comparisons after the 'gold' stage were limited by the small numbers who reattended for a third session of conventional training, but no special difficulties were noted in changingthe ratio of compressions to ventilation that was necessary to convert thestaged training volunteers to conventional CPR. The increased number of compressions that can be achieved by teaching 'bronze' stage CPR with no ventilation was retained, to a lesser degree, when the 'silver' ratio of 50 compressions to five breaths was compared with the conventional 15:2 ratio. Our observations suggest that during the first critical 8 min of a resuscitation attempt, 58% more compressions might be delivered by using the 50:5 ratio - an increase that is likely to result in a significant augmentation of blood flow with important clinical implications. More comparative information will become available when the results of unannounced home testing are analysed. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 10:35:12