| Achy breaky makey wakey heart? A randomised crossover trial of musical prompts. | |
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MedLine Citation:
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PMID: 22048987 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ObjectiveCompared with no music (NM), does listening to 'Achy breaky heart' (ABH) or 'Disco science' (DS) increase the proportion of prehospital professionals delivering chest compressions at 2010 guideline-compliant rates of 100-120 bpm and 50-60 mm depths?MethodsA randomised crossover trial recruiting at an Australian ambulance conference. Volunteers performed three 1-min sequences of continuous chest compressions on a manikin accompanied by NM, repeated choruses of ABH and DS, prerandomised for order.Results37 of 74 participants were men; median age 37 years; 61% were paramedics, 20% students and 19% other health professionals. 54% had taken cardiopulmonary resuscitation training within 1 year. Differences in compression rate (mode, IQR) were significant for NM (105, 99-116) versus ABH (120, 107-120) and DS (104, 103-107) versus ABH (p<0.001) but not NM versus DS (p=0.478). Differences in proportions of participants compressing at 100-120 bpm were significant for DS (61/74, 82%) versus NM (48/74, 65%, p=0.007) and DS versus ABH (47/74, 64%, p=0.007) but not NM versus ABH (p=1). Differences in compression depth were significant for NM (48 mm, 46-59 mm) versus DS (54 mm, 44-58 mm, p=0.042) but not NM versus ABH (54 mm, 43-59 mm, p=0.065) and DS versus ABH (p=0.879). Differences in proportions of subjects compressing at 50-60 mm were not significant (NM 31/74 (42%); ABH 32/74 (43%); DS 29/74 (39%); all p>0.5).ConclusionsListening to DS significantly increased the proportion of prehospital professionals compressing at 2010 guideline-compliant rates. Regardless of intervention more than half gave compressions that were too shallow. Alternative audible feedback mechanisms may be more effective. |
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Authors:
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Malcolm Woollard; Jason Poposki; Brae McWhinnie; Lettie Rawlins; Graham Munro; Peter O'Meara |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-2 |
Journal Detail:
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Title: Emergency medicine journal : EMJ Volume: - ISSN: 1472-0213 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963089 Medline TA: Emerg Med J Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Pre-hospital, Emergency and Cardiovascular Care Applied Research Group, Faculty of Health and Life Sciences, Coventry University, Coventry, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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