| "Booster" training: Evaluation of instructor-led bedside cardiopulmonary resuscitation skill training and automated corrective feedback to improve cardiopulmonary resuscitation compliance of Pediatric Basic Life Support providers during simulated cardiac arrest. | |
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MedLine Citation:
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PMID: 20625336 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: : To investigate the effectiveness of brief bedside "booster" cardiopulmonary resuscitation (CPR) training to improve CPR guideline compliance of hospital-based pediatric providers. DESIGN: : Prospective, randomized trial. SETTING: : General pediatric wards at Children's Hospital of Philadelphia. SUBJECTS: : Sixty-nine Basic Life Support-certified hospital-based providers. INTERVENTION: : CPR recording/feedback defibrillators were used to evaluate CPR quality during simulated pediatric arrest. After a 60-sec pretraining CPR evaluation, subjects were randomly assigned to one of three instructional/feedback methods to be used during CPR booster training sessions. All sessions (training/CPR manikin practice) were of equal duration (2 mins) and differed only in the method of corrective feedback given to participants during the session. The study arms were as follows: 1) instructor-only training; 2) automated defibrillator feedback only; and 3) instructor training combined with automated feedback. MEASUREMENTS AND MAIN RESULTS: : Before instruction, 57% of the care providers performed compressions within guideline rate recommendations (rate >90 min and <120 min); 71% met minimum depth targets (depth, >38 mm); and 36% met overall CPR compliance (rate and depth within targets). After instruction, guideline compliance improved (instructor-only training: rate 52% to 87% [p .01], and overall CPR compliance, 43% to 78% [p < .02]; automated feedback only: rate, 70% to 96% [p = .02], depth, 61% to 100% [p < .01], and overall CPR compliance, 35% to 96% [p < .01]; and instructor training combined with automated feedback: rate 48% to 100% [p < .01], depth, 78% to 100% [p < .02], and overall CPR compliance, 30% to 100% [p < .01]). CONCLUSIONS: : Before booster CPR instruction, most certified Pediatric Basic Life Support providers did not perform guideline-compliant CPR. After a brief bedside training, CPR quality improved irrespective of training content (instructor vs. automated feedback). Future studies should investigate bedside training to improve CPR quality during actual pediatric cardiac arrests. |
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Authors:
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Robert M Sutton; Dana Niles; Peter A Meaney; Richard Aplenc; Benjamin French; Benjamin S Abella; Evelyn L Lengetti; Robert A Berg; Mark A Helfaer; Vinay Nadkarni |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies Volume: 12 ISSN: 1529-7535 ISO Abbreviation: Pediatr Crit Care Med Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-06-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100954653 Medline TA: Pediatr Crit Care Med Country: United States |
Other Details:
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Languages: eng Pagination: e116-21 Citation Subset: IM |
Affiliation:
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From the Department of Anesthesiology and Critical Care Medicine (RMS, PAM, RAB, MAH, VN); Center for Simulation, Advanced Education, and Innovation (DN, ELL, VN); Division of Oncology (RA), Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Biostatistics and Epidemiology (BF), University of Pennsylvania School of Medicine, Philadelphia PA; and the Department of Emergency Medicine (BSA), Hospital of the University of Pennsylvania, Philadelphia, PA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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