We conducted a prospective, randomized, controlled trial to test the hypothesis that a 34-minute video self-instruction (VSI) training program for adult CPR would yield comparable or better CPR performance than the current community standard, the American Heart Association Heartsaver course.
Incoming freshman medical students were randomly assigned to VSI or the Heartsaver CPR course.
Two to 6 months after training, we tested subjects to determine their ability to perform CPR in a simulated cardiac arrest setting.
Blinded observers used explicit criteria to assess our primary outcome, CPR performance skill.
In addition, we assessed secondary outcomes including sequential performance of individual skills, ventilation and chest compression characteristics, and written tests of CPR-related knowledge and attitudes.
VSI trainees displayed superior overall performance compared with traditional trainees.
Twenty of 47 traditional trainees (43%) were judged not competent in their performance of CPR, compared with only 8 of 42 VSI trainees (19% ; absolute difference, 24% ; 95% confidence interval, 5% to 42%). Conclusion : In a group of incoming freshman medical students, we found that a half-hour of VSI resulted in superior overall CPR performance compared with that in traditional trainees. (...)
Mots-clés Pascal : Arrêt cardiocirculatoire, Réanimation cardiocirculatoire, Réanimation respiratoire, Secours première urgence, Formation, Technique vidéo, Evaluation performance, Technique, Homme, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Randomisation, Etude en condition contrôlée, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Cardiocirculatory arrest, Intensive cardiocirculatory care, Respiratory intensive care, First emergency care, Formation, Video technique, Performance evaluation, Technique, Human, United States, North America, America, Comparative study, Randomization, Controlled environment study, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0424452
Code Inist : 002B27B01. Création : 25/01/1999.