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Sep 12, 2018

ERC congress - Resuscitation 2018

3 - Assessment of training in the use of automatic external defibrillator in a public defibrillation program

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Automated external defibrillator

public defibrillation training

basic life support training

sudden cardiac death

cardiac arrest

Abstract

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Abstract

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Keywords

Automated external defibrillator

public defibrillation training

basic life support training

sudden cardiac death

cardiac arrest

Abstract

To evaluate the training in the use of automated external defibrillator (AED) in a defibrillation programme addressed to the general population, analysing compliance with guidelines, skills in Basic Life Support (BLS) and use of AED by type of training performed. Descriptive, observational, cross-sectional study carried out over three years, which evaluates and compares the results of the various training programs (6 hours, 3 hours, recertification and demonstration workshops) in cardiopulmonary resuscitation (CPR) and AED use in a sample of 326 participants. The data collection instruments are a questionnaire and a high-fidelity manikin. Contingency tables, chi-square and Kruskal-Wallis test have been used for the statistical analysis. Opening the airway is done correctly by 59.6% in the 6h course and 52.2% in the recertification course. However, a large percentage of participants from the 3h course (72.7%) and especially from the workshops (95.3%) do not open the airway during AED use. In relation to BLS skills and the use of AED the only differences observed between 6h, 3h and recertification courses referred to the placement of the hands (X2(2)=15.01,p<.0005) and decompression (X2(2)=9.33; p=.05). Time span for applying the first discharge (M=111.43, SD=34.27) was shorter for participants from the recertification group, followed by workshop attendees (M=116.47,SD=41.17). Analysis of the total time used shows statistically significant differences (p<.0005): workshop participants took the shortest on average (M=185.60, SD=46.17), followed by BLS + AED 3h course participants (M=238.76, SD=61.63). In conclusion, the different training types show a correct use of the AED and provide, with the exception of the workshops, the basic skills to carry out BLS and AED; the training received by the recertification group is more effective. The best time response in the use of AED corresponds to the training for recertification. Maximum efficiency is obtained with the combined use of the device and BLS.

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© Copyright 2019 Morressier GmbH.
All rights reserved.