Introduction and Objectives
Early bystander cardiopulmonary resuscitation (CPR) improves outcomes after cardiac arrest. (1,2) Bystander CPR rate can be increased by offering training to potential lay rescuers. (3) Brayden’s Illuminating CPR Manikin offers a new approach to training with real-time feedback. The primary objective was to ascertain if candidates’ hands off time and chest compression performance varies according to type of training manikin used.
Materials and Methods
Following a pilot/feasibility phase to estimate sample size, this randomised controlled trial was conducted as part of the University of Birmingham’s European Resuscitation Council (ERC) Basic Life Support (BLS) provider courses between October 2017 and April 2018 (see Figure 1). (4) Following randomisation, approximately half of enrolled students were trained using Brayden Illuminating CPR Manikins, and half using Laerdal Little Anne CPR Training manikins. All participants received a pass/fail grade at the end of their course and detailed reasons for failures were recorded. Quantitative CPR measurements (Laerdal Resusci Anne® Wireless SkillReporter) (4) were taken at week 2 of each course and immediately post-testing. Statistical analysis was conducted using R v.3.5.0.
168 participants were enrolled into the study, 86 in the Brayden arms and 82 in the Laerdal arms. There was no difference between quantitative CPR performance measured via SkillReporter during or after CPR training between the two groups . There were no significant differences in exam failure rates due to compressions or hand positioning in either group. However, fewer people had difficulties with chest compression rate in the Brayden group (10 (59%) vs 9 (90%). There was no statistically significant difference in CPR performances between groups.
Brayden Illuminating CPR manikins are equivalent to Laerdal Mini Anne manikins when used to train a highly motivated cohort of University students. Future work is underway to investigate their use in schoolchildren and as an adjunct during refresher training.
1. Hasselqvist-Ax I, Riva G, Herlitz J et al. Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2015;372(24):2307–15.
2. Abella B, Alvarado J, Myklebust H et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. J Am Med Assoc. 2005;293(3):305-10
3. Wissenberg M, Lippert FK, Folke F, et al. Association of National Initiatives to Improve Cardiac Arrest Management With Rates of Bystander Intervention and Patient Survival After Out-of-Hospital Cardiac Arrest. JAMA. 2013;310(13):1377–1384. doi:10.1001/jama.2013.278483
4. Harvey, P.R. et al. Peer-led training and assessment in basic life support for healthcare students: Synthesis of literature review and fifteen years practical experience. Resuscitation. 2012. 83(7):894 – 899