Cardiopulmonary resuscitation: critical issues in expert and inexperienced trainees.
Purpose of the study: Sudden cardiac arrest is a leading cause of death in developed countries. Survival rates are higher when cardiopulmonary resuscitation (CPR) is well-performed, hence the importance of improving CPR abilities. We aimed to evaluate the acquisition of practical abilities in non-expert and expert trainees in order to identify the relative critical issues during training.
Materials and methods: Thirty-seven CPR courses were held for 122 expert and 104 inexperienced student nurses (age: 19-34, median=21), randomly assigned to each course. After lessons, practical work was conducted on Resusci-Anne manikins with training defibrillators. Finally, instructors used the skill test form by Italian Resuscitation Council to evaluate practical abilities. The 16 items were grouped in 4 categories (A:Airways, B:Breathing, C:Circulation, D:Defibrillation) and summed in four categorical scores. R program was used for statistical analysis.
Results: A significant difference exists among the 4 categorical scores of skill test (Friedman test, P