Improving the quality of cardiopulmonary resuscitation by smartphone applications: a randomized study on practical skills.
Purpose of the study: Many smartphone applications have been developed to enhance cardiopulmonary resuscitation (CPR). We aimed to evaluate the quality of some current mobile apps for CPR in order to identify any critical issue regarding the acquisition of practical abilities.
Materials and methods: We searched for CPR mobile apps in Google Play and Apple App Store and took into account the first four apps with Italian language on screen. From the end of 2016 to March 2017, CPR courses were held according to 2015 guidelines. 226 student nurses were randomized to use one of four smartphone app or no app. After training, instructors used the skill test form by Italian Resuscitation Council for a blind evaluation of practical abilities. The 16 items were grouped in 4 categories (A:Airways, B:Breathing, C:Circulation, D:Defibrillation) and summed in a total and four categorical scores. R statistical program was used.
Results: Overall, a significant difference exists among groups (Kruskal-Wallis test, P