Department of Research and Development, Norwegian Air Ambulance Foundation, Drobak, Norway.
Resuscitation. 2010 Jan;81(1):78-81. doi: 10.1016/j.resuscitation.2009.09.030. Epub 2009 Nov 13.
There is mismatch in age between those usually trained in CPR and those witnessing out-of-hospital cardiac arrest with mean age reported at 30 and 65 years old, respectively. Two tier mass CPR self-training with manikin-DVD sets using school children has been reported. We have studied high school students as first tier and encouraged them to train older people.
Four separate groups were tested: students before or after training and second tier adults before or after training with first tier students as facilitators. CPR performance was videotaped and electronically documented on a Skillmeter Anne manikin.
Each student reported to train mean 2.8 extra persons, and 43% were aged 50 or older. Pre-training results were poor, while first and second tier persons performed equally well after training, and within ERC guideline recommendations.
People trained at home with a manikin-DVD set and high school students as facilitators were able to perform CPR as recommended by ERC guidelines with a reasonable percentage aged 50 or older.
通常接受心肺复苏术 (CPR) 培训的人员与目睹院外心脏骤停的人员之间存在年龄不匹配的情况,前者的平均年龄为 30 岁,后者的平均年龄为 65 岁。已经有报道称使用人偶-DVD 套装对民众进行两阶段大规模 CPR 自我培训,我们曾以高中生为第一阶段培训人员,并鼓励他们对老年人进行培训。
我们对四个独立的组别进行了测试:培训前或培训后的学生,以及接受第一阶段学生作为培训师的第二阶段成年人。CPR 操作过程被录像并使用 Skillmeter Anne 人偶进行电子记录。
每个学生报告说平均培训了 2.8 名额外人员,其中 43%的人员年龄在 50 岁或以上。培训前的结果较差,而在培训后,第一阶段和第二阶段人员的表现同样出色,符合 ERC 指南的建议。
在家中使用人偶-DVD 套装和高中生作为培训师的人员能够按照 ERC 指南的建议进行 CPR,且有相当比例的人员年龄在 50 岁或以上。