Department of Education and Development, Doczero, Uden, The Netherlands.
Eur J Emerg Med. 2010 Jun;17(3):150-7. doi: 10.1097/MEJ.0b013e32833096e0.
More than a million people in the USA and Europe suffer a sudden cardiac arrest each year. Thousands of people have to be trained in delivering help in such a situation. This cluster-randomized study compared two refresher training methods for basic life support and use of an automated external defibrillation: a traditional instructor-led course, and self-instruction by poster.
One hundred and thirty-nine lifeguards were assigned to one of the two groups. Group A (n=79) received a 1.5 h, instructor-led refresher training course, whereas group B (n=60) was advised to refresh their own knowledge with a poster, a manikin, and an automated external defibrillation training device. The lifeguards were assessed 3, 6, and 12 months after the initial training.
Seventy-five percent of the lifeguards in each group were deemed competent after 3 months. After 6 months, 78% lifeguards in group A and 75% in group B were considered competent. After 12 months, this was 71 and 76%, respectively. Young, less experienced lifeguards performed better than older, more experienced lifeguards.
Refresher self-training by the use of a poster was as effective as, and more flexible than, scheduled, instructor-led refresher training.
每年，美国和欧洲有超过 100 万人突发心脏骤停。数以千计的人必须接受在这种情况下提供帮助的培训。这项整群随机研究比较了两种基本生命支持和使用自动体外除颤器的复习培训方法：传统的指导员指导课程和海报自学。
139 名救生员被分配到两个组中的一个。A 组（n=79）接受了 1.5 小时的指导员指导的复习培训课程，而 B 组（n=60）被建议使用海报、人体模型和自动体外除颤器训练设备来更新自己的知识。救生员在初始培训后 3、6 和 12 个月进行评估。
每组中有 75%的救生员在 3 个月后被认为是合格的。6 个月后，A 组中有 78%的救生员和 B 组中有 75%的救生员被认为是合格的。12 个月后，这一比例分别为 71%和 76%。年轻、经验较少的救生员比年长、经验丰富的救生员表现更好。
使用海报进行自学复习与预定的指导员指导复习一样有效，而且更加灵活。
