Doucet Laurens, Lammens Ruben, Hendrickx Sarah, Dewolf Phillipe
Department of Emergency Medicine, University Hospitals Leuven , Leuven , Belgium.
Catholic University of Leuven , Leuven , Belgium.
Acta Clin Belg. 2019 Oct;74(5):317-325. doi: 10.1080/17843286.2018.1500766. Epub 2018 Aug 14.
: The importance of early cardiopulmonary resuscitation (CPR) during an out-of-hospital cardiac arrest (OHCA) cannot be emphasized enough and has a major impact on survival. Unfortunately, CPR education in schools is often inadequate or non-existing due to lack of educators and financial resources. The introduction of application-based teaching could facilitate education as no instructor is needed. The aim of present study is to compare app-based self-teaching (intervention group) with a traditional instructor-led course (control group). This trial is in line with the endorsement of training school children by the World Health Organization (WHO). : This randomized controlled trial contains 165 participants between 16 and 18 years. The control group followed an instructor-led course, while the intervention group used a tablet application to complete a self-education course.Both groups were taught in separated classes during 40 min and used manikins and automated external defibrillator (AED) trainer kits. Before and after training, both groups were evaluated in a practical test to examine their skills (an overall score and sub-scores on different sections were obtained, following ERC 2015 guidelines). : No significant difference ( = 0.304) in overall teaching effectiveness was found between both groups. Although, in a sub-analysis, we found significantly better results for the instructor group for checking airway ( = 0.018), asking for an AED ( < 0.01) and shocking the patient ( = 0.002). : App-based teaching can be a valuable alternative for classic instructor-based education. Yet new apps have to be evaluated before being implemented in CPR education.
院外心脏骤停（OHCA）期间早期心肺复苏（CPR）的重要性再怎么强调都不为过，且对生存率有重大影响。不幸的是，由于缺乏教育工作者和资金资源，学校的心肺复苏教育往往不足或根本不存在。引入基于应用程序的教学可以促进教育，因为无需教师。本研究的目的是比较基于应用程序的自学（干预组）与传统的教师主导课程（对照组）。该试验符合世界卫生组织（WHO）对培训学童的认可。：这项随机对照试验包含165名年龄在16至18岁之间的参与者。对照组参加教师主导的课程，而干预组使用平板电脑应用程序完成自学课程。两组均在单独的班级中授课40分钟，并使用人体模型和自动体外除颤器（AED）训练套件。在训练前后，两组都进行了实践测试以评估他们的技能（根据ERC 2015指南获得总分和不同部分的分项分数）。：两组之间在整体教学效果上没有发现显著差异（P = 0.304）。尽管在亚分析中，我们发现教师组在检查气道（P = 0.018）、索要AED（P < 0.01）和电击患者（P = 0.002）方面的结果明显更好。：基于应用程序的教学可以成为传统教师教学的有价值替代方案。然而，新的应用程序在用于心肺复苏教育之前必须进行评估。
