Department of Internal Medicine, Riverside Community Hospital/UCR SOM, Riverside, California.
John F Kennedy Elementary School Riverside Unified School District, Riverside, California.
Am J Cardiol. 2019 May 15;123(10):1626-1627. doi: 10.1016/j.amjcard.2019.02.011. Epub 2019 Feb 21.
Out-of-hospital cardiac arrest is a major public health concern. Research has shown that initiation of cardiopulmonary resuscitation (CPR) by lay bystanders increases survival rates. Evidence also shows that CPR training, delivered in various ways, is successful in a wide age range of children. This study was conducted to assess if children (average age of 12) were able to perform high quality chest compressions and whether this can be achieved by supplementing CPR instructional video with other methods to time delivery of compressions. A total of 160 study subjects were divided into 3 groups. The CPR instructional video was played for all 3 groups. One group (n = 53) was instructed to time their compressions with a popular music. Another group (n = 56) was assigned to a specially designed video game whereby they practiced how to time chest compressions. The control group (n = 51) consisted of those who only watched the video. Each group was divided in teams of 3 and observed for successful delivery of chest compressions on the little Anne Adult CPR training manikins. The control group performed a mean of 88 compressions per minute (CPM) out of which a mean of 72 clicks were appreciated. The music group performed 104 CPM with 74 clicks. Meanwhile, the video game group performed 102 CPM with 78 clicks. This study demonstrated sixth graders are capable of learning and performing effective hands only bystander CPR and this can and should be taught in schools even as young as the sixth grade level.
院外心脏骤停是一个主要的公共卫生关注点。研究表明,由非专业的旁观者启动心肺复苏术(CPR)可提高生存率。有证据表明,通过各种方式提供的 CPR 培训在广泛的儿童年龄段都取得了成功。本研究旨在评估儿童(平均年龄为 12 岁)是否能够进行高质量的胸外按压,以及是否可以通过在 CPR 教学视频中添加其他方法来辅助按压时间的准确性来实现这一目标。共有 160 名研究对象被分为 3 组。所有 3 组都观看了 CPR 教学视频。一组(n=53)被指示使用流行音乐来计时他们的按压。另一组(n=56)被分配到一个专门设计的视频游戏中,在游戏中练习如何计时胸外按压。对照组(n=51)由仅观看视频的人组成。每组分为 3 人一组,观察他们在小安妮成人 CPR 培训模拟人上成功进行胸外按压的情况。对照组的平均每分钟按压次数(CPM)为 88 次,其中平均有 72 次得到认可。音乐组的 CPM 为 104 次,有 74 次点击。与此同时,视频游戏组的 CPM 为 102 次,有 78 次点击。本研究表明,六年级学生能够学习并有效地进行仅手部旁观者 CPR,即使在六年级这样的低年龄段,也应该在学校教授这种技能。