School of Nursing, University of Bologna, Bologna, Italy.
Emergency Medicine Physician (EMP), Instructor AIEMT of Ravenna, Italy.
Acta Biomed. 2020 Jun 20;91(6-S):71-78. doi: 10.23750/abm.v91i6-S.9589.
Every year around 275 thousand people in Europe and 420 thousand in the United States are affected by sudden cardiac arrest. Early electrical defibrillation before the arrival of emergency services can improve survival. Training the population to use the AED is essential. The training method currently in use is the BLSD course, which limits training to a population cohort and may not be enough to meet the requirements of the proposed Law no. 1839/2019. This study aims to verify the effectiveness of an online course that illustrates the practical use of the AED to a population of laypeople.
An observational study was conducted to compare a lay population undergoing the view of a video spot and a cohort of people who had participated in BLSD Category A courses. The performances of the two groups were measured immediately after the course and 6 months later.
Overall, the video lesson reported positive results. Six months later the skills were partially retained. The cohort that followed the video lesson showed significant deterioration in the ability to correctly position the pads and in safety.
Although improved through significant reinforcements, the video spot represents a valid alternative training method for spreading defibrillation with public access and could facilitate the culture of defibrillation as required by the new Italian law proposal.
每年欧洲约有 27.5 万人，美国约有 42 万人受到心搏骤停的影响。在紧急救援人员到达之前尽早进行电除颤可以提高存活率。培训民众使用 AED 至关重要。目前使用的培训方法是 BLSD 课程，但该方法仅将培训限制在一个人群队列中，可能不足以满足拟议的第 1839/2019 号法律的要求。本研究旨在验证在线课程对普通人群实际使用 AED 的效果，该课程向非专业人员展示了 AED 的实际使用方法。
本研究进行了一项观察性研究，比较了观看视频片段的非专业人群和参加 BLSD 类别 A 课程的人群。在课程结束后立即和 6 个月后测量两组人群的表现。
总体而言，视频课程取得了积极的成果。6 个月后，部分技能得到了保留。参加视频课程的队列在正确放置电极片和确保安全方面的能力显著下降。
虽然通过显著强化有所改善，但视频课程是普及公共除颤的一种有效的替代培训方法，并且可以促进新的意大利法律提案所要求的除颤文化。
