Schipper Abigail E, Sloane Charles S M, Shimelis Lydia B, Kim Ryan T
Massachusetts Institute of Technology, Department of Mechanical Engineering, 77 Massachusetts Avenue, Cambridge, MA 02139, USA.
Massachusetts Institute of Technology, Department of Biological Engineering, 77 Massachusetts Avenue, Cambridge, MA 02139, USA.
Resusc Plus. 2025 Mar 5;23:100924. doi: 10.1016/j.resplu.2025.100924. eCollection 2025 May.
Rapid initiation of CPR is key for survival in out-of-hospital cardiac arrests, making bystander CPR education a key part of the cardiac chain-of-survival. CPR classes continue to include new technologies that enable more widespread and high-fidelity training. We aimed to examine the landscape of technological innovations in layperson CPR training since the onset of the COVID-19 pandemic.
We searched Cochrane, Medline, PubMed, and Web of Science from database inception to July 2024 for studies. We included articles with layperson CPR classes that included a technological advance, either in the equipment or mode of delivery of education. We focused on studies published after the start of 2020.
Out of 1070 studies screened, 50 met the selection criteria. The primary groups of technology found were extended reality (20), feedback devices (11), asynchronous video instruction (10), tele-education (5), and low-cost CPR manikins (4). These technologies show promise to offer comparable or improved effectiveness compared to traditional options. Several topics may warrant further investigation, such as cognitive load associated with extended reality, the practicality of student-created CPR training devices, and possible interactive effects between technologies.
Future systematic reviews should evaluate the specific learning contexts for which these individual technologies, or combinations of these technologies, may be best suited to guide regulating bodies and CPR instructors in their pedagogical decisions.
在院外心脏骤停中迅速开始心肺复苏术（CPR）是生存的关键，这使得旁观者心肺复苏术教育成为心脏生存链的关键部分。CPR课程不断纳入新技术，以实现更广泛和高保真的培训。我们旨在研究自新冠疫情爆发以来，非专业人员CPR培训中的技术创新情况。
我们检索了Cochrane、Medline、PubMed和Web of Science数据库，从建库至2024年7月的研究。我们纳入了包含技术进步的非专业人员CPR课程的文章，这些技术进步体现在设备或教育交付模式上。我们重点关注2020年开始后发表的研究。
在筛选的1070项研究中，50项符合入选标准。发现的主要技术类别为扩展现实（20项）、反馈设备（11项）、异步视频教学（10项）、远程教育（5项）和低成本CPR人体模型（4项）。与传统方法相比，这些技术有望提供相当或更高的有效性。几个主题可能值得进一步研究，例如与扩展现实相关的认知负荷、学生制作的CPR培训设备的实用性以及技术之间可能的交互作用。
未来的系统评价应评估这些个别技术或这些技术组合最适合的具体学习情境，以指导监管机构和CPR教员做出教学决策。
