Fossel M, Kiskaddon R T, Sternbach G L
J Med Educ. 1983 Jul;58(7):568-75. doi: 10.1097/00001888-198307000-00007.
Performance in and knowledge of cardiopulmonary resuscitation (CPR) were assessed in a group of preclinical medical students who had received CPR certification either two or three weeks (group 0), one year (group 1), or two years (group 2) prior to the study. Assessment, ventilation, compression, and complications caused by incorrect technique were evaluated. A written examination was also given. There was significantly higher rate of failure to perform adequate CPR by students in groups 1 and 2 when compared with group 0 (p less than .05). There was no significant difference between the failure rates of groups 1 and 2. The most frequent errors related to chest compression rate and an inability to adhere to the recommended single-rescuer compression-to-ventilation ratio. Written test scores were also higher in group 0 than either group 1 or 2 (p less than .001). Written examination scores were not reliable predictors of CPR skill in individual cases.
在一组临床前医学生中评估了心肺复苏术(CPR)的操作表现和知识掌握情况,这些学生在研究前两到三周(0组)、一年(1组)或两年(2组)已获得CPR认证。对操作评估、通气、按压以及不正确操作技术导致的并发症进行了评估。还进行了书面考试。与0组相比,1组和2组学生进行充分CPR操作失败的比例显著更高(p<0.05)。1组和2组的失败率之间没有显著差异。最常见的错误与胸外按压频率以及无法遵循推荐的单人施救按压与通气比例有关。0组的书面考试成绩也高于1组和2组(p<0.001)。在个别案例中,书面考试成绩并不是CPR技能的可靠预测指标。