Effectiveness of simplified chest compression-only CPR training for the general public: a randomized controlled trial.

Abstract:

OBJECTIVES:To compare the quality of resuscitation between those with a simplified chest compression-only cardiopulmonary resuscitation (CPR) program and those with a conventional CPR program. METHODS:The participants were randomly assigned to either the 120-min training program of chest compressions (chest compression-only CPR) or the 180-min training program of chest compressions and ventilations (conventional CPR). Main outcome measures were the net number of appropriate chest compressions during the 2-min test period and the proportion of appropriate chest compressions over the theoretically attainable number one month after the training. RESULTS:223 participants were enrolled and 104 in each group completed this study. The 2-min number of appropriate chest compressions was 86.1+/-57.2 in the chest compression-only CPR group, which was significantly greater than 57.1+/-30.2 in the conventional CPR group (p<0.001). The proportion of appropriate chest compressions was higher in the chest compression-only CPR group than in the conventional CPR group (47.1+/-31.1% versus 38.1+/-20.1%, p=0.022). Time without chest compressions during conventional CPR reached 85.5+/-17.0 s out of 120 s, which was significantly longer than that during chest compression-only CPR (33.9+/-10.0 s, p<0.001). The total number of ventilations and the number of appropriate ventilations during 2 min was 2.5+/-3.0 and 0.9+/-1.6, respectively. CONCLUSIONS:A simplified chest compression-only CPR program makes it possible for the general public to perform a greater number of appropriate chest compressions than the conventional CPR program (UMIN-CTR C0000000321).

journal_name

Resuscitation

journal_title

Resuscitation

authors

Nishiyama C,Iwami T,Kawamura T,Ando M,Yonemoto N,Hiraide A,Nonogi H

doi

10.1016/j.resuscitation.2008.05.009

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

90-6

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(08)00502-9

journal_volume

79

pub_type

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