Evaluating video-supported layperson CPR compared to a standard training course: A randomized controlled trial.
Resuscitation Plus · 2024-12-01 · Randomised trial
Abstract
BACKGROUND: While just-in-time (JIT) training is associated with time and cost savings, limited evidence directly compares layperson CPR performance using JIT videos to in-person CPR courses. We measured layperson CPR performance using a JIT video compared to an in-person course or no training. METHODS: Adult employees at a professional sports stadium were randomized to perform CPR in a simulated scenario a) after completing an AHA HeartSaver® course, b) using a JIT training video, or c) neither (control). CPR performance was assessed by trained evaluators and QCPR-enabled simulators. The primary outcome was the performance of pre-defined critical actions. Participants were blinded to study objectives and trained evaluators used standardized checklists. RESULTS: Of 230 eligible subjects, 221 were included in analysis, without significant differences in group characteristics. Correct CPR performance was low, though significantly higher in the AHA group (AHA: 40%, 95%CI 28-51; JIT: 15%, 95%CI 8-26; control 10%, 95%CI 4-19). Compression fraction was significantly greater in the AHA group (90%, IQR 69-98) compared to JIT (61%, IQR 29-89) or control (65%, IQR 33-93). An AED was requested more frequently in the AHA group (47%) than in the JIT (15%) or control (10%) groups. CONCLUSIONS: While overall performance of correct CPR skills was best following a traditional CPR course, laypersons using real-time video training performed as well as those taking an AHA HeartSaver® course on several key measures including time to chest compressions and compression rate.Trial Registration.NCT05983640.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Automated external defibrillator · Bystanders · Mass gatherings & events
Related articles
- Long-term Effect of Face-to-Face vs Virtual Reality Cardiopulmonary Resuscitation (CPR) Training on Willingness to Perform CPR, Retention of Knowledge, and Dissemination of CPR Awareness: A Secondary Analysis of a Randomized Clinical Trial. (JAMA Netw Open, 2022)
- Basic life support training for the adult lay population. A systematic review (Signa Vitae, 2021)
- Development and validation of a distance-based training program of basic cardiac life support for laypersons and comparison with traditional in-person methodology: a non-inferiority study. (Adv Simul (Lond), 2026)
- Comparison of instructor-led compression-only cardiopulmonary resuscitation and automated external defibrillator training for secondary school students: A multicenter noninferiority randomized trial. (Resusc Plus, 2023)
- Early or late booster for basic life support skill for laypeople: a simulation-based randomized controlled trial. (CJEM, 2022)
- A non-inferiority randomised controlled trial comparing self-instruction with instructor-led method in training of layperson cardiopulmonary resuscitation. (Sci Rep, 2021)