KMID : 1100620160030030158
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Clinical and Experimental Emergency Medicine 2016 Volume.3 No. 3 p.158 ~ p.164
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Comparison between an instructor-led course and training using a voice advisory manikin in initial cardiopulmonary resuscitation skill acquisition
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Min Mun-Ki
Yeom Seok-Ran Ryu Ji-Ho Kim Yong-In Park Maeng-Real Han Sang-Kyoon Lee Seong-Hwa Park Sung-Wook Park Soon-Chang
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Abstract
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Objective:We compared training using a voice advisory manikin (VAM) with an instructor-led (IL) course in terms of acquisition of initial cardiopulmonary resuscitation (CPR) skills, as defined by the 2010 resuscitation guidelines.
Methods:This study was a randomized, controlled, blinded, parallel-group trial. We recruited 82 first-year emergency medical technician students and distributed them randomly into two groups: the IL group (n=41) and the VAM group (n=37). In the IL-group, participants were trained in ¡°single-rescuer, adult CPR¡± according to the American Heart Association¡¯s Basic Life Support course for healthcare providers. In the VAM group, all subjects received a 20-minute lesson about CPR. After the lesson, each student trained individually with the VAM for 1 hour, receiving real-time feedback. After the training, all subjects were evaluated as they performed basic CPR (30 compressions, 2 ventilations) for 4 minutes.
Results:The proportion of participants with a mean compression depth ¡Ã50 mm was 34.1% in the IL group and 27.0% in the VAM group, and the proportion with a mean compression depth ¡Ã40 mm had increased significantly in both groups compared with ¡Ã50 mm (IL group, 82.9%; VAM group, 86.5%). However, no significant differences were detected between the groups in this regard. The proportion of ventilations of the appropriate volume was relatively low in both groups (IL group, 26.4%; VAM group, 12.5%; P=0.396).
Conclusion:Both methods, the IL training using a practice-while-watching video and the VAM training, facilitated initial CPR skill acquisition, especially in terms of correct chest compression.
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KEYWORD
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Cardiopulmonary resuscitation, Teaching materials, Manikins, Education
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