AIM: To determine the efficacy of immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) compared to high quality standardized instructor feedback training for the initial acquisition of 1-rescuer lay provider pediatric BLS skills. MATERIALS AND METHODS:Lay care providers of hospitalized children 8-18 years were randomized to VAM (n=23) or standardized human instruction (SHI, n=27) training in one-rescuer pediatric BLS. After an identical video/instructor introduction to CPR and 20 min of training in their respective group, quantitative CPR psychomotor skill data was recorded during 3-min CPR testing epochs. All manikins used in training and testing sessions were identical in outside appearance and feel of doing CPR. The primary outcome measure was CPR psychomotor skill success defined prospectively as 70% correct chest compressions (CC) and ventilations (V). Subjects not attaining these success goals retrained for 5 min in their respective training group and were retested. Data analysis using student t-test and chi2-tests as appropriate. RESULTS:VAM trainees delivered more total CC/min (58.7+/-7.9 versus 47.6+/-10.5, p<0.001), correct CC/min (47.9+/-15.7 versus 31.2+/-16.0, p<0.001), total V/min (7.8+/-1.2 versus 6.4+/-1.4, p<0.001), and correct V/min (5.4+/-1.9 versus 3.1+/-1.6, p<0.001). Overall error rates per individual were lower in VAM trainees for chest compressions (18.1+/-23.2% versus 34.9+/-28.8%, p<0.03) and ventilations (32.0+/-19.7% versus 50.7+/-24.1%, p<0.005). More VAM (12/23, 52%) than SHI (1/26, 4%) trainees passed the initial skill tests (p<or=0.0001). After remediation and retesting, the difference in rate of attaining success goals remained significant: VAM 15/23, 65% versus SHI 7/26, 27% (p=0.008). CONCLUSION:Immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) can improve initial pediatric basic life support skill acquisition for lay providers even when compared to one-on-one, standardized instructor-led training.
RCT Entities:
AIM: To determine the efficacy of immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) compared to high quality standardized instructor feedback training for the initial acquisition of 1-rescuer lay provider pediatric BLS skills. MATERIALS AND METHODS: Lay care providers of hospitalized children 8-18 years were randomized to VAM (n=23) or standardized human instruction (SHI, n=27) training in one-rescuer pediatric BLS. After an identical video/instructor introduction to CPR and 20 min of training in their respective group, quantitative CPR psychomotor skill data was recorded during 3-min CPR testing epochs. All manikins used in training and testing sessions were identical in outside appearance and feel of doing CPR. The primary outcome measure was CPR psychomotor skill success defined prospectively as 70% correct chest compressions (CC) and ventilations (V). Subjects not attaining these success goals retrained for 5 min in their respective training group and were retested. Data analysis using student t-test and chi2-tests as appropriate. RESULTS:VAM trainees delivered more total CC/min (58.7+/-7.9 versus 47.6+/-10.5, p<0.001), correct CC/min (47.9+/-15.7 versus 31.2+/-16.0, p<0.001), total V/min (7.8+/-1.2 versus 6.4+/-1.4, p<0.001), and correct V/min (5.4+/-1.9 versus 3.1+/-1.6, p<0.001). Overall error rates per individual were lower in VAM trainees for chest compressions (18.1+/-23.2% versus 34.9+/-28.8%, p<0.03) and ventilations (32.0+/-19.7% versus 50.7+/-24.1%, p<0.005). More VAM (12/23, 52%) than SHI (1/26, 4%) trainees passed the initial skill tests (p<or=0.0001). After remediation and retesting, the difference in rate of attaining success goals remained significant: VAM 15/23, 65% versus SHI 7/26, 27% (p=0.008). CONCLUSION: Immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) can improve initial pediatric basic life support skill acquisition for lay providers even when compared to one-on-one, standardized instructor-led training.
Authors: Robert M Sutton; Dana Niles; Benjamin French; Matthew R Maltese; Jessica Leffelman; Joar Eilevstjønn; Heather Wolfe; Akira Nishisaki; Peter A Meaney; Robert A Berg; Vinay M Nadkarni Journal: Resuscitation Date: 2013-08-29 Impact factor: 5.262
Authors: Robert A Huggins; Samantha E Scarneo; Douglas J Casa; Luke N Belval; Kate S Carr; George Chiampas; Michael Clayton; Ryan M Curtis; A J Duffy; Alexandra Flury; Matthew Gammons; Yuri Hosokawa; John F Jardine; Cynthia R LaBella; Rachael Oats; Jack W Ransone; Scott R Sailor; Katie Scott; Rebecca L Stearns; Lesley W Vandermark; Timothy Weston Journal: J Athl Train Date: 2017-03-07 Impact factor: 2.860
Authors: Jasmeet Soar; Mary E Mancini; Farhan Bhanji; John E Billi; Jennifer Dennett; Judith Finn; Matthew Huei-Ming Ma; Gavin D Perkins; David L Rodgers; Mary Fran Hazinski; Ian Jacobs; Peter T Morley Journal: Resuscitation Date: 2010-10 Impact factor: 5.262
Authors: David Hostler; Siobhan Everson-Stewart; Thomas D Rea; Ian G Stiell; Clifton W Callaway; Peter J Kudenchuk; Gena K Sears; Scott S Emerson; Graham Nichol Journal: BMJ Date: 2011-02-04
Authors: Aaron J Donoghue; Maybelle Kou; Grace L Good; Carmel Eiger; Mark Nash; Fred M Henretig; Helen Stacks; Adam Kochman; Julie Debski; Jia-Yuh Chen; Gaurav Sharma; Christoph P Hornik; Leigh Gosnell; David Siegel; Steven Krug; Mark D Adler Journal: Pediatr Emerg Care Date: 2020-06 Impact factor: 1.602
Authors: Mun Ki Min; Seok Ran Yeom; Ji Ho Ryu; Yong In Kim; Maeng Real Park; Sang Kyoon Han; Seong Hwa Lee; Sung Wook Park; Soon Chang Park Journal: Clin Exp Emerg Med Date: 2016-09-30
Authors: Ron W Reeder; Alan Girling; Heather Wolfe; Richard Holubkov; Robert A Berg; Maryam Y Naim; Kathleen L Meert; Bradley Tilford; Joseph A Carcillo; Melinda Hamilton; Matthew Bochkoris; Mark Hall; Tensing Maa; Andrew R Yates; Anil Sapru; Robert Kelly; Myke Federman; J Michael Dean; Patrick S McQuillen; Deborah Franzon; Murray M Pollack; Ashley Siems; John Diddle; David L Wessel; Peter M Mourani; Carleen Zebuhr; Robert Bishop; Stuart Friess; Candice Burns; Shirley Viteri; David A Hehir; R Whitney Coleman; Tammara L Jenkins; Daniel A Notterman; Robert F Tamburro; Robert M Sutton Journal: Trials Date: 2018-04-03 Impact factor: 2.279