Chika Nishiyama1, Taku Iwami2, Yukiko Murakami3, Tetsuhisa Kitamura4, Yoshio Okamoto5, Seishiro Marukawa6, Tetsuya Sakamoto7, Takashi Kawamura3. 1. Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan. 2. Kyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto 606-8501, Japan. Electronic address: iwamit@e-mail.jp. 3. Kyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto 606-8501, Japan. 4. Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, 2-5 Yamada-oka, Suita, Osaka 565-0871, Japan. 5. Kagawa Prefectural Central Hospital, 1-2-1 Asahimachi, Takamatsu City, Kagawa 760-8557, Japan. 6. Iseikai Hospital, 6-2-25 Sugawara, Higashi Yodogawa-ku, Osaka 533-0022, Japan. 7. Department of Emergency Medicine, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan.
Abstract
OBJECTIVES: To evaluate the long-term effectiveness of 15-min refresher basic life support (BLS) training following 45-min chest compression-only BLS training. METHODS: After the 45-min chest compression-only BLS training, the participants were randomly assigned to either the refresher BLS training group, which received a 15-min refresher training 6 months after the initial training (refresher training group), or to the control group, which did not receive refresher training. Participants' resuscitation skills were evaluated by a 2-min case-based scenario test 1 year after the initial training. The primary outcome measure was the number of appropriate chest compressions during a 2-min test period. RESULTS:140 participants were enrolled and 112 of them completed this study. The number of appropriate chest compressions performed during the 2-min test period was significantly greater in the refresher training group (68.9±72.3) than in the control group (36.3±50.8, p=0.009). Time without chest compressions was significantly shorter in the refresher training group (16.1±2.1 s versus 26.9±3.7 s, p<0.001). There were no significant differences in time to chest compression (29.6±16.7 s versus 34.4±17.8 s, p=0.172) and AED use between the groups. CONCLUSIONS: A short-time refresher BLS training program 6 months after the initial training can help trainees retain chest compression skills for up to 1 year. Repeated BLS training, even if very short, would be adopted to keep acquired CPR quality optimal (UMIN-CTR UMIN 000004101).
RCT Entities:
OBJECTIVES: To evaluate the long-term effectiveness of 15-min refresher basic life support (BLS) training following 45-min chest compression-only BLS training. METHODS: After the 45-min chest compression-only BLS training, the participants were randomly assigned to either the refresher BLS training group, which received a 15-min refresher training 6 months after the initial training (refresher training group), or to the control group, which did not receive refresher training. Participants' resuscitation skills were evaluated by a 2-min case-based scenario test 1 year after the initial training. The primary outcome measure was the number of appropriate chest compressions during a 2-min test period. RESULTS: 140 participants were enrolled and 112 of them completed this study. The number of appropriate chest compressions performed during the 2-min test period was significantly greater in the refresher training group (68.9±72.3) than in the control group (36.3±50.8, p=0.009). Time without chest compressions was significantly shorter in the refresher training group (16.1±2.1 s versus 26.9±3.7 s, p<0.001). There were no significant differences in time to chest compression (29.6±16.7 s versus 34.4±17.8 s, p=0.172) and AED use between the groups. CONCLUSIONS: A short-time refresher BLS training program 6 months after the initial training can help trainees retain chest compression skills for up to 1 year. Repeated BLS training, even if very short, would be adopted to keep acquired CPR quality optimal (UMIN-CTR UMIN 000004101).
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