Effectiveness of Innovation Basic Life Support Training Devices to Layperson: A Randomized Controlled Trial

Authors

  • Wiput Laosuksri Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Boriboon Chenthanakij Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Krongkarn Sutham Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Wetchayan Rangsri Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Radom Pongvuthitham Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Chaiy Rungsiyakull Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Thawan Sucharitakul Department of Mechanical Engineering, Faculty of Engineering, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Navadon Khunlertgit Department of Computer Engineering, Faculty of Engineering, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.
  • Borwon Wittayachamnankul Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Mueang, Chiang Mai 50200, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.2021856

Keywords:

automated external defibrillator, basic life support, cardiopulmonary resuscitation, innovation, training

Abstract

Objectives: The use of a cardiopulmonary resuscitation feedback device and automated external defibrillator trainer is beneficial in basic life support (BLS) training. Nevertheless, Thailand lacks these devices in BLS support training. This study aimed to compare the efficacy of the Chiang Mai BLS training devices with conventional training devices in BLS training for laypeople.

Material and Methods: A randomized controlled trial was conducted to compare the efficacy of the Chiang Mai device group with the conventional device group, by assessing the theory and practical examination scores of the participants; who were adult, laypeople attending the BLS provider course endorsed by the Thai Resuscitation Council. Evaluating instructors were blinded from both groups of participants.

Results: A total of 60 adult, laypeople participants were divided into two groups: 32 and 28 participants of the Chiang Mai device group and conventional device group, respectively. Overall examination scores of included participants were very high. The participants in the Chiang Mai device group had a higher median score of multiple-choice question assessment [9.0/9.0 (8.5-9.0) vs 8.5/9.0 (8.0-9.0) points, p-value=0.134] as well as a higher median score of practical examination [26.0/26.0 (24.3-26.0) vs 25.0/26.0 (24.0-26.0) points, p-value=0.278] when compared to those using conventional BLS training devices. However, there was no statistical significance between both groups.

Conclusion: The effectiveness of the Chiang Mai BLS training device in basic life support training for adult laypeople is comparable to conventional BLS training devices.

References

Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132: S414–35.

Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, et al. Part 4: Systems of care and continuous quality improvement: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132:S397–413.

Chan PS, McNally B, Tang F, Kellermann A. Recent trends in survival from out-of-hospital cardiac arrest in the United States. Circulation 2014;130:1876–82.

Hallstrom AP, Ornato JP. Public-access fefibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med 2011;351:1991–2002.

Nielsen AM, Folke F, Lippert FK, Rasmussen LS. Use and benefits of public access defibrillation in a nation-wide network. Resuscitation 2013;84:430–4.

Ong MEH, Shin SD, De Souza NNA, Tanaka H, Nishiuchi T, Song KJ, et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation 2015;96:100–8.

Porapakkham Y, Rao C, Pattaraarchachai J, Polprasert W, Vos T, Adair T, et al. Estimated causes of death in Thailand, 2005: implications for health policy. Popul Health Metr 2010; 8:14.

Vattanavanit V, Bhurayanontachai R, Khwannimit B. Survival of out-of-hospital cardiac arrest patients and feasibility for therapeutic hypothermia in Songklanagarind Hospital. Songkla Med J 2013;31:287–95.

Sittichanbuncha Y, Prachanukool T, Sawanyawisuth K. A 6-year experience of CPR outcomes in an emergency department in Thailand. Ther Clin Risk Manag 2013;9:377– 81.

Amnuaypattanapon K, Udomsubpayakul U. Evaluation of related factors and the outcome in cardiac arrest resuscitation at Thammasat Emergency Department. J Med Assoc Thail Chotmaihet Thangphaet 2010;93(Suppl 7):S26-34.

B ttiger BW, Lockey A, Aickin R, Carmona M, Cassan P, Castr n M, et al. Up to 206 Million People Reached and Over 5.4 Million Trained in Cardiopulmonary Resuscitation Worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative. J Am Heart Assoc 2020;9: e017230.

Thailand to train 10 million people in CPR over next 3 years [homepage on the Internet]. Bangkok: Nationthailand; 2020 [cited 2021 Aug 13]. Available from: https://www.nationthailand. com/in-focus/30389703

National Institute Emergency Medicine Service. Announcement of the National Institute Emergency Medicine Service Commission Subject: The use of an automated external defibrillator as first aid machine [monograph on the Internet]. Nonthaburi: Announcement; 2015 [cited 2017 Feb 14]. Available from: https://www.niems.go.th/1/Ebook/Detail/783?group=10

Bhanji F, Donoghue AJ, Wolff MS, Flores GE, Halamek LP, Berman JM, et al. Part 14: education: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132: S561–73.

Younas S, Raynes A, Morton S, Mackway-Jones K. An evaluation of the effectiveness of the Opportunities for Resuscitation and Citizen Safety (ORCS) defibrillator training programme designed for older school children. Resuscitation 2006;71: 222–8.

Lee JH, Cho Y, Kang KH, Cho GC, Song KJ, Lee CH. The effect of the duration of basic life support training on the Learners’ cardiopulmonary and automated external defibrillator skills. Biomedial Res Int 2016;2016:1–7.

Yeung J, Davies R, Gao F, Perkins GD. A randomised control trial of prompt and feedback devices and their impact on quality of chest compressions-A simulation study. Resuscitation 2014;85:553–9.

Wik L, Thowsen J, Andreas Steen P. An automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training. Resuscitation 2001;50:167–72.

Wee JCP, Nandakumar M, Chan YH, Yeo RSL, Kaur K, Anantharaman V, et al. Effect of using an audiovisual CPR feedback device on chest compression rate and depth. Ann Acad Med Singapore 2014;43:33–8.

Cheng A, Brown LL, Duff JP, Davidson J, Overly F, Tofil NM, et al. Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial. JAMA Pediatr 2014;169: 137–44.

Noordergraaf GJ, Drinkwaard BWPM, van Berkom PFJ, van Hemert HP, Venema A, Scheffer GJ, et al. The quality of chest compressions by trained personnel: The effect of feedback, via the CPREzy, in a randomized controlled trial using a manikin model. Resuscitation 2006;69:241–52.

Lynch B, Einspruch EL, Nichol G, Aufderheide TP. Assessment of BLS skills: Optimizing use of instructor and manikin measures. Resuscitation 2008;76:233–43.

Semeraro F, Frisoli A, Loconsole C, Bann F, Tammaro G, Imbriaco G, et al. Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover mannequin pilot study. Resuscitation 2013;84:501–7.

Fischer H, Gruber J, Neuhold S, Frantal S, Hochbrugger E, Herkner H, et al. Effects and limitations of an AED with audiovisual feedback for cardiopulmonary resuscitation: A randomized manikin study. Resuscitation 2011;82:902–7.

Beckers S, Fries M, Bickenbach J, Derwall M, Kuhlen R, Rossaint R. Minimal instructions improve the performance of laypersons in the use of semiautomatic and automatic external defibrillators. Crit Care Lond Engl 2005;9:R110-6.

Beckers SK, Fries M, Bickenbach J, Skorning MH, Derwall M, Kuhlen R, et al. Retention of skills in medical students following minimal theoretical instructions on semi and fully automated external defibrillators. Resuscitation 2007;72:444–50.

Greif R, Bhanji F, Bigham BL, Bray J, Breckwoldt J, Cheng A, et al. Education, implementation, and teams: 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 2020;142:S222–83.

Laosuksri W. CMU CPR trainer. Youtube. Thailand; 2017.

Laosuksri W, Chenthanakij B, Sutham K, Srumsiri K, Rangsri W, Pongvuthitham R, et al. Efficacy of the new automated external defibrillator trainer and basic life support manikin (Chiang Mai Model) in basic life support teaching in first year medical students: a pilot study. J Prapokklao Hosp Clin Med Educ Cent 2021;38:275–84.

Sutham K, Laosuksri W, Wittayachamnankul B, Chenthanakij B, Rangsri W, Pongvuthitham R, et al. Innovative Chiang Mai manikin trainer for basic life support training. CDEM J 2020; 1:13–22.

Laosuksri W, Chenthanakij B, Rangsri W, Pongvuthitham R, Sucharitakul T, Rungsiyakull C, et al. Development controller and feedback of Chiang Mai automated external defibrillation trainer and manikin for basic life support training. Chiang Mai Med J 2021;60:87-98.

Ngamjarus C, Chongsuvivatwong V. n4Studies: sample size and power calculations for IOS. Bangkok: The Royal Golden Jubilee Ph.D. Program, The Thailand Research Fund & Prince of Songkla University; 2014.

Chow SC, Shao J, Wang H. Sample size calculations in clinical research. 2nd ed. Boca Raton: Chapman & Hall/CRC, Taylor & Francis Group; 2008;p.59.

Contri E, Cornara S, Somaschini A, Dossena C, Tonani M, Epis F, et al. Complete chest recoil during laypersons’ CPR: is it a matter of weight? Am J Emerg Med 2017;35:1266–8.

Downloads

Published

2022-07-22

How to Cite

1.
Laosuksri W, Chenthanakij B, Sutham K, Rangsri W, Pongvuthitham R, Rungsiyakull C, Sucharitakul T, Khunlertgit N, Wittayachamnankul B. Effectiveness of Innovation Basic Life Support Training Devices to Layperson: A Randomized Controlled Trial. J Health Sci Med Res [Internet]. 2022 Jul. 22 [cited 2024 Dec. 23];40(4):449-58. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/257762

Issue

Section

Original Article