Thirty minutes that save lives: impact of a brief self-training session on CPR quality in adolescents
DOI:
https://doi.org/10.47197/retos.v75.117572Keywords:
Self-training, students, feedback, cardiopulmonary re-suscitation, simulationAbstract
Introduction: This study examined the effect of a brief self-directed training session with real-time feedback on the quality of cardiopulmonary resuscitation (CPR) in 50 secondary and upper secondary school students from a semi-private school in Salamanca.
Methodology: The study design included a baseline CPR test, followed by a 30-minute self-training session using feedback-equipped manikins, and a final CPR test. Overall CPR quality, compression and ventilation quality, as well as specific parameters such as compression depth, rate, and chest recoil were assessed.
Results: Statistically significant improvements were observed after the self-training session in overall CPR quality, as well as in both compression and ventilation quality. Other key indicators also improved, including mean compression depth and the number of correct ventilations.
Conclusions: Brief training using manikins with real-time feedback significantly enhances CPR quality in young students, supporting its early and continuous implementation in school settings starting at the age of 12.
References
Abelairas-Gómez, C., Rodríguez-Núñez, A., Casillas-Cabana, M., Romo-Pérez, V., & Barcala-Furelos, R. (2014). Schoolchildren as life savers: At what age do they become strong enough? Resuscita-tion, 85(6), 814–819. https://doi.org/10.1016/j.resuscitation.2014.03.001
American Heart Association. (2020). Highlights of the 2020 American Heart Association Guidelines for CPR and ECC.
Baldi, E., Cornara, S., Contri, E., Epis, F. (2017). Real-time visual feedback during training improves lay-persons' CPR quality: a randomized controlled manikin study. Canadian Journal of Emergency Medicine, 169(2), 137-144. https://doi.org/10.1001/jamapediatrics.2014.2616
Bánfai, B., Pandur, A., Schiszler, B., Pék, E., Radnai, B., Bánfai-Csonka, H., &Betlehem, J. (2018). Little lifesavers: Can we start first aid education in kindergarten?–A longitudinal cohort study. Health Education Journal, 77(8), 1007-1017. https://doi.org/10.1177/0017896918786017
Barcala-Furelos, R., Szpilman, D., Palacios-Aguilar, J., et al. (2016). Assessing the efficacy of rescue equipment in lifeguard resuscitation efforts for drowning. American Journal of Emergency Medicine, 34, 480–485. https://doi.org/10.1016/j.ajem.2015.12.006
Barsom, E. Z., Duijm, R. D., Dusseljee-Peute, L. W. P., Landman-Van Der Boom, E. B., Van Lieshout, E. J., Jaspers, M. W. et al. (2020). Cardiopulmonary resuscitation training for high school students us-ing an immersive 360-degree virtual reality environment. British Journal of Educational Tech-nology, 51(6), 2050–2062. https://doi.org/10.1111/bjet.13025
Bohn, A., Van Aken, H., Möllhoff, T., Wienzek, H., Kimmeyer, P., Wild, E., & Döpker, S. (2015). Teaching resuscitation in schools: Annual tuition by trained teachers is effective starting at age 10. A pro-spective, randomized trial (German school study “BLS at school”). Resuscitation, 83(5), 619–625. https://doi.org/10.1016/j.resuscitation.2012.01.020
Böttiger, B. W., & Van Aken, H. (2015). Kids save lives--Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscita-tion, 94, 5–7. https://doi.org/10.1016/j.resuscitation.2015.07.005
Böttiger, B. W., Lockey, A., Georgiou, M., Greif, R., Monsieurs, K. G., Mpotos, N., et al. (2020). KIDS SAVE LIVES: ERC position statement on schoolteachers' education and qualification in resuscitation. Resuscitation, 151, 87–90. https://doi.org/10.1016/j.resuscitation.2020.04.021
Chamdawala, H., Meltzer, J. A., Shankar, V., Elachi, D., Jarzynka, S. M., Nixon, A. F. (2021). Cardiopulmo-nary resuscitation skill training and retention in teens (CPR START): A randomized control trial in high school students, Resuscitation Plus, 5, 100079. https://doi.org/10.1016/j.resplu.2021.100079
Cheng, A., Brown, L. L., Duff, J. P., Davidson, J., Overly, F., Tofil, N. M., et al. (2015). Improving cardio-pulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): A randomized clinical trial. JAMA Pediatrics, 169(2), 137–144. https://doi.org/10.1001/jamapediatrics.2014.2616
Cortegiani, A., Russotto, V., Montalto, F., Iozzo, P., Meschis, R., Pugliesi, M. et al. (2017). Use of a real-time training software (Laerdal QCPR®) compared to instructor-based feedback for high-quality chest compressions acquisition in secondary school students: A randomized trial. PLoS One, 12(1), e0169591. https://doi.org/10.1371/journal.pone.0169591
Haseneder, R., Skrzypczak, M., Haller, B., Beckers, S. K., Holch, J., Wank, C. et al. (2019). Impact of in-structor professional background and interim retesting on knowledge and self-confidence of schoolchildren after basic life support training: A cluster randomised longitudinal study. Emer-gency Medicine Journal, 36(4), 239–244. https://doi.org/10.1136/emermed-2018-207923
Kılıç, D., Göksu, E., Kılıç, T., & Buyurgan, C. S. (2018). Resuscitation quality of rotating chest compres-sion providers at one‑minute vs. two‑minute intervals: A mannequin study. American Journal of Emergency Medicine, 36, 829‑833. https://doi.org/10.1016/j.ajem.2017.10.035
Lim, X. M. A., Liao, W. A., Wang, W., & Seah, B. (2022). The Effectiveness of Technology-Based Cardio-pulmonary Resuscitation Training on the Skills and Knowledge of Adolescents: Systematic Re-view and Meta-analysis. Journal of Medical Internet Research, 24(12), e36423. https://doi.org/10.2196/36423
Lin, C.Y., Hsia, S.H., Lee, E.P., Chan, O.W., Lin, J.J., & Wu, W.R. (2020). Effect of audiovisual cardiopulmo-nary resuscitation feedback device on improving chest compression quality. Scientific Reports, 10, 398. https://doi.org/10.1038/s41598-019-57320-y
Mathew, R., Sahu, A. K., Thakur, N., Katyal, A., Bhoi, S. & Aggarwal, P. (2020). Hands-only cardiopulmo-nary resuscitation training for schoolchildren: A comparison study among different class groups. Turkish Journal of Emergency Medicine, 20(4), 186–192. https://doi.org/10.4103/2452-2473.297464
Monsieurs, K. G., De Regge, M., Vansteelandt, K., De Smet, J., Annaert, E., Lemoyne, S., & Kalmar, A. F. (2012). Excessive chest compression rate is associated with insufficient compression depth in prehospital cardiac arrest. Resuscitation, 83(10), 1319–1323. https://doi.org/10.1016/j.resuscitation.2012.06.018
Navarro-Patón, R., Cons-Ferreiro, M., Romo-Pérez, V., & Mecías Calvo, M. (2023). ¿Qué saben los escola-res gallegos sobre soporte vital básico? Un estudio descriptivo. Retos, 50, 1071–1078. https://doi.org/10.47197/retos.v50.99488
Nordheim, S. (2019). Hands-only cardiopulmonary resuscitation training in schools: Impact of legisla-tion on the future of school nurses. Journal of School Health, 89(10), 860–862. https://doi.org/10.1111/josh.12819
Oliveira, K. M. G., Carmona, M. J. C., Mansur, A. P., Takada, J. Y., Fijačko, N., Semeraro, F., et al. (2022). CPR Quality Assessment in Schoolchildren Training. Journal of Cardiovascular Development and Disease, 9(11), 398. https://doi-org/10.3390/jcdd9110398
Perkins, G. D., Colquhoun, M., & Simons, R. (2004). Training manikins. En M. Colquhoun, A. J. Handley & T. R. Evans (Eds.), ABC of resuscitation (5.ª ed., pp. 97-101), Londres: BMJ Books.
Perkins, G. D., Graesner, J. T., Semeraro, F., Olasveengen, T. M., Soar, J., Lott, C., ... & Bossaert, L. L. (2021). European Resuscitation Council guidelines 2021: Executive summary. Resuscitation, 161, 1–60. https://doi.org/10.1016/j.resuscitation.2021.02.003
Pichel-López, M., Martinez-Isasi, S., Barcala-Furelos, R., Fernán¬dez-Méndez, F., Vázquez-Santamarina, D., Sánchez-Santos, L., & Rodríguez Núñez, A. (2018). Un primer paso en la enseñanza del sopor-te vital básico en las escuelas: la formación de los profesores. Anales de Pediatría, 89(5), 265-271. https://doi.org/10.1016/j.anpe¬di.2017.11.002
Plant, N., & Taylor, K. (2013). How best to teach CPR to schoolchildren: a systematic review. Resuscita-tion, 84(4), 415-421. https://doi.org/j.resuscitation.2012.12.008
Po-Hsun, L., Hsieh-Yung, L., Tsung-Cheng. H-. & Wan-Ru, W. (2023). Using real-time device-based visual feedback in CPR recertification programs: A prospective randomised controlled study. Nurse Education Today, 124, 105755. https://doi.org/10.1016/j.nedt.2023.105755
Ruibal-Lista, B., Diez-Fernández, P., Palacios-Aguilar, J., & López-García, S. (2024). Los primeros auxilios en los currículos de Educación Física en la Educación Secundaria Obligatoria: Comparativa en-tre comunidades autónomas. Retos, 56, 151–161. https://doi.org/10.47197/retos.v56.102508
Ruibal-Lista, B., Moral-García, J. E., López-García, S. (2021). Relationship between rescue distance and the quality of simulated CPR: a pilot study with lifeguards. Signa Vitae. 17(3), 137–143. https://doi.org/10.22514/sv.2021.044
Schroeder, D. C., Semeraro, F., Greif, R., Bray, J., Morley, P., Parr, M., et al. (2023). KIDS SAVE LIVES: Basic life support education for schoolchildren: A narrative review and scientific statement from the International Liaison Committee on Resuscitation. Resuscitation, 188, 109772. https://doi.org/10.1016/j.resuscitation.2023.109772
Tanaka, S., Tsukigase, K., Hara, T., Sagisaka, R., Myklebust, H., Birkenes, T. S., et al. (2019). Effect of real time visual feedback device ‘Quality Cardiopulmonary Resuscitation (QCPR) Classroom’ with a metronome sound on layperson CPR training in Japan: a cluster randomized controlled trial. BMJ Open, 9(6), e026140. https://doi.org/10.1136/bmjopen-2018-026140
Wagner, M., Bibl, K., Hrdliczka, E., Steinbauer, P., Stiller, M., Gröpel, P., et al. (2019). Effects of Feedback on Chest Compression Quality: A Randomized Simulation Study. Pediatrics, 143(2), e20182441. https://doi.org/10.1542/peds.2018-2441
World Medical Association (WMA). Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects [Internet]. 2021 [cited 2025 May 15]. Available from: https://www.wma.net/what-we-do/medical-eth-ics/declaration-of-helsinki/
Zenani, N. E., Bello, B., Molekodi, M., & Useh, U. (2022). Effectiveness of school-based CPR training among adolescents to enhance knowledge and skills in CPR: A systematic review. Curationis, 45(1), a2325. https://doi.org/10.4102/curationis.v45i1.2325
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