Training hospital providers in basic CPR skills in Botswana: acquisition, retention and impact of novel training techniques.

Resuscitation
Peter A MeaneyVinay M Nadkarni

Abstract

Globally, one third of deaths each year are from cardiovascular diseases, yet no strong evidence supports any specific method of CPR instruction in a resource-limited setting. We hypothesized that both existing and novel CPR training programs significantly impact skills of hospital-based healthcare providers (HCP) in Botswana. HCP were prospectively randomized to 3 training groups: instructor led, limited instructor with manikin feedback, or self-directed learning. Data was collected prior to training, immediately after and at 3 and 6 months. Excellent CPR was prospectively defined as having at least 4 of 5 characteristics: depth, rate, release, no flow fraction, and no excessive ventilation. GEE was performed to account for within subject correlation. Of 214 HCP trained, 40% resuscitate ≥ 1/month, 28% had previous formal CPR training, and 65% required additional skills remediation to pass using AHA criteria. Excellent CPR skill acquisition was significant (infant: 32% vs. 71%, p<0.01; adult 28% vs. 48%, p<0.01). Infant CPR skill retention was significant at 3 (39% vs. 70%, p<0.01) and 6 months (38% vs. 67%, p<0.01), and adult CPR skills were retained to 3 months (34% vs. 51%, p=0.02). On multivariable analysis, low cognitive s...Continue Reading

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Citations

Apr 11, 2014·Critical Care Medicine·Heather WolfeRobert M Sutton
May 4, 2013·Pediatric Clinics of North America·Alexis A TopjianVinay M Nadkarni
Nov 20, 2014·Prehospital and Disaster Medicine·Jason FriesenKevin Munjal
Aug 30, 2018·The Journal of Continuing Education in the Health Professions·Laetitia MartinerieCaroline Gronnier
Jun 27, 2013·Circulation·Peter A MeaneyUNKNOWN CPR Quality Summit Investigators, the American Heart Association Emergency Cardiovascular Care Committee, and the Council on
Jun 23, 2018·Circulation·Adam ChengUNKNOWN American Heart Association Education Science Investigators; and on behalf of the American Heart Association Education Scienc
Nov 9, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Jonathan PirieTania Principi
Jan 1, 2014·Curationis·Lakshmi Rajeswaran, Valerie J Ehlers
Jun 27, 2020·Annals of Global Health·Megan M RybarczykTeri Reynolds
Mar 23, 2021·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Ayobami OlufadejiBabatunde Akodu
May 6, 2021·European Journal of Pediatrics·Rotem RephaeliGiora Weiser

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