Improve Cardiac Emergency Preparedness by Building a Team-Based Cardiopulmonary Resuscitation Educational Plan

Frontiers in Public Health

article

Jianing Xu¹  Xuejie Dong³  Hongfan Yin²  Zhouyu Guan¹  Zhenghao Li¹  Fangge Qu²  Tian Chen¹  Caifeng Wang²  Qiong Fang²  Lin Zhang¹ 

[1] School of Public Health, Shanghai Jiao Tong University;School of Nursing, Shanghai Jiao Tong University;Department of Global Health, School of Public Health, Peking University

关键词: out-of-hospital cardiac arrest;    cardiopulmonary resuscitation;    bystander;    teamwork;    emergency preparedness;   

DOI  :  10.3389/fpubh.2022.895367

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective To design an innovative team-based cardiopulmonary resuscitation (CPR) educational plan for multiple bystanders and evaluate whether it was associated with better teamwork and higher quality of resuscitation. Methods The team-based CPR plan defined the process for a three-person team, emphasize task allocation, leadership, and closed-loop communication. Participants qualified for single-rescuer CPR skills were randomized into teams of 3. The teamwork performance and CPR operation skills were evaluated in one simulated cardiac arrest scenario before and after training on the team-based CPR plan. The primary outcomes were measured by the Team Emergency Assessment Measure (TEAM) scale and chest compression fraction (CCF). Results Forty-three teams were included in the analysis. The team-based CPR plan significantly improved the team performance (global rating 6.7 ± 1.3 vs. 9.0 ± 0.7, corrected p < 0.001 after Bonferroni's correction). After implementing the team-based CPR plan, CCF increased [median 59 (IQR 48–69) vs. 64 (IQR 57–71%)%, corrected p = 0.002], while hands-off time decreased [median 233.2 (IQR 181.0–264.0) vs. 207 (IQR 174–222.9) s, corrected p = 0.02]. We found the average compression depth was significantly improved through the team-based CPR training [median 5.1 (IQR 4.7–5.6) vs. 5.3 (IQR 4.9–5.5) cm, p = 0.03] but no more significantly after applying the Bonferroni's correction (corrected p = 0.35). The compression depths were significantly improved by collaborating and exchanging the role of compression among the participants after the 6th min. Conclusion The team-based CPR plan is feasible for improving bystanders teamwork performance and effective for improving resuscitation quality in prearrival care. We suggest a wide application of the team-based CPR plan in the educational program for better resuscitation performance in real rescue events.

【 授权许可】

CC BY