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Circulation
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Circulation. 2005;112:III-100-III-108
doi: 10.1161/CIRCULATIONAHA.105.166478
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(Circulation. 2005;112:III-100 – III-108.)
© 2005 American Heart Association, Inc.


Section 1

Part 8: Interdisciplinary Topics

From the 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, hosted by the American Heart Association in Dallas, Texas, January 23–30, 2005.


An extract of the first 250 words of the full text is provided, because this article has no abstract.
 


*    Introduction
 
The Interdisciplinary Task Force discussed topics that applied to several task forces and in particular focused on questions about educational methods, ethics, and outcomes. Some of these topics are discussed in other sections of this document (eg, the topic of medical emergency teams is discussed in Part 4: "Advanced Life Support").

To maintain consistency with the science statements in other sections, studies using manikins were recorded as LOE 6, irrespective of the study design.


*    Educational Methods
 
Acquisition and retention of skills are poor after conventional CPR training.1 Evidence for and against several resuscitation training methods was reviewed, highlighting the need for further research.

Devices
CPR Prompt DevicesW190A,W190B
Consensus on Science
Twenty-seven randomized studies using models from the motor skills literature (LOE 6)2–28 and one randomized study using manikins (LOE 6)29 showed that the use of audio or visual prompts during motor skills acquisition training improved student skills performance during or immediately after training. These studies and supporting theory from 2 studies (LOE 7)30,31 indicate that the overuse of guiding prompts during training reduced skills retention in the long term.

Treatment Recommendation
Audio and visual prompts and other forms of directive or corrective feedback that guide action sequences and timing of chest compressions and ventilations may help early learning of CPR skills. Training must include ample practice time without prompting devices to optimize skills retention for situations in which prompting devices are not available.

Instructional Methods
Effective AED Instructional MethodsW191A,W191B
Consensus on Science
Seven studies (LOE 432–35; LOE 536,37; LOE 738 showed improved rates of survival from out-of-hospital cardiac arrest when CPR plus automated external defibrillation training (traditional 4-hour . . . [Full Text of this Article]