Abstract P152: Video Self-instruction of Cardiopulmonary Resuscitation Skills for Hospital Personnel in Guatemala
Background: Barriers to cardiopulmonary resuscitation (CPR) education are magnified in the developing world by relative cost and course availability. Though Guatemala has a developed medical infrastructure there are few certified CPR instructors and only one agency providing courses. An AHA video self-instruction (VSI) course is now available in Spanish but no data exist regarding its utility and implementation.
Objectives: We sought to: (1) implement a pilot CPR education program in Guatemala using VSI and (2) assess attitudes and opportunities for secondary training by subjects (a “multiplier effect”).
Methods: Hospital personnel were voluntarily trained using an established 30 min VSI program translated into Spanish, and subsequently demonstrated skill performance. CPR quality was recorded by direct observation and a CPR-sensing defibrillator without feedback. A post-training interview was performed to collect demographic information and attitudes regarding CPR training and the VSI program.
Results: A total of 49 participants completed the study. Mean age (SD) was 36 (8), 86% were female, 65% were employees in clinical areas, and 29% had any prior CPR training. Regarding skills performance, 88% evaluated the patient prior to beginning CPR, 65% called for help, and 100% of participants gave 2 rescue breaths prior to each set of chest compressions. Mean (SD) chest compression depth was 38 mm (16) with adequate (>38 mm) depth noted in 51% of participants. Mean (SD) compression rate was 97 (17) per minute and adequate rate (80 –120 per min) was noted in 70%. Survey data revealed that 94% of participants (stated they would take the VSI kit home to practice and teach family and community members. Participants, blinded to actual price in the US ($25–30), stated they were willing to pay an average of $24 US dollars for the VSI kit (n=44).
Conclusions: A previously-validated VSI CPR training kit, translated into Spanish, can be effectively implemented among hospital staff in a developing country in Latin America. Attitudes towards home training and dissemination were positive; further work will be required to establish rates of secondary CPR training.