Abstract P160: Teaching Hospital Employees Basic Life Support using MiniAnne and a 24-minute Self-instruction Video
Introduction Personal resuscitation manikins with self-instruction video have been shown to be as effective as traditional CPR courses in teaching lay people basic life support (BLS). In order to improve in-hospital skills and self confidence in BLS, we introduced a campaign consisting of this concept in a university hospital.
Material and methods All 5,400 employees at Stavanger University Hospital received a personal resuscitation manikin (MiniAnne, Laerdal Medical, Stavanger, Norway) with a 24-min self-instruction video. In addition to recommended home training, video-facilitated training with the same system was offered on an hourly basis for nine days in a hospital meeting room. Prior to this all participants judged their own BLS self confidence (on a scale from 1 to 5, 1=very poor, 5=very good). In addition, randomly chosen employees, evenly distributed between the different departments, were asked to perform BLS on a MiniAnne equipped with a counting device measuring the number of correct chest compressions and mouth-to-mouth ventilations (MTMV) during the first two minutes. Their skills were reassessed six months later. Finally, all employees judged their BLS self confidence nine months after the campaign was initiated. Results were analyzed using the Wilcoxon signed rank test, Mann-Whitney U test and students t-test, as appropriate, and presented as median with inter-quartile range.
Results The number of correct chest compressions increased from 60 (5–102) pre-course (n=59) to 119 (75–150) at the six-month follow up (n=39), p<0.0005. There was no difference in the number of correct MTMV with 3 (0–8) vs 4 (0–7), respectively, p=0.23. The self-reported confidence in BLS skills increased from 3.1 prior to MiniAnne introduction (n=3,466) to 3.8 (n=1,399) nine months later, p=0.031.
Conclusion This in-hospital BLS campaign including a personal resuscitation manikin and a self-instruction video, increased the number of correctly performed chest compressions and lead to higher self confidence in BLS skills. Such a campaign has the potential to increase and improve BLS performance for in-hospital cardiac arrests.