Abstract 156: Pediatric Basic Life Support Self-Training Is Comparable to Instructor-Led Training: A Randomized Manikin Study
Background: Pediatric cardiac arrest carries a poor prognosis. Basic life support improves survival. Previous studies have shown promising results in teaching adult basic life support using self-training. It is unknown whether learning pediatric basic life support (PBLS) is feasible through self-training. Accordingly, the aim of our study was to investigate the effect of self-training in PBLS.
Methods and results: We conducted a prospective randomized controlled study among nurses at a university hospital. In total 58 nurses completed the study. Self-training including a manikin and access to an internet video on PBLS was compared to a 2-hour instructor-led course (n=29/group). Regardless of training method all nurses were tested after two weeks using a pediatric cardiac arrest mock scenario. Tests were recorded on video and evaluated by two blinded reviewers. Fifteen parameters e.g. effective ventilations, effective chest compressions, calling for help, and correct sequence of action were evaluated and rated either 1 (approved) or 0 (not approved). No difference in baseline demographics between the self-training group and the instructor-led group was observed. The nurses in the self-training group accessed the website 2 (± 1.5) times and spent 41 (±25) minutes on the site. There was no significant difference between the two groups in the overall average score (10.5 in the self-training group versus 10.0 in the instructor-led group, P = 0.51) or in any of the 15 different parameters. All nurses felt capable of performing PBLS after the study and all felt that they had improved their skills.
Conclusions: Self-training using a manikin and access to an internet video can teach nurses PBLS as effectively as a 2-hour instructor-led course. In addition, the self-evaluated confidence was improved, but showed no difference in the two groups. PBLS may be disseminated through self-training.
- © 2011 by American Heart Association, Inc.