Abstract 15410: E-Learning in Pediatric Basic Life Support Among Laypersons is Non-Inferior to Instructor-Led Training: A Randomized Controlled Study
Introduction: Pediatric cardiac arrest carries a poor prognosis. Bystander cardiopulmonary resuscitation improves survival. Training laypersons in resuscitation is hampered by the cost and duration of current instructor-led courses. Resuscitation of adults can be learned through self-training. Resuscitation of infants is generally perceived as particularly stressful when compared to resuscitation of adults. This may affect learning pediatric basic life support (PBLS). It is currently unknown whether self-training PBLS among laypersons is effective.
Hypothesis: Self-training PBLS with a web-based e-learning program and a manikin is non-inferior to conventional instructor-led training among laypersons.
Methods: Non-healthcare volunteers were recruited among child-minders and parents of children aged 0-6 years. Participants were randomized to either self-training using a web-based video (duration 17 minutes) and an inflatable manikin (Infant CPR Anytime®) available throughout 14±1 days or conventional 2-hour instructor-led training. After training, participants were tested in a simulated pediatric cardiac arrest scenario. Tests were video recorded and PBLS skills were assessed independently by two assessors blinded to the training method. The primary outcome was the pass rate of the PBLS test (≥8 of 15 parameters correct). A prespecified non-inferiority margin of 20% was determined.
Result: Self-training was non-inferior to instructor-led training (difference -4.2%; 95%CI -8.9:0.45). Pass rates were 96% among self-trained (n=71) and 100% among instructor-led trained (n=67). No significant differences in chest compressions delivered per compression cycle (30.1±2.5 versus 30.0±1.3), chest compression rate (110±23 min-1 versus 114±16 min-1), or number of initial rescue breaths (5.0±1.0 versus 5.2±0.8) were observed when comparing self- and instructor-led trained participants. In both groups, all participants felt that their training had improved their skills.
Conclusion: Self-training in PBLS is non-inferior to conventional instructor-led training among laypersons. A web-based video and a manikin may be a valuable, cost effective alternative to instructor-led training.
- © 2013 by American Heart Association, Inc.