Abstract 18377: Prospective, Multi-center Trial to Determine the Effect of Viewing a 60-second Video on Emergency Department Patients and Their Companions Willingness to Perform Compression-only Cardiopulmonary Resuscitation
Introduction: Bystander CPR is uncommonly performed in out-of-hospital cardiac arrest patients transported to our ED. Previous studies suggest adults without formal CPR training can retain compression-only CPR skills with a single viewing of a 60 second, AHA training video. We sought to determine the impact of viewing this video on the willingness of ED patients and their companions to perform compression-only CPR.
Hypothesis: Watching a 60 second AHA CPR training video is associated with a 10% increase in willingness to perform CPR.
Methods: A convenience sample of adults age 18-70 from two urban, academic EDs with socioeconomically diverse patient populations was recruited. Patients in hallways and non-english speakers were excluded. Subjects were asked to complete a pre-video survey to assess baseline knowledge and willingness to perform CPR on a stranger and on family/friends, watch a 60 second, previously validated AHA CPR instructional video, and then complete a post-training CPR survey. Willingness was scored as 1 (not at all likely) to 5 (extremely likely). An answer of 4 or 5 was considered “willing to perform CPR”. A sample size of 110 subjects from each hospital was determined necessary to detect at 10% absolute difference assuming 0.80 power and one-sided alpha level of 0.05. Sign and McNemar's tests were used to compare pre and post video measurements.
Results: Between 1/1/15 to 6/7/15, 281 patients and their companions were approached about study participation, of which 229 (82%) consented; complete data were available for 216 subjects. Subjects were mean age 47, 66% female, 68% black, and 69% college educated. After watching the video, willingness to perform CPR on a stranger increased by 29%, from 57% to 86% (p< 0.001). Willingness to perform CPR on family/friends increased by 19%, from 75% to 94% (p<0.001). Among subjects whose willingness to perform CPR changed (110 on a stranger and 67 on family/friends, respectively), 98% (108) and 96% (64) changed from less willing to more willing.
Conclusion: In adult patients and their companions in two diverse, academic EDs, watching a 60 second CPR training video was associated with a significant absolute increase in willingness to perform compression-only CPR on a stranger (29%) and on family/friends (19%).
Author Disclosures: T. Dall: None. V. Tainsh: None. D. Carlberg: None. O.E. Garcia: None. J. Konieczny: None. M. Goyal: None.
- © 2015 by American Heart Association, Inc.