Improved CPR training could save more lives, research finds

June 21, 2018

DALLAS, June 21, 2018 -- More people will survive cardiac arrest if resuscitation course designers and instructors address shortcomings in educational offerings, new research shows. A new statement released today by the American Heart Association, the world's leading voluntary health organization devoted to fighting cardiovascular disease, in its journal Circulation, indicates standardized online and in-person courses are falling short and not always implemented to optimize retention and mastery.

Resuscitation Education Science: Educational Strategies to Improve Outcomes From Cardiac Arrest examines best practices in education and applies the learning in new resuscitation science, offering suggestions for improvement in training on eight key elements: "Poor CPR quality is preventable. Educational activities are not consistently achieving their intended outcomes, as proven by significant decay in provider skills within months after training," said Adam Cheng, M.D., associate professor at the University of Calgary, Alberta Children's Hospital.

The Association is striving to double survival rates from cardiac arrest to 38 percent in-hospital and 15.8 percent for out-of-hospital as well as double bystander response to out-of-hospital cardiac arrest to 62 percent by the year 2020.

This statement marks the first time that resuscitation specialists have applied education best practices to resuscitation training, offering consolidated guidance to CPR instructors, educators and others who develop relevant content. It is applicable to all resuscitation training programs with students as diverse as medical professionals to bystanders.

"If we want to move the needle on cardiac arrest survival rates in the next two years, then we must focus on improving the quality of resuscitation education and knowledge translation efforts," added Cheng, who is also an American Heart Association volunteer. "We identified an opportunity to build on the current scientific process in order to close the gap between desired and actual performance in resuscitation events - both for lay providers and healthcare professionals."

For development of this statement, the Association assembled a steering committee whose members had expertise in resuscitation science and resuscitation education. This committee identified individuals with expertise in a key topic area for its working groups; various professions (nursing, medicine, paramedicine, respiratory therapy, psychology, research, education and hospital administration) and clinical specialties (critical care, pediatrics, neonatology, emergency medicine, anesthesia, internal medicine and cardiology) were represented in each working group.

The statement's authors systematically examined the relevant published research, as well as published reviews relevant to the topic. The Association then held an educational summit focused on the eight key topic areas that are most likely to lead to improvements in educational and patient outcomes. Small-group sessions and roundtable discussions were integrated into the summit which allowed refinement of the recommendations coming from the literature review.

Since establishing its Guidelines for CPR & Emergency Cardiovascular Care in 1966, the Association has led evaluation and dissemination of the latest resuscitation science to help inform and modernize CPR. These guidelines have been used to train more than 22 million people annually in CPR, cardiovascular care and first aid around the world. This Statement builds on the Guidelines to help support improvement in CPR education and implementation - and ultimately save more lives.

The Association's CPR and Emergency Cardiovascular Care courses include several of the eight key concepts, such as the flexibility to localize (contextualize) and standard performance based on observable behavior. In the coming months, the Association will examine its current courses to emphasize ways to further implement these concepts.
Additional Resources: About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke - the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation's oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit or call any of our offices around the country. Follow us on Facebook and Twitter.

American Heart Association

Related Cardiac Arrest Articles from Brightsurf:

Outcomes for out-of-hospital cardiac arrest during COVID-19 pandemic
This study used a large US registry of out-of-hospital cardiac arrests to asses the association between the COVID-19 pandemic and the outcomes of out-of-hospital cardiac arrests, including in areas with low and moderate COVID-19 disease.

Cardiac arrest is common in critically ill patients with COVID-19
Cardiac arrest is common in critically ill patients with covid-19 and is associated with poor survival, particularly among patients aged 80 or older, finds a study published by The BMJ today.

In-hospital cardiac arrest in COVID-19
Outcomes of in-hospital cardiac arrest among patients with COVID-19 are examined in this case series.

New risk tool developed for cardiac arrest patients
Experts have developed a risk score to predict cardiac arrest patient outcomes.

Intravenous sodium nitrite ineffective for out-of-hospital cardiac arrest
Among patients who had an out-of-hospital cardiac arrest, intravenous sodium nitrite given by paramedics during resuscitation did not significantly improve their chances of being admitted to or discharged from the hospital alive, according to research presented at the American College of Cardiology's Annual Scientific Session Together with World Congress of Cardiology (ACC.20/WCC).

Getting to the heart of epinephrine use in pediatric cardiac arrest patients
The effectiveness of epinephrine treatment during resuscitation of adult patients with cardiac arrest is generally promising, but little is known about its effects in pediatric patients.

Bystanders can help more cardiac arrest victims survive
Only 8% of Americans survive cardiac arrest outside a hospital, but that percentage could increase significantly if bystanders recognize cardiac arrest and perform simple lifesaving tasks, a UVA Health physician says in a New England Journal of Medicine article.

Opioid-related cardiac arrest patients differ from other cardiac arrests
People who suffer cardiac arrest due to an opioid overdose are younger, have fewer chronic medical conditions and may be more likely to be to receive bystander CPR, according to a review of emergency response records in Maine.

Selective coronary angiography following cardiac arrest
In the current issue of Cardiovascular Innovations and Applications volume 4, issue 2, pp.

Sudden cardiac arrest in athletes: Prevention and management
It's marathon season, and every so often a news report will focus on an athlete who has collapsed from sudden cardiac arrest.

Read More: Cardiac Arrest News and Cardiac Arrest Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to