Nav: Home

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:
  • Mastery learning and deliberate practice (practice until learners demonstrate mastery of skills)

  • Spaced practice (shorter, more frequent learning sessions)

  • Contextual learning (use of "real world" training experiences recognized by learners)

  • Feedback and debriefing (providing structured opportunities for reflection and feedback)

  • Assessment (measuring competency throughout a course with a variety of tools)

  • Innovative educational strategies (exploration of gamification, social and digital platforms to make learning "stick")

  • Faculty development (continuous coaching and training of instructors)

  • Knowledge translation and implementation (localize programs to fit learners' needs)

"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:

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.
Scientific statement on predicting survival for cardiac arrest survivors
If a loved one has a heart attack that stops the heart, ends up in a coma, and the treating physician approaches you about taking the person off life support, would you trust that the physician knows when to make the call or how to judge that the person won't recover?
Cardiac arrest among hospitalized patients may be underestimated
More patients may be having cardiac arrests in the hospital than previously believed.
Women are less likely to be resuscitated and survive a cardiac arrest than men
Women who have a cardiac arrest outside the hospital setting are less likely to receive resuscitation from bystanders and more likely to die than men, according to new research published in the European Heart Journal.
More Cardiac Arrest News and Cardiac Arrest Current Events

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Rethinking Anger
Anger is universal and complex: it can be quiet, festering, justified, vengeful, and destructive. This hour, TED speakers explore the many sides of anger, why we need it, and who's allowed to feel it. Guests include psychologists Ryan Martin and Russell Kolts, writer Soraya Chemaly, former talk radio host Lisa Fritsch, and business professor Dan Moshavi.
Now Playing: Science for the People

#537 Science Journalism, Hold the Hype
Everyone's seen a piece of science getting over-exaggerated in the media. Most people would be quick to blame journalists and big media for getting in wrong. In many cases, you'd be right. But there's other sources of hype in science journalism. and one of them can be found in the humble, and little-known press release. We're talking with Chris Chambers about doing science about science journalism, and where the hype creeps in. Related links: The association between exaggeration in health related science news and academic press releases: retrospective observational study Claims of causality in health news: a randomised trial This...