Video-based CPR training may be as valuable as hands-on approach, Penn study finds

November 08, 2015

ORLANDO -- Using a video to train family members of patients at risk for cardiac arrest in CPR may be just as effective as using the traditional hands-on method with a manikin, according to new research from the Perelman School of Medicine at the University of Pennsylvania. The findings suggest simplified and more cost-effective approaches may be useful for disseminating CPR education to families of at-risk patients and the general public. The results are being presented during the American Heart Association Scientific Sessions 2015.

Less than 40 percent of cardiac arrests in the United States are treated by CPR delivered by bystanders, a fact which has prompted calls for improved CPR education to empower the public to take action. While some studies have suggested that using a video self-instruction (VSI) kit including a small inflatable manikin is helpful in remembering the basics of the technique, the cost of such kits is often prohibitive. Further, since kits require use of a manikin, they are limited in their use compared to video-only approaches which can be used to train larger groups.

"Most cardiac arrests take place in the home, where a patient's best chance of survival is having a family member who knows and can properly administer CPR," said the new study's lead author, Audrey L. Blewer, MPH, assistant director for Educational Programs in Penn's Center for Resuscitation Science, who will present the results. "Traditional training classes involve several hours of group classes and can cost upwards of $100 or more per person. These classes are more commonly used by health professionals, lifeguards and people in other professions where mastery of CPR and certification are necessary. What the new study shows is that for the general public, where cost and time may be more of a concern, using only video instruction may be just as helpful in teaching the basics of CPR as using a hands-on method."

In the study, more than 1,600 family members of patients identified as being at-risk for a cardiac arrest across eight hospitals were trained in CPR using either the video-only method, or the VSI with manikin. Six months after training, researchers tested participants to evaluate their long-term retention of properly performing CPR. Results indicated that while there were small differences in the depth of chest compressions among the groups, the overall ability to properly perform CPR was similar. Recent research also suggests the difference in compression depth may be insignificant to a patient's chance of survival.

"The study has great potential for helping to increase the opportunity for CPR education among the public, and especially for groups of people who may not have access to training programs otherwise," said senior author, Benjamin S. Abella, MD, MPhil, an associate professor of Emergency Medicine and clinical research director of the Center for Resuscitation Science at Penn Medicine. "Knowing that the manikin may not be necessary for basic training, we could conceivably show CPR training videos in public places, such as a doctor's waiting room or at the DMV, and they will actually be beneficial in providing this life-saving skill."
-end-
Penn Medicine is one of the world's leading academic medical centers, dedicated to the related missions of medical education, biomedical research, and excellence in patient care. Penn Medicine consists of the Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania(founded in 1765 as the nation's first medical school) and the University of Pennsylvania Health System, which together form a $5.3 billion enterprise.

The Perelman School of Medicine has been ranked among the top five medical schools in the United States for the past 17 years, according to U.S. News & World Report's survey of research-oriented medical schools. The School is consistently among the nation's top recipients of funding from the National Institutes of Health, with $409 million awarded in the 2014 fiscal year.

The University of Pennsylvania Health System's patient care facilities include: The Hospital of the University of Pennsylvania and Penn Presbyterian Medical Center -- which are recognized as one of the nation's top "Honor Roll" hospitals by U.S. News & World Report -- Chester County Hospital; Lancaster General Health; Penn Wissahickon Hospice; and Pennsylvania Hospital -- the nation's first hospital, founded in 1751. Additional affiliated inpatient care facilities and services throughout the Philadelphia region include Chestnut Hill Hospital and Good Shepherd Penn Partners, a partnership between Good Shepherd Rehabilitation Network and Penn Medicine

Penn Medicine is committed to improving lives and health through a variety of community-based programs and activities. In fiscal year 2014, Penn Medicine provided $771 million to benefit our community.

University of Pennsylvania School of Medicine

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
Brightsurf.com 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 Amazon.com.