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Title: Effectiveness of simplified chest compression-only CPR training for the general public: a randomized controlled trial. Author: Nishiyama C, Iwami T, Kawamura T, Ando M, Yonemoto N, Hiraide A, Nonogi H. Journal: Resuscitation; 2008 Oct; 79(1):90-6. PubMed ID: 18656300. Abstract: OBJECTIVES: To compare the quality of resuscitation between those with a simplified chest compression-only cardiopulmonary resuscitation (CPR) program and those with a conventional CPR program. METHODS: The participants were randomly assigned to either the 120-min training program of chest compressions (chest compression-only CPR) or the 180-min training program of chest compressions and ventilations (conventional CPR). Main outcome measures were the net number of appropriate chest compressions during the 2-min test period and the proportion of appropriate chest compressions over the theoretically attainable number one month after the training. RESULTS: 223 participants were enrolled and 104 in each group completed this study. The 2-min number of appropriate chest compressions was 86.1+/-57.2 in the chest compression-only CPR group, which was significantly greater than 57.1+/-30.2 in the conventional CPR group (p<0.001). The proportion of appropriate chest compressions was higher in the chest compression-only CPR group than in the conventional CPR group (47.1+/-31.1% versus 38.1+/-20.1%, p=0.022). Time without chest compressions during conventional CPR reached 85.5+/-17.0 s out of 120 s, which was significantly longer than that during chest compression-only CPR (33.9+/-10.0 s, p<0.001). The total number of ventilations and the number of appropriate ventilations during 2 min was 2.5+/-3.0 and 0.9+/-1.6, respectively. CONCLUSIONS: A simplified chest compression-only CPR program makes it possible for the general public to perform a greater number of appropriate chest compressions than the conventional CPR program (UMIN-CTR C0000000321).[Abstract] [Full Text] [Related] [New Search]