调查BLS教练评估心肺复苏术表现的能力:关注按压深度、速率和后坐力。

IF 2.3 3区 医学 Q1 EMERGENCY MEDICINE
Shih-Jhan Lin, Chih-Jan Chang, Shao-Chung Chu, Ying-Hsin Chang, Ming-Yuan Hong, Po-Chang Huang, Chia-Lung Kao, Chih-Hsien Chi
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引用次数: 0

摘要

院外心脏骤停(OHCA)由于生存率低而面临重大挑战,强调了对有效的旁观者CPR培训的必要性。在基本生命支持(BLS)培训中,教师的作用是关键的,因为他们评估和纠正学习者的心肺复苏(CPR)技术,以确保熟练掌握救生技能。本研究利用2017年10月至2018年4月在国立成功大学医院进行的BLS课程的数据,评估了基本生命支持(BLS)讲师进行的CPR质量评估与定量CPR (QCPR)设备确定的CPR质量评估之间的一致性。方法:本研究分析了BLS课程的现有数据,将指导员进行的CPR质量评估与QCPR设备记录的质量评估进行比较。检查了诸如胸压速度、深度和后坐力等关键指标,以确定人工评估和自动评估之间的一致性程度。结果:在这项研究中,使用QCPR设备和BLS教练分析了心肺复苏术的性能,包括速度、深度和后坐力等指标。采用Cohen kappa统计结果显示,深度kappa值为0.65 (95% C.I. 0.65 ~ 0.65),速度kappa值为0.56 (95% C.I. 0.33 ~ 0.79),后坐力kappa值为0.50 (95% C.I.0.28 ~ 0.71)。热图中可视化的相关分析表明,与速度和后坐力相比,深度评估的一致性更高(相关系数= 0.7),这表明需要改进心肺复苏术培训评估的一致性。结论:本研究强调了完善心肺复苏术培训方法和采用先进技术辅助的重要性,以提高心肺复苏术技能评估的可靠性。通过提高这些评估的准确性,可以更好地调整培训,以提高挽救生命的干预措施的有效性,从而可能提高院外心脏骤停情况下的存活率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating BLS instructors' ability to evaluate CPR performance: focus on compression depth, rate, and recoil.

Background: Out-of-hospital cardiac arrest (OHCA) presents significant challenges with low survival rates, emphasizing the need for effective bystander CPR training. In Basic Life Support (BLS) training, the role of instructors is pivotal as they assess and correct learners' cardiopulmonary resuscitation (CPR) techniques to ensure proficiency in life-saving skills. This study evaluates the concordance between CPR quality assessments by Basic Life Support (BLS) instructors and those determined through Quantitative CPR (QCPR) devices, utilizing data from BLS courses conducted at National Cheng Kung University Hospital from October 2017 to April 2018.

Methods: The study analyzed existing data from BLS courses, comparing CPR quality assessments made by instructors with those recorded by QCPR devices. Key metrics such as chest compression speed, depth, and recoil were examined to identify the degree of consistency between human and automated evaluations.

Results: In this study, CPR performance was analyzed using QCPR devices and BLS instructors across metrics like speed, depth, and recoil. Employing the Cohen kappa statistic revealed moderate to low interrater reliability, the kappa value is 0.65 (95% C.I. 0.65-0.65) for depth, 0.56 (95% C.I. 0.33-0.79) for speed, and 0.50 (95% C.I.0.28-0.71) for recoil. Correlation analysis visualized in a heatmap indicated a higher consistency in depth evaluations (correlation coefficient = 0.7) compared to speed and recoil, suggesting a need for improved alignment in CPR training assessments.

Conclusions: The study underscores the importance of refining CPR training methods and adopting advanced technological aids to enhance the reliability of CPR skill assessments. By improving the accuracy of these evaluations, the training can be better tailored to increase the effectiveness of life-saving interventions, potentially boosting survival rates in out-of-hospital cardiac arrest scenarios.

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来源期刊
BMC Emergency Medicine
BMC Emergency Medicine Medicine-Emergency Medicine
CiteScore
3.50
自引率
8.00%
发文量
178
审稿时长
29 weeks
期刊介绍: BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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