A randomized comparison trial of two and four-step approaches to teaching Cardio-Pulmonary Reanimation

Giorgio Lapucci; Barbara Bondi; Ivan Rubbi; Valeria Cremonini; Erica Moretti; Rosaria Di Lorenzo; Daniela Magnani; Paola Ferri

doi:10.23750/abm.v89i4-S.7129

A randomized comparison trial of two and four-step approaches to teaching Cardio-Pulmonary Reanimation

Authors

Giorgio Lapucci Emergency Medicine Physician (EMP), Instructor AIEMT of Ravenna
Barbara Bondi Organizational Development, Training and Evaluation AUSL of Romagna
Ivan Rubbi School of Nursing, University of Bologna, Bologna, Italy
Valeria Cremonini School of Nursing, University of Bologna, Bologna, Italy
Erica Moretti Neonatology, AUSL of Romagna
Rosaria Di Lorenzo Department of Mental Health, Local Health Authority (AUSL) of Modena and School of Nursing, Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy
Daniela Magnani School of Nursing, Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy
Paola Ferri School of Nursing, Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy

DOI: https://doi.org/10.23750/abm.v89i4-S.7129

Keywords:

4-Step, 2-Step, Cardiopulmonary Resuscitation, Out-of-Hospital Cardiac Arrest, Teaching, Nursing student

Abstract

Background and aim of the work: The treatment of cardiac arrest in an extra-hospital environment improves with the increase in the number of people able to establish an early Cardio-Pulmonary Reanimation (CPR). The main aim of the study was to assess the validity of the two-step method in case of prolonged CPR. Methods: A randomized comparison study was conducted in the University Nursing School of a Northern Italian town, during the 2015/16 academic year, among 60 students, to teach them CPR techniques, through two different teaching methods (4-step and the 2-step of CPR training). The effectiveness of the maneuvers performed on mannequins equipped with skill-meter was verified. Results: Our study did not highlight any significant difference between the two methods of CPR training. The comparison between the two methods regarding their efficacy in practical teaching of CPR, highlighted by this study, proved the validity of both the 4-minute continuous method (1st method) and the 30:2 method (2nd method). Conclusions: The results of the study showed no differences between the 2-step and the 4-step methods, in the effectiveness of cardiac massage. The correct execution of chest compressions during a CPR is the key to increase the patient’s chances of rescue. Research has shown that any interruption in the execution of chest compressions, leads to a progressive reduction of the effectiveness of cardiac massage, with negative consequences on the prognosis of the patient undergoing at CPR.