Effectiveness of a video lesson for the correct use in an emergency of the automated external defibrillator (AED)

Effectiveness of a video lesson for the correct use in an emergency of the automated external defibrillator (AED)


  • Ivan Rubbi School of Nursing, University of Bologna, Bologna, Italy https://orcid.org/0000-0001-6067-9578
  • Giorgio Lapucci Emergency Medicine Physician (EMP), Instructor AIEMT of Ravenna, Italy
  • Barbara Bondi Organizational Development, Training and Evaluation AUSL of Romagna
  • Alice Monti School of Nursing, University of Bologna, Bologna, Italy
  • Carla Cortini School of Nursing, University of Bologna, Bologna, Italy
  • Valeria Cremonini School of Nursing, University of Bologna, Bologna, Italy
  • Eleonora Nanni AUSL Romagna, Ravenna, Italy
  • Gianandrea Pasquinelli Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, S. Orsola-Malpighi https://orcid.org/0000-0003-1506-1829
  • Paola Ferri School of Nursing, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy http://orcid.org/0000-0001-7761-7226


Out-of-hospital cardiac arrest, public access defibrillation (PAD), automated external defibrillator (AED), defibrillation, first responders, lay public, training, outcomes related, safety


Background and aim of the work: Every year around 275 thousand people in Europe and 420 thousand in the United States are affected by sudden cardiac arrest. Early electrical defibrillation before the arrival of emergency services can improve survival. Training the population to use the AED is essential. The training method currently in use is the BLSD course, which limits training to a population cohort and may not be enough to meet the requirements of the proposed Law no. 1839/2019. This study aims to verify the effectiveness of an online course that illustrates the practical use of the AED to a population of laypeople. Methods: An observational study was conducted to compare a lay population undergoing the view of a video spot and a cohort of people who had participated in BLSD Category A courses. The performances of the two groups were measured immediately after the course and 6 months later. Results: Overall, the video lesson reported positive results. Six months later the skills were partially retained. The cohort that followed the video lesson showed significant deterioration in the ability to correctly position the pads and in safety. Conclusions: Although improved through significant reinforcements, the video spot represents a valid alternative training method for spreading defibrillation with public access and could facilitate the culture of defibrillation as required by the new Italian law proposal.

Author Biographies

Ivan Rubbi, School of Nursing, University of Bologna, Bologna, Italy

Doctor of Philosophy in Nursing Science

 Rubbi I. and Lapucci G. contributed equally and therefore share first authorship

Giorgio Lapucci, Emergency Medicine Physician (EMP), Instructor AIEMT of Ravenna, Italy

 Rubbi I. and Lapucci G. contributed equally and therefore share first authorship


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How to Cite

Rubbi I, Lapucci G, Bondi B, Monti A, Cortini C, Cremonini V, et al. Effectiveness of a video lesson for the correct use in an emergency of the automated external defibrillator (AED). Acta Biomed [Internet]. 2020 Jun. 20 [cited 2024 Jul. 13];91(6-S):71-8. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9589