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

Main Article Content

Ivan Rubbi https://orcid.org/0000-0001-6067-9578
Giorgio Lapucci
Barbara Bondi
Alice Monti
Carla Cortini
Valeria Cremonini
Eleonora Nanni
Gianandrea Pasquinelli https://orcid.org/0000-0003-1506-1829
Paola Ferri http://orcid.org/0000-0001-7761-7226

Keywords

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

Abstract

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.

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References

1. World Health Organization. Cardiovascular Diseases. 2020. Available from: https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1. (Accessed 18 April 2020).
2. Istat. Indagine su decessi e cause di morte. 2019. Available from: https://www.istat.it/it/archivio/4216. (Accessed 18 April 2020).
3. Moya-Mitjans À, Lidón RM. Automatic External Defibrillator in Sudden Out-of-hospital Cardiac Arrest: In Search of Effective Treatment. Rev Esp Cardiol (Engl Ed) 2018; 71: 64-6.4. Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one-month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation 2016; 105: 188-95.
5. Lapucci G, Bondi B, Rubbi I, et al. A randomized comparison trial of two and four-step approaches to teaching Cardio-Pulmonary Reanimation. Acta Biomed 2018; 89(4-S): 37-44.
6. Perkins GD, Handley AJ, Koster RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation 2015; 95: 81-99. 7. Holmberg MJ, Vognsen M, Andersen MS, Donnino MW, Andersen LW. Bystander automated external defibrillator use and clinical outcomes after out-of-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation 2017; 120: 77-87.
8. Baldi E, Savastano S. AED use before EMS arrival: When survival becomes a matter of law and system in Italy, which can be improved. Eur Heart J 2018; 39: 1664
9. Decreto Interministeriale 18 marzo 2011. Determinazione dei criteri e delle modalità di diffusione dei defibrillatori semiautomatici esterni di cui all’art. 2 co. 46 della legge n. 191/2009. Available from: http://www.trovanorme.salute.gov.it/norme/dettaglioAtto?id=38392. (Accessed 18 April 2020).
10. Fredman D, Haas J, Ban Y, et al. Use of a geographic information system to identify differences in automated external defibrillator installation in urban areas with similar incidence of public out-of-hospital cardiac arrest: a retrospective registry-based study. BMJ Open 2017; 7: e014801.
11. Brooks B, Chan S, Lander P, Adamson R, Hodgetts GA, Deakin CD. Public knowledge and confidence in the use of public access defibrillation. Heart 2015; 101: 967-71.
12. Smith CM, Lim Choi Keung SN, Khan MO, et al. Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: a systematic review. Eur Heart J Qual Care Clin Outcomes 2017; 3: 264-73.
13. Legge 3 aprile 2001, n. 120. Utilizzo dei defibrillatori semiautomatici in ambiente extraospedaliero. Available from: https://www.gazzettaufficiale.it/atto/serie_generale/caricaDettaglioAtto/originario?atto.dataPubblicazioneGazzetta=2001-04-14&atto.codiceRedazionale=001G0173&elenco30giorni=false. (Accessed 18 April 2020).
14. Zorzi A, Susana A, Spadotto V, Cacciavillani L, Corrado D. Sudden cardiac arrest in Italian sports facilities in 2015: epidemiological implications of the so-called “Balduzzi decree”. G Ital di Cardiol 2016; 17: 903-907.
15. Sondergaard KB, Hansen SM, Pallisgaard JL, et al. Out-of-hospital cardiac arrest: Probability of bystander defibrillation relative to distance to nearest automated external defibrillator. Resuscitation 2018; 124: 138-44.
16. Yeung J, Okamoto D, Soar J, Perkins GD. AED training and its impact on skill acquisition, retention and performance - a systematic review of alternative training methods. Resuscitation 2011; 82: 657-64.
17. Isbye DL, Rasmussen LS, Lippert FK, Rudolph, SF, Ringsted CV. Laypersons may learn basic life support in 24 min using a personal resuscitation manikin. Resuscitation 2006; 69: 435-42.
18. Lynch B, Einspruch EL, Nichol G, Becker LB, Aufderheide TP, Idris A. Effectiveness of a 30-min CPR self-instruction program for lay responders: a controlled randomized study. Resuscitation 2005; 67: 31-43.
19. Roppolo LP, Pepe, PE, Campbell L, et al. Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study. Resuscitation 2007; 74: 276-85.
20. De Vries W, Handley AJ. A web-based micro-simulation program for self-learning BLS skills and the use of an AED. Can laypeople train themselves without a manikin? Resuscitation 2007; 75: 491-98. 21. Paglino M, Contri E, Baggiani M, et al. A video-based training to effectively teach CPR with long-term retention: the ScuolaSalvaVita.it ("SchoolSavesLives.it") project. Intern Emerg Med 2019; 14: 275-79.
22. Proposta di legge 08 maggio 2019, n. 1836, Modifiche alla tabella A allegata al decreto del Presidente della Repubblica 26 ottobre 1972, n. 633, e alla legge 3 aprile 2001, n. 120, per la promozione della diffusione e dell'impiego dei defibrillatori semiautomatici e automatici. Available from: https://www.camera.it/leg18/126?leg=18&idDocumento=1836. (Accessed 18 April 2020).
23. Cremonini V, Ferri P, Artioli G, Sarli L, Piccioni E, Rubbi I. Nursing students’ experiences of and satisfaction with the clinical learning environment: the role of educational models in the simulation laboratory and in clinical practice. Acta Biomed 2015; 86 Suppl 3: 194-204.
24. Rubbi I, Ferri P, Andreina G, Cremonini V. [Learning in clinical simulation: observational study on satisfaction perceived by students of nursing].Prof Inferm 2016; 69: 84-94
25. Ferri P, Rovesti S, Magnani D, et al. The efficacy of interprofessional simulation in improving collaborative attitude between nursing students and residents in medicine. A study protocol for a randomised controlled trial. Acta Biomed. 2018; 89(7-S): 32-40.
26. Rubbi I, Cremonini V, Butuc A, et al. Incidence and type of health care associated injuries among nursing students: an experience in northern Italy. Acta Biomed 2018; 89(7-S): 41-9.
27. Gonzi G, Sestigiani F, D’errico A, et al. Correlation between quality of cardiopulmonary resuscitation and self-efficacy measured during in-hospital cardiac arrest simulation; preliminary results. Acta Biomed 2015; 86 Suppl 1: 40-5.
28. Jeffers J, Eppich W, Trainor J, Mobley B, Adler M. Development and Evaluation of a Learning Intervention Targeting First-Year Resident Defibrillation Skills. Pediatr Emerg Care 2016; 32: 210-6.
29. Rollero C. L’oggettivazione attraverso gli spot pubblicitari: l’influenza dei media su umore e autostima. Psicologia di comunità 2013; 2: 65-72.