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The Validity of YouTube Videos on Pediatric BLS and CPR
Halil Beydilli1, Mustafa Serinken2, Cenker Eken3
11 Department of Emergency Medicine, Mugla Sıtkı Koçman University School of Medicine , Mugla, Turkey .
Insights
Most pediatric CPR and BLS YouTube videos lack optimal quality and accuracy according to 2010 guidelines. Videos with higher download counts were more likely to be accurate, but news programs often uploaded low-quality content.
Area of Science:
- Medical Education
- Emergency Medicine
- Public Health
Background:
- Limited data exists on the accuracy of online pediatric cardiopulmonary resuscitation (CPR) and basic life support (BLS) videos.
- Previous studies focused solely on adult CPR video analysis.
Purpose of the Study:
- To assess the reliability and accuracy of pediatric CPR and BLS videos on YouTube.
- To determine adherence to the 2010 CPR guidelines in available online content.
Main Methods:
- YouTube was searched using keywords "Pediatric CPR Pediatric BLS" in January 2015.
- 232 eligible videos were evaluated for content consistency with 2010 resuscitation guidelines by two independent emergency physicians.
- Video metrics including uploader, views, and use of mannequins were recorded.
Main Results:
- 15.5% of evaluated videos contained content inconsistent with 2010 guidelines.
- The median quality score for all videos was suboptimal (5/8), with only one-third achieving optimal scores (7-8).
- Videos compatible with guidelines had significantly higher download numbers; highly viewed videos (>10,000 downloads) scored better.
Conclusions:
- A moderate proportion of YouTube pediatric life support videos exhibit suboptimal quality and accuracy.
- Despite higher view counts, videos from news programs often demonstrated insufficient quality.
- There is a need for improved quality control and adherence to guidelines in online pediatric CPR/BLS educational resources.
Background:
There are few data regarding the validity of cardiopulmonary resuscitation (CPR) and basic life support (BLS) videos on YouTube in the medical literature, and those that do are only analyzing adult CPR videos. The present study aimed to determine the reliability and accuracy of pediatric CPR and BLS videos as to whether they are consistent with the 2010 CPR guidelines.
Materials And Methods:
YouTube was scanned in January 2015 using the key words "Pediatric CPR Pediatric BLS" without any filters. The raw data collected in the study included sources that uploaded the videos, the record time, the number of viewers in the study period, and inclusion of human or mannequins. Furthermore, the contents of the videos were evaluated as to whether they are consistent with the 2010 resuscitation guidelines. All videos were seen by two independent researchers (emergency physicians) and scored between 0 and 8.
Results:
In total, 1,200 videos were evaluated regarding the exclusion criteria, which yielded 232 eligible ones. Most of the videos were found to be uploaded by individuals with unspecified credentials (34.1%). Of the videos, 15.5% have content inconsistent with the 2010 guidelines. The median score of all the videos are not high enough (5 [interquartile range (IQR), 4-7]), and only one-third of the videos have optimal quality with scores of 7 or 8. The downloaded number of videos compatible with guidelines was significantly higher relative to the videos not compatible with the guidelines (15,389 [IQR, 881-31515] versus 477 [IQR, 108-3,797); p = 0.0001). The videos downloaded more than 10,000 times had a higher score than the others (median scores of 7 and 5, respectively; p = 0.0001).
Conclusions:
Moderate numbers of YouTube videos purporting to be about pediatric life support have optimal quality, and few of them are perfect. Furthermore, YouTube videos uploaded by news programs with an insufficient quality have the highest download rates.
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