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Self-learning basic life support: A randomised controlled trial on learning conditions.

Tina Heidi Pedersen1, Nina Kasper1, Hari Roman2

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Summary
This summary is machine-generated.

Basic Life Support (BLS) self-learning is as effective as instructor-led training initially. Self-study BLS skills show better long-term retention than guided learning.

Keywords:
Automatic external defibrillatorBasic life supportCardiac arrestCardio pulmonary resuscitationEducationFacilitator_led learningLearningLearning methodsSelf-learningVideo

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Cardiopulmonary Resuscitation

Background:

  • Traditional Basic Life Support (BLS) training often relies on instructor-led sessions.
  • The efficacy of self-directed learning for BLS competencies using standardized kits requires further investigation.

Purpose of the Study:

  • To compare the effectiveness of unsupervised Basic Life Support (BLS) self-learning with traditional facilitator-led BLS training.
  • To assess the short-term and long-term retention of BLS skills in medical students.

Main Methods:

  • First-year medical students were randomized into BLS self-learning or facilitator-led groups, both using the MiniAnne kit.
  • BLS competencies were assessed immediately after training and at a 3-month follow-up using simulated scenarios and the Resusci Anne SkillReporter™.
  • The primary outcome was the percentage of correct cardiac compressions at 3 months.

Main Results:

  • Immediately after training, no significant difference in correct compressions was observed between self-learning (42%) and facilitator-led (48%) groups.
  • At 3-month follow-up, correct compressions decreased significantly in the facilitator-led group (28%) but remained stable in the self-learning group (47%).
  • Self-learning demonstrated superior retention of BLS skills compared to facilitator-led training over three months.

Conclusions:

  • Pure self-learning for Basic Life Support (BLS) is not inferior to facilitator-led learning in the short term.
  • Self-directed BLS training leads to better skill retention at three months compared to instructor-guided training.