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Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Early or late booster for basic life support skill for laypeople: a simulation-based randomized controlled trial.

Sylvain Boet1,2,3,4,5,6, Richard Waldolf7,8,9, Chilombo Bould10

  • 1Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, 501 Smyth Road, Ottawa, ON, K1H 8M2, Canada. sboet@toh.ca.

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Summary

A late booster session significantly improves Basic Life Support (BLS) skill retention in laypeople after 4 months. This study found that a delayed refresher course is more effective than an early one for maintaining resuscitation skills.

Keywords:
EducationHeart arrestPatient simulationResuscitation

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Area of Science:

  • Emergency Medicine
  • Medical Education
  • Resuscitation Science

Background:

  • Skill decay is a significant challenge following resuscitation training.
  • The optimal timing for booster sessions to enhance skill retention remains debated.
  • Effective strategies are needed to improve long-term proficiency in Basic Life Support (BLS).

Purpose of the Study:

  • To compare the effectiveness of early versus late booster sessions on BLS skill retention at 4 months.
  • To evaluate the impact of booster timing on the long-term performance of resuscitation skills in laypeople.
  • To determine the optimal interval for refresher training to combat skill fade after BLS certification.

Main Methods:

  • A single-blind randomized controlled trial was conducted in a simulation environment.
  • Adult laypeople with no recent BLS training were randomized into control, early booster (3 weeks), or late booster (2 months) groups.
  • BLS skills were assessed immediately post-training and at a 4-month retention test using a standardized checklist for CPR and AED use.

Main Results:

  • The late booster group demonstrated superior skill retention at 4 months compared to both the early booster and control groups.
  • While the early booster group showed some benefit over the control, the late booster group's performance was notably better.
  • Skill retention scores significantly declined in the control group, highlighting the need for effective refresher interventions.

Conclusions:

  • A late booster session, administered 2 months after initial training, is effective in improving BLS skill retention in laypeople at 4 months.
  • The timing of refresher training is a critical factor in maintaining resuscitation competencies.
  • These findings support the implementation of strategically timed booster sessions to enhance public preparedness for cardiac emergencies.