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Title: Studies in CPR training
Author: Donnelly, Peter D.
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1999
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This dissertation describes the development of a robust test of manikin cardiopulmonary resuscitation (CPR) performance "The Cardiff Test". The test consists of two parts. Firstly the Cardiff test of response and evaluation (CARE) assesses all of those actions important to basic life support up to that point at which chest compression and mouth ventilation begin. This includes the careful approach, the opening of the airway and casualty assessment. Secondly the video and recording Anne printout (VIDRAP) evaluates the key psychomotor skills of chest compression and mouth to mouth ventilation. In each part of the test the development of marking schedules and making guidance is key in reducing inter and intra observer error. The advantageous and novel element of combining video recording with manikin printout is fully described. The dissertation then describes how "The Cardiff Test" was used to test the skills of 280 trainees from 9 UK cities six months after they had been trained as part of the BBC 999 road show training initiative. The innovative "cold call" methodology sought to replicate some of the immediacy and stress of a true cardiac arrest in the home. When faced unforewarned with a scenario of full cardiopulmonary arrest 6 months after training only 12% of trainees could perform effective CPR and of these 5% performed at least one element of CPR in a potentially injurious way. The majority of trainees (89%) failed to open the airway at the correct time and failed to say spontaneously that they would call an ambulance (90%). The possible reasons for, and implications of, these results are discussed as are the lessons learned from using television as a means of trainee recruitment when compared to other non-targeted means, namely: a community word of mouth approach or an approached based on editorial coverage in a local newspaper. The relevant literature is reviewed in detail and reprints of peer reviewed publications resulting from the development of the two part test and the BBC 999 evaluation are included in the appendices.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available