Objetivos: Evaluar si la formacion en Soporte Vital Basico y uso del Desfibrilador externo automatico (SVB/DEA) realizada en Metodologia Mixta obtiene resultados similares a los obtenidos con metodologia estandarizada oficial del  ERC, asi como su retencion a los 9 meses. Metodologia: Estudio experimental aleatorizado que compara los resultados de la formacion en SVB/DEA entre un grupo control (GC) que recibio formacion presencial de 4 horas frente a un grupo experimental (GE) que recibio formacion en metodologia mixta : 2 horas virtuales y 2 horas presenciales. La muestra estaba formada por estudiantes de grado de Odontologia del curso academico 2017-2018. Como instrumentos de recogida de datos se utilizo un cuestionario tipo test y el maniqui inteligente QCPR de Laerdal®. Resultados: 89 alumnos participaron en la investigacion (45 en el GC y 44 en el GE). Despues de la formacion, el GC obtuvo estadisticamente mejores puntuaciones en conocimientos 8.6 (DE 0.9) vs 8.1 (DE 1.1), p=0.013; en las habilidades de gran calidad, se encontraron diferencias estadisticamente significativas mejores en el GE en el tiempo en segundos de “hands off” 7.2 (DE 2.1) vs 6.3 (DE 1.7), p=0.02 y en el porcentaje de la reexpansion completa del torax 65.5 (DE 37.1) vs 86.5 (DE 22.1), p=0.002. A los 9 meses no hubo diferencias significativas. Conclusiones: La metodologia formativa basada en las 4 etapas que recomienda el ERC en SVB/DEA es igual de eficaz, o incluso mejor, en las habilidades de gran calidad, si la distribucion de las 2 primeras se realiza utilizando metodologia virtual.

Purpose of the study: Since ERC guidelines 20051, increasing access to various modalities of training has been encouraged as alternatives to the traditional BLS on-site teaching methods.

Purpose of study: The aim of this study is to convey the implementation of a program to raise the health awareness of the school-leavers who finish compulsory education in Catalonia. Hence, they know how to act in a sudden death situation, performing Basic Life Support manoeuvres (BLS). We also expect this knowledge to be maintained over time.

Abstract This paper aims to analyze agreement in the assessment of external chest compressions (ECC) by 3 human raters and dedicated feedback software. While 54 volunteer health workers (medical transport technicians), trained and experienced in cardiopulmonary resuscitation (CPR), performed a complete sequence of basic CPR maneuvers on a manikin incorporating feedback software (Laerdal PC v 4.2.1 Skill Reporting Software) (L), 3 expert CPR instructors (A, B, and C) visually assessed ECC, evaluating hand placement, compression depth, chest decompression, and rate. We analyzed the concordance among the raters (A, B, and C) and between the raters and L with Cohen's kappa coefficient (K), intraclass correlation coefficients (ICC), Bland–Altman plots, and survival–agreement plots. The agreement (expressed as Cohen's K and ICC) was ≥0.54 in only 3 instances and was ⩽0.45 in more than half. Bland–Altman plots showed significant dispersion of the data. The survival–agreement plot showed a high degree of discordance between pairs of raters (A–L, B–L, and C–L) when the level of tolerance was set low. In visual assessment of ECC, there is a significant lack of agreement among accredited raters and significant dispersion and inconsistency in data, bringing into question the reliability and validity of this method of measurement.

BACKGROUND:We aimed to analyze compliance with 2010 European guidelines' quality criteria for external chest compressions (ECC) during 2 minutes of uninterrupted cardiopulmonary resuscitation.METHODS:Seventy-two healthy nurses and physicians trained in advanced cardiopulmonary resuscitation performed 2 uninterrupted minutes of ECC on a training manikin (Resusci Anne Advanced SkillTrainer; Laerdal Medical AS, Stavanger, Norway) that enabled us to measure the depth and rate of ECC. When professionals agreed to participate in the study, we recorded their age, body mass index (BMI), smoking habit, and their own subjective estimation of their physical fitness. To measure fatigue, we analyzed participants' heart rates, percentage of maximum tolerated heart rate (MHR), and subjective perception of their fatigue on a visual analog scale.RESULTS:Nearly half (48.6%) the rescuers failed to achieve a minimum average ECC depth of 50 mm. Only 48.1% of ECCs fulfilled the 2010 guidelines' quality criteria; quality deteriorated mainly after the first minute. Poor ECC quality and deteriorating quality after the first minute were associated with BMI < 23 kg/m(2). Rescuers with BMI ≥ 23 kg/m(2) fulfilled the quality criteria throughout the 2 minutes, whereas those with BMI < 23 kg/m(2) fulfilled them for 80% of ECCs during the first minute, but for only 30% at the end of the 2 minutes.CONCLUSIONS:Compliance with the 2010 guidelines' quality criteria is often poor, mainly due to lack of proper depth. The greater depth recommended in the 2010 guidelines with respect to previous guidelines requires greater force, so BMI < 23 kg/m(2) could hinder compliance. Limiting each rescuer's uninterrupted time doing ECC to 1 minute could help ensure compliance.

Purpose: To analyze how 2010 guidelines have been incorporated to practice and if there is any relationship between CPR quality and the number of performed courses or the time past from the last course.

Introduction: Chest compressions are situated at the second link of the survival chain, and resuscitation success is related to the “great quality” of these maneuvers. The teaching of knowledge and skills according to guidelines in basic life support (BLS) is standardized. The aim of this study was to match one objective system (feedback software) of evaluation of great quality cardiopulmonary resuscitation with a subjective system (instructors).