Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-26T20:31:25.211Z Has data issue: false hasContentIssue false
  • English
  • Français

Video Self-instruction for Police Officers in Cardiopulmonary Resuscitation and Automated External Defibrillators

Published online by Cambridge University Press:  26 July 2013

Amer Z. Aldeen ,
Nicholas D. Hartman ,
Adriana Segura ,
Amit Phull ,
Diane M. Shaw ,
George T. Chiampas  and
D. Mark Courtney
Amer Z. Aldeen*
Affiliation:
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA
Nicholas D. Hartman
Affiliation:
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA
Adriana Segura
Affiliation:
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA
Amit Phull
Affiliation:
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA
Diane M. Shaw
Affiliation:
Chicago Police Department, Chicago, Illinois USA
George T. Chiampas
Affiliation:
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA
D. Mark Courtney
Affiliation:
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA
*
Correspondence: Amer Z. Aldeen, MD Department of Emergency Medicine Feinberg School of Medicine Northwestern University 211 E Ontario St., Ste. 200 Chicago, IL 60611 USA E-mail ameraldeen@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction

Police officers often serve as first responders during out-of-hospital cardiac arrests (OHCA). Current knowledge and attitudes about resuscitation techniques among police officers are unknown.

Hypothesis/problem

This study evaluated knowledge and attitudes about cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs) among urban police officers and quantified the effect of video self-instruction (VSI) on these outcomes.

Methods

Urban police officers were enrolled in this online, prospective, educational study conducted over one month. Demographics, prior CPR-AED experience, and baseline attitudes were queried. Subjects were randomized into two groups. Each group received a slightly different multiple-choice test of knowledge and crossed to the alternate test after the intervention, a 10-minute VSI on CPR and AEDs. Knowledge and attitudes were assessed immediately before and after the intervention. The primary attitude outcome was entering “very likely” (5-point Likert) to do chest compressions (CC) and use an AED on a stranger. The primary knowledge outcomes were identification of the correct rate of CC, depth of CC, and action in an OHCA scenario.

Results

A total of 1616 subjects responded with complete data (63.6% of all electronic entries). Randomization produced 819 participants in group 1, and 797 in group 2. Groups 1 and 2 did not differ significantly in any background variable. After the intervention, subjects “very likely” to do CC on a stranger increased by 17.2% (95% CI, 12.5%-21.8%) in group 1 and 21.2% (95% CI, 16.4%-25.9%) in group 2. Subjects “very likely” to use an AED on a stranger increased by 20.0% (95% CI, 15.3%-24.7%) in group 1 and 25.0% (95% CI, 20.2%-29.6%) in group 2. Knowledge of correct CC rate increased by 59.0% (95% CI, 55.0%-62.8%) in group 1 and 64.8% (95% CI, 60.8%-68.3%) in group 2. Knowledge of correct CC depth increased by 44.8% (95% CI, 40.5%-48.8%) in group 1 and 54.4% (95% CI, 50.3%-58.3%) in group 2. Knowledge of correct action in an OHCA scenario increased by 27.4% (95% CI, 23.4%-31.4%) in group 1 and 27.2% (95% CI, 23.3%-31.1%) in group 2.

Conclusion

Video self-instruction can significantly improve attitudes toward and knowledge of CPR and AEDs among police officers. Future studies can assess the impact of VSI on actual rates of CPR and AED use during real out-of-hospital cardiac arrests.

AldeenAZ, HartmanND, SequraA, PhullA, ShawDM, ChiampasGT, CourtneyDM. Video Self-instruction for Police Officers in Cardiopulmonary Resuscitation and Automated External Defibrillators. Prehosp Disaster Med. 2013;28(5):1-6.

Keywords

automated external defibrillatorcardiopulmonary resuscitationeducationout-of-hospital cardiac arrestpolice
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 5 , October 2013 , pp. 471 - 476
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Roger, V, Go, A, Lloyd-Jones, D, et al. Heart disease and stroke statistics—2011 update: a report from the American Heart Association. Circulation. 2011;123(4):e18-e209.CrossRefGoogle ScholarPubMed
2.McNally, B, Robb, R, Mehta, M, et al. Out-of-hospital cardiac arrest surveillance—Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005-December 31, 2010. Centers for Disease Control and Prevention MMWR. 2011;60(8):1-19.Google Scholar
3.Berdowski, J, Blom, M, Bardai, A, et al. Impact of onsite or dispatched automated external defibrillator use on survival after out-of-hospital cardiac arrest. Circulation. 2011;124(20):2225-2232.CrossRefGoogle ScholarPubMed
4.Roppolo, L, Pepe, P, Campbell, L, et al. Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study. Resuscitation. 2007;74(2):276-285.CrossRefGoogle ScholarPubMed
5.Bobrow, B, Vadeboncoeur, T, Spaite, DW, et al. The effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation: implications for the future of citizen cardiopulmonary resuscitation training. Circ Cardiovasc Qual Outcomes. 2011;4(2):220-226.CrossRefGoogle ScholarPubMed
6.Alonso-Serra, H, Delbridge, TR, Auble, TE, Mosesso, VN, Davis, EA. Law enforcement agencies and out-of-hospital emergency care. Ann Emerg Med. 1997;29(4):497-503.CrossRefGoogle ScholarPubMed
7.Groh, WJ, Lowe, MR, Overgaard, AD, Neal, JM, Fishburn, WC, Zipes, DP. Attitudes of law enforcement officers regarding automated external defibrillators. Acad Emerg Med. 2002;9(7):751-753.CrossRefGoogle ScholarPubMed
8.Hirsch, LM, Wallace, SK, Leary, M, Tucker, KD, Becker, LB, Abella, BS. Automated external defibrillator availability and CPR training among state police agencies in the United States. Ann Emerg Med. 2012;60(1):57-62.CrossRefGoogle ScholarPubMed
9.Kooij, FO, van Alem, AP, Koster, RW, deVos, R. Training of police officers as first responders with an automated external defibrillator. Resuscitation. 2004;63(1):33-41.CrossRefGoogle ScholarPubMed
10.Chicago Police Department 2010 Annual Report, p.54. Available at: https://portal.chicagopolice.org/portal/page/portal/ClearPath/News/Statistical%20Reports/Annual%20Reports. Accessed July 22, 2012.Google Scholar
11. CPR and AED Training Video Targeted to Professionals. Available at: www.ccares.northwestern.edu. Accessed March 1, 2011.Google Scholar
Supplementary material: PDF

Aldeen et al. supllementary material

Questonnnaire

Download Aldeen et al. supllementary material(PDF)
PDF 206.9 KB