Layperson training for cardiopulmonary resuscitation: when less is better.
OBJECTIVE
Basic cardiopulmonary resuscitation, including use of automated external defibrillators, unequivocally saves lives. However, even when motivated, those wishing to acquire training traditionally have faced a myriad of barriers including the typical time commitment (3-4 h) and the number of certified instructors and equipment caches required.


RESULTS
The recent introduction of innovative video-based self-instruction, utilizing individualized inflatable manikins, provides an important breakthrough in cardiopulmonary-resuscitation training. Definitive studies now show that many dozens of persons can be trained simultaneously to perform basic cardiopulmonary resuscitation, including appropriate use of an automated external defibrillator, in less than 30 min. Such training not only requires much less labor intensity and avoids the need for multiple certified instructors, but also, because it is largely focused on longer and more repetitious performance of skills, these life-saving lessons can be retained for long periods of time.


CONCLUSIONS
Simpler to set-up and implement, the half-hour video-based self-instruction makes it easier for employers, churches, civic groups, school systems and at-risk persons at home to implement such training and it will likely facilitate more frequent re-training. It is now hoped that the ultimate benefit will be more lives saved in communities worldwide.
Roppolo
Lynn P
LP
Department of Surgery/Division of Emergency Medicine and Dallas Center for Resuscitation Research, University of Texas Southwestern Medical Center, Dallas, Texas 75309-8579, USA. Lynn.Roppolo@UTSouthwestern.edu
Saunders
Timothy
T
Pepe
Paul E
PE
Idris
Ahamed H
AH
D016887:Cardiopulmonary Resuscitation / Q000193:education*; D004554:Electric Countershock / Q000295:instrumentation; D006266:Health Education / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D007858:Learning; D009936:Organizational Innovation; D014743:Videotape Recording