title: Training neonatal cardiopulmonary resuscitation: can it be improved by playing a musical prompt? A pilot study.
abstract: OBJECTIVE
  Effective neonatal cardiopulmonary resuscitation (CPR) requires 3:1 coordinated manual inflations (MI) and chest compressions (CC). We hypothesized that playing a musical prompt would help coordinate CC and MI during CPR.
  
  
  METHODS
  In this pilot trial we studied the effect the "Radetzkymarsch" (110 beats per minute) on neonatal CPR. Thirty-six medical professionals performed CPR on a neonatal manikin. CC and MI were recorded with and without the music played, using a respiratory function monitor and a tally counter. Statistical analysis included Wilcoxon test.
  
  
  RESULTS
  Without music, the median (interquartile range) rate of CC was 115 (100 to 129) per minute and the rate of MI was 38 (32 to 42) per minute. When listening to the auditory prompt, the rate of CC decreased significantly to 96 (96 to 100) per minute (p = 0.002) and the rate of MI to 32 (30 to 34) per minute (p = 0.001). The interquartile range of interoperator variability decreased up to 86%.
  
  
  CONCLUSIONS
  Listening to an auditory prompt improved compliance with the recommended delivery rates of CC and MI during neonatal CPR.
authors.affiliation: Department of Neonatology, Charité University Medical Centre, Berlin, Germany.
authors.forename: Simone K
authors.initials: SK
authors.lastname: Dold
authors.affiliation: Neonatal Research Unit, The Royal Women's Hospital, Melbourne, Australia.
authors.forename: Georg M
authors.initials: GM
authors.lastname: Schmölzer
authors.affiliation: Department of Neonatology, Charité University Medical Centre, Berlin, Germany.
authors.forename: Marcus
authors.initials: M
authors.lastname: Kelm
authors.affiliation: Neonatal Research Unit, The Royal Women's Hospital, Melbourne, Australia.
authors.forename: Peter G
authors.initials: PG
authors.lastname: Davis
authors.affiliation: Department of Neonatology, Charité University Medical Centre, Berlin, Germany.
authors.forename: Gerd
authors.initials: G
authors.lastname: Schmalisch
authors.affiliation: Department of Neonatology, Charité University Medical Centre, Berlin, Germany.
authors.forename: Charles Christoph
authors.initials: CC
authors.lastname: Roehr
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000592:standards; D006801:Humans; D007231:Infant, Newborn; D009146:Music; D010865:Pilot Projects