title: Functions of standard CPR training on performance qualities of medical volunteers for Mt. Taishan International Mounting Festival.
abstract: BACKGROUND
  Cardiopulmonary resuscitation (CPR) is a sudden emergency procedure that requires a rapid and efficient response, and personnel training in lifesaving procedures. Regular practice and training are necessary to improve resuscitation skills and reduce anxiety among the staff. As one of the most important skills mastered by medical volunteers serving for Mt. Taishan International Mounting Festival, we randomly selected some of them to evaluate the quality of CPR operation and compared the result with that of the untrained doctors and nurses. In order to evaluate the functions of repeating standard CPR training on performance qualities of medical volunteers for Mt. Taishan International Mounting Festival, their performance qualities of CPR were compared with those of the untrained medical workers working in emergency departments of hospitals in Taian.
  
  
  METHODS
  The CPR performance qualities of 52 medical volunteers (Standard Training Group), who had continually taken part in standard CPR technical training for six months, were tested at random and were compared with those of 68 medical workers (Compared Group) working in emergency departments of hospitals in Taian who hadn't attended CPR training within a year. The QCPR 3535 monitor (provided by Philips Company) was used to measure the standard degree of single simulated CPR performance, including the chest compression depth, frequency, released pressure between compressions and performance time of compression and ventilation, the results of which were recorded in the table and the number of practical compression per minute was calculated. The data were analyzed by x2 Test and t Test. The factors which would influence CPR performance, including gender, age, placement, hand skill, posture of compression and frequency of training, were classified and given parameters, and were put to Logistic repression analysis.
  
  
  RESULTS
  The CPR performance qualities of volunteers were much higher than those of the compared group. The overall pass rates were respectively 86.4% and 31.9%; the pass rates of medical volunteers in terms of the chest compression depth, frequency, released pressure between compressions were higher than those of the compared group, which were 89.6%, 94.2%, 95.8% vs 50.3%, 53.0%, 83.1%, P<0.01; there were few differences in overall performance time, which were (118.4 ± 13.5s) vs (116.0 ± 10.4s), P>0.05; the duration time of ventilation in each performance section was much shorter than that in the compared group, which were (6.38 ± 1.2) vs (7.47 ± 1.7), P<0.01; there were few differences in the number of practical compression per minute, which were (78.2 ± 3.5) vs (78.8 ± 12.2), P>0.05); the time proportion of compression and ventilation was 2.6:1 vs 2.1:1. The Logistic repression analysis showed that CPR performance qualities were clearly related to hand skill, posture of compression and repeating standard training, which were respectively OR 13.12 and 95%CI (2.35~73.2); OR 30.89, 95%CI (3.62~263.5); OR 4.07,95%CI (1.16~14.2).
  
  
  CONCLUSIONS
  The CPR performance qualities of volunteers who had had repeating standard training were much higher than those of untrained medical workers, which proved that standard training helped improve CPR performance qualities.
authors.affiliation: Emergency Department, 88th Hospital of PLA, Taian Shandong Province, 271000, China. taianmengmeng88@hotmail.com
authors.forename: Meng
authors.initials: M
authors.lastname: Fanshan
authors.forename: Zhao
authors.initials: Z
authors.lastname: Lin
authors.forename: Liu
authors.initials: L
authors.lastname: Wenqing
authors.forename: Lu
authors.initials: L
authors.lastname: Chunlei
authors.forename: Liu
authors.initials: L
authors.lastname: Yongqiang
authors.forename: Li
authors.initials: L
authors.lastname: Naiyi
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000592:standards*; D016009:Chi-Square Distribution; D002983:Clinical Competence; D004632:Emergency Medical Services / Q000592:standards*; D004638:Emergency Treatment / Q000592:standards; D005260:Female; D006693:Holidays; D006801:Humans; D016015:Logistic Models; D008297:Male; D009051:Mountaineering; D011787:Quality of Health Care; D013647:Task Performance and Analysis; D014838:Volunteers / Q000193:education*; D000078329:Workforce
references.citation: Circulation. 2010 Oct 19;122(16 Suppl 2):S250-75
references.pmid: 20956249
references.citation: Resuscitation. 2006 Dec;71(3):335-40
references.pmid: 17069958
references.citation: Eur J Emerg Med. 2007 Dec;14(6):332-6
references.pmid: 17968198
references.citation: Resuscitation. 2007 May;73(2):202-11
references.pmid: 17379380
references.citation: Acad Emerg Med. 2006 Mar;13(3):254-63
references.pmid: 16495425
references.citation: Resuscitation. 2007 May;73(2):271-8
references.pmid: 17250946
references.citation: Eur J Anaesthesiol. 2006 Apr;23(4):327-31
references.pmid: 16438766
references.citation: Circulation. 2010 Nov 2;122(18 Suppl 3):S829-61
references.pmid: 20956228
references.citation: Heart. 2003 Jan;89(1):25-30
references.pmid: 12482785
references.citation: Resuscitation. 2007 Jun;73(3):417-24
references.pmid: 17275158
references.citation: Resuscitation. 2007 Jul;74(1):52-62
references.pmid: 17303309
references.citation: Circulation. 2010 Nov 2;122(18 Suppl 3):S640-56
references.pmid: 20956217
references.citation: Circulation. 2003 Nov 18;108(20):2575-94
references.pmid: 14623795
references.citation: Resuscitation. 2003 Jan;56(1):67-75
references.pmid: 12505741
references.citation: Circulation. 2010 Nov 2;122(18 Suppl 3):S685-705
references.pmid: 20956221
references.citation: Circulation. 2011 Feb 15;123(6):691-706
references.pmid: 21220728