Utility of Low Fidelity Manikins for Learning High Quality Chest Compressions
Primarily, to measure the adequacy of chest compression depth after training on low fidelity manikins and secondarily to assess the comparative experience of the learners on high fidelity and low fidelity simulators.
An observational cohort study in which seventy-two first year postgraduate students underwent a Basic Life Support (BLS) workshop conducted by AHA accredited BLS trainers and they were then required to perform on a high fidelity manikin to objectively record the quality of their performance.
There were 34 (47.22%) male and 38 (52.77%) female participants. CPR skills, as judged by checklist of sequential actions and visual inspection during the BLS training on low fidelity simulators (LFS) were correctly performed by majority (95.89%) participants. However, none of the participants could achieve the recommended depth for high quality chest compressions. The participants’ perception of degree of realism and their practical experience on both the types of manikins were similar.
Low fidelity manikins are useful for training CPR in sequential manner but fail to impart quality of chest compressions as per AHA recommendations.
KeywordsChest compressions depth Low simulator manikins Basic life support training
The authors would like to acknowledge the contribution of the EMS committee of the Institute and the AHA certified instructors for supporting the research project.
MG: developed concept, designed study methodology and drafted the manuscript; AK: designed the study and helped in reviewing research protocol; SJ: collected the data and helped in data interpretation; UC: analyzed data; GN: reviewed manuscript and data tables. MG will act as guarantor for this paper.
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- 1.American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132:S2.Google Scholar
- 6.2015. International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2015;132:S1.Google Scholar
- 12.American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. 2015;32:S2.Google Scholar