Investigation of the Effect of Using a Metronome or Song on the Lay Rescuers' Quality of Chest Compressions

Year 2023, Volume: 4 Issue: 3, 120 - 125, 21.09.2023

Fatma Tortum , Erdal Tekin

https://doi.org/10.56766/ntms.1276064

Abstract

Introduction: This study aimed to determine the quality of chest compressions performed by lay rescuers assisted by a healthcare worker over the telephone and investigate the effect of metronome use or the Stayin’ Alive song on the quality of these chest compressions.
Material and Method: This study was conducted prospectively at the emergency department of a tertiary hospital. The lay rescuers were assisted by an emergency medicine specialist over the telephone to perform chest compressions using the CPR Lilly PRO+ simulator. Three groups were formed, and the same participants performed three cycles of chest compressions over the telephone for two minutes first without any external stimulus (Group 1), then using a metronome as an external stimulus (Group 2), and finally by listening to the Stayin’ Alive song as another external stimulus (Group 3). The obtained data were analyzed with IBM SPSS v. 23.0.
Results: There was no statistically significant difference between the three groups in terms of the target number of chest compressions (p=0.404). However, the compression depth and chest compression fraction statistically significantly differed between the groups (p<0.05).
Conclusion: If lay rescuers who have not received basic life support training in Turkey are assisted by healthcare workers over the telephone, they can achieve a sufficient number of chest compressions. However, considering the inadequate compression depth, chest compressions applied by lay rescuers with telephone assistance does not seem to be effective in our country.

Keywords

Metronome, chest compressions, emergency medicine, Stayin’ Alive song, resuscitation

References

• 1. Merchant RM, Topjian AA, Panchal AR, et al. Adult Basic and Advanced Life Support, Pediatric Basic and Advanced Life Support, Neonatal Life Support, Resuscitation Education Science, and Systems of Care Writing Groups. Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020; 142(16_suppl_2):337-57.
• 2. Gässler H, Helm M, Hossfeld B, Fischer M. Survival Following Lay Resuscitation. Dtsch Arztebl Int. 2020; 117(51-52):871-77.
• 3. Khorasani-Zadeh A, Krowl LE, Chowdhry AK, et al. Usefulness of a metronome to improve quality of CC during cardiopulmonary resuscitation. Proc (Bayl Univ Med Cent). 2020; 34(1):54-55.
• 4. Kern KB, Stickney RE, Gallison L, Smith RE. Metronome improves compression and ventilation rates during CPR on a manikin in a randomized trial. Resuscitation. 2010; 81(2):206-10.
• 5. Çalışkan D, Bildik F, Aslaner MA, Kılıçaslan İ, Keleş A, Demircan A. Effects of metronome use on cardiopulmonary resuscitation quality. Turk J Emerg Med. 2021; 21(2):51-55.
• 6. Singer R, Leo G, Davis T, et al. The Baby Shark (Songs Heard Affecting Resuscitation Kinetics) study. BMJ Simul Technol Enhanc Learn. 2020; 7(4):246-49.
• 7. Rawlins L, Woollard M, Williams J, Hallam P. Effect of listening to Nellie the Elephant during CPR training on performance of chest compressions by lay people: randomised crossover trial. BMJ. 2009; 339:b4707.
• 8. Matlock D, Hafner JW, Bockewitz EG, Barker LT, Dewar JD. “Stayin'Alive”: A pilot study to test the effectiveness of a novel mental metronome in maintaining appropriate compression rates in simulated cardiac arrest scenarios. Ann Emerg Med. 2008; 52(4):67-68.
• 9. 9. Roehr CC, Schmölzer GM, Thio M, Dold SK, Schmalisch G, Davis PG. How ABBA may help improve neonatal resuscitation training: auditory prompts to enable coordination of manual inflations and chest compressions. J Paediatr Child Health. 2014; 50(6):444-48.
• 10. Hong C, Hwang S, Lee K, Kim Y, Ha Y, Park S. Metronome vs. Popular Song: A Comparison of Long-Term Retention of Chest Compression Skills after Layperson Training for Cardiopulmonary Resuscitation. Hong Kong J. Emerg. Med. 2016; 23(3):145-52.
• 11. Hwang HJ, Uhm TH. Comparison of Adult Manikin Chest Compression between Music and Metronome Practice after Video Self-Instruction. Fire Sci. Eng. 2021; 35(1):122-27.
• 12. Faul F, Erdfelder E, Lang A, Buchner A. G⁎Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2): 175-91.
• 13. Tastan S, Ayhan H, Unver V, et al. The effects of music on the cardiac resuscitation education of nursing students. Int Emerg Nurs. 2017; 31:30-35.
• 14. Kwon OY. The changes in cardiopulmonary resuscitation guidelines: from 2000 to the present. J Exerc Rehabil. 2019; 15(6):738-46.
• 15. Plata C, Stolz M, Warnecke T, et al. Using a smartphone application (Pocket CPR) to determine CPR quality in a bystander CPR scenario-A manikin trial. Resuscitation. 2019; 137:87-93.
• 16. Ecker H, Lindacher F, Adams N, et al. Video-assisted cardiopulmonary resuscitation via smartphone improves quality of resuscitation: A randomised controlled simulation trial. Eur J Anaesthesiol. 2020; 37(4):294-302.
• 17. Plata C, Nowack M, Loeser J, et al. Verbal Motivation vs. Digital Real-Time Feedback during Cardiopulmonary Resuscitation: Comparing Bystander CPR Quality in a Randomized and Controlled Manikin Study of Simulated Cardiac Arrest. Prehosp Emerg Care. 2021; 25(3):377-87.
• 18. van Tulder R, Roth D, Havel C, et al. "Push as hard as you can" instruction for telephone cardiopulmonary resuscitation: a randomized simulation study. J Emerg Med. 2014; 46(3):363-70.
• 19. Kim KW, Kim JH, Choe WJ, et al. Effectiveness of 100 Beats per Minute Music on Cardiopulmonary Resuscitation Compression Rate Education: A Manikin Study. Hong Kong J. Emerg. Med. 2017; 24(1):12-17.
• 20. Zeng R, Yin X, Tan C, et al. Influence of different prompt measures on the quality of cardiopulmonary resuscitation chest compressions in the first year standardized training of residents in Chinese medicine hospitals. Chin J TCM WM Crit Care. 2019; 6:192-96.
• 21. Ballesteros-Peña S, Fernández-Aedo I, Vallejo-De la Hoz G, Etayo Sancho A, Alonso Pinillos A. Quality of dispatcher-assisted vs. automated external defibrillator-guided cardiopulmonary resuscitation: a randomised simulation trial. Eur J Emerg Med. 2021; 28(1):19-24.
• 22. Sakai T, Kitamura T, Nishiyama C, et al. Cardiopulmonary resuscitation support application on a smartphone-randomized controlled trial. Circ J. 2015; 79(5):1052-57.
• 23. Olasveengen TM, Semeraro F, Ristagno G, et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021; 161:98-114.
• 24. Perkins GD, Handley AJ, Koster RW, et al. Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation.2015; 95:81-99.