Automated External Defibrillator: Is Internet Education Reliable

Yıl 2024, Cilt: 11 Sayı: 3, 152 - 155, 18.12.2024

Ahmet Demir , Ethem Acar

https://doi.org/10.47572/muskutd.1436156

Öz

Automatic external defibrillators (AED) are life-saving devices whose prevalence is increasing day by day and are designed to be used easily by everyone. In this study, we evaluated the videos about AEDs on "YouTube" in terms of accuracy and compliance with the guidelines. AED videos on YouTube were evaluated based on the AED section of ILCOR 2015. While the videos were evaluated, the uploader, video duration, number of views, and who the AED was applied to were also recorded. Each video was evaluated by applying a score between 0-9 points. Three hundred videos were evaluated in this study. Of these, 215 were excluded from the study according to the exclusion criteria and 85 were included in the study. When these videos were evaluated, it was found that 36 of them were uploaded by private companies for educational purposes, the average number of views was 19836 (min. 7 – max. 254318) and the median duration was 5.46 seconds or minutes (min. 0.24 – max. 59.1). The highest number videos were uploaded in 2014 (17) and a mannequin was used for demonstration in 68 videos. Only 3 videos (3.5%) received full marks. It was observed that there was a significant relationship between the institution that uploaded the videos and the reliability of the views (p≤0.05). No correlation was found between reliability and the person to whom AED was applied, video duration and loading time (p=0.218, p=0.491 and p=0.324, respectively). As a result of our study, we saw that only 3 out of 85 published under the name 'automatic external defibrillator' on YouTube received full scores, and 23 videos received scores above the average score, therefore, YouTube does not appear to be a reliable source of education for AED.

Anahtar Kelimeler

Cardiac Arrest, Automatic External Defibrillator, YouTube Video

Otomatik Eksternal Defibrilatör: İnternet Eğitimi Güvenilir Mi?

Öz

Otomatik external defibrilatörler (AED) yaygınlığı her geçen gün artan ve herkes tarafından rahatlıkla kullanılabilmesi amacıyla tasarlanmış hayat kurtarıcı cihazlardır. Bu çalışmada, "YouTube" içeriğinde bulunan AED'lerle ilgili videoları doğruluk ve klavuzlara uygunluk açısından değerlendirdik. YouTube'daki AED videoları, ILCOR 2015'in AED bölümü esas alınarak değerlendirildi. Videolar değerlendirilirken, videonun yükleyicisi, video süresi, görüntülenme sayısı ve AED'nin kimin üzerinde uygulandığı da kaydedildi. Her bir video 0-9 puan arasında bir skor uygulanarak değerlendirildi. Bu çalışmada 300 video değerlendirildi. Bunlardan 215'i dışlama kriterlerine göre çalışma dışı bırakıldı ve 85'i çalışmaya dahil edildi. Bu videolar değerlendirildiğinde, 36'sının eğitim amaçlı özel şirketler tarafından yüklendiği, ortalama görüntülenme sayısının 19836 (min.-max. 7 - 254318) olduğu ve ortanca sürenin 5.46 dakika (min.-max. 0.24 - 59.1) olduğu bulundu. En fazla video 2014'te yüklenmişti (17) ve 68 videoda demonstrasyon için bir manken kullanılmıştı. Sadece 3 video (%3.5) tam puan aldı. Videoları yükleyen kurum ve görüntüleme ile güvenilirlik arasında anlamlı ilişki olduğu görüldü (p≤0.05). AED'nin uygulandığı kişi, video süresi ve yükleme zamanı ile güvenilirlik arasında bir korelasyon bulunmadı (sırasıyla p=0.218, p=0.491 ve p=0.324). Biz çalışmamız sonucunda YouTube’da ki ’automatic external defibrillator’ adı altında yayınlanan videoların sadece 3’ünün tam puan almış olduğunu, 23 videonun da ortalama puanın üzerinde puan aldığı için eğitim açısından çok da kullanışlı olmadığını gördük.

Anahtar Kelimeler

Kardiyak Arrest, Otomatik Eksternal Defibrilatör, YouTube Video

Kaynakça

• Nolan JP, Sandroni C, Böttiger BW, et al. European resuscitation council and European society of intensive care medicine guidelines 2021: post-resuscitation care. Intensive Care Med. 2021;47(4):369-421.
• Fawzy AM, Bisson A, Bentounes SA, et al. Ventricular arrhythmias and cardiac arrest in atrial fibrillation patients with pacemakers and implantable cardioverter-defibrillators. Eur J Intern Med. 2023;115:70-8.
• Weisfeldt ML, Sitlani CM, Ornato JP, et al. Survival after application of automatic external defibrillators before arrival of the emergency medical system: evaluation in the resuscitation outcomes consortium population of 21 million. J Am Coll Cardiol. 2010;55(16):1713-20.
• Yıldırım, S, Varışlı B. The effects of cardiopulmonary resuscitation (CPR) performed out-of-hospital and in-hospital with manual or automatic device methods and laboratory parameters on survival of patients with cardiac arrest. Ir J Med Sci. 2023;192(5):2365–71.
• Beydilli H, Serinken M, Eken C, et al. The validity of YouTube videos on pediatric BLS and CPR. Telemed J E Health. 2016;22(2):165-9.
• Hansen C, Interrante JD, Ailes EC, et al. Assessment of YouTube videos as a source of information on medication use in pregnancy. Pharmaco Epidemiol Drug Saf. 2016;25(1):35–44.
• Gupta HV, Lee RW, Raina SK, et al. Analysis of YouTube as a source of information for peripheral neuropathy. Muscle Nerve. 2016;53(1):27–31.
• Battineni G, Baldoni S, Chintalapudi N, et al. Factors affecting the quality and reliability of online health information. Digit Health. 2020;6:2055207620948996.
• Lee JS, Seo HS, Hong TH. YouTube as a potential training method for laparoscopic cholecystectomy. Ann Surg Treat Res. 2015;89:92–7.
• Barlas T, Avcı DE, Cinici B, et al. The quality and reliability analysis of YouTube videos about insulin resistance. Int J Med Inform. 2023;170:104960.
• Yaylaci S, Serinken M, Eken C, et al. Are YouTube videos accurate and reliable on basic life support and cardiopulmonary resuscitation? Emerg Med Australas. 2014;26: 474–7.
• Margallo MCM, Mariano CNP, Martinez KNFL, et al. Characterizing effective teaching in nursing pharmacology. YouTube videos: A mixed methods study. Nurse Educ Today. 2023;120:105624.
• Murugiah K, Vallakati A, Rajput K, et al. YouTube as a source of information on cardiopulmonary resuscitation. Resuscitation. 2011;82:332–4.
• Stellefson M, Chaney B, Ochipa K, et al. YouTube as a source of chronic obstructive pulmonary disease patient education: a social media content analysis. Chron Respir Dis. 2014;11:61–71.