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What can be learned from the literature about intervals and strategies for paediatric CPR retraining of healthcare professionals? A scoping review of literature.

Gugelmin-Almeida, D., Tobase, L., Maconochie, I., Polastri, T., Rodrigues Gesteira, E. C. and Williams, J., 2022. What can be learned from the literature about intervals and strategies for paediatric CPR retraining of healthcare professionals? A scoping review of literature. Resuscitation Plus, 12, 100319.

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DOI: 10.1016/j.resplu.2022.100319


Background: Effective training and retraining may be key to good quality paediatric cardiopulmonary resuscitation (pCPR). PCPR skills decay within months after training, making the current retraining intervals ineffective. Establishing an effective retraining strategy is fundamental to improve quality of performance and potentially enhance patient outcomes. Objective: To investigate the intervals and strategies of formal paediatric resuscitation retraining provided to healthcare professionals, and the associated outcomes including patient outcomes, quality of performance, retention of knowledge and skills and rescuer's confidence. Methods: This review was drafted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Reviews (PRISMA-ScR). PubMed, Medline, Cochrane, Embase, CINAHL Complete, ERIC and Web of Science were searched and studies addressing the PICOST question were selected. Results: The results indicate complex data due to significant heterogeneity among study findings in relation to study design, retraining strategies, outcome measures and length of intervention. Out of 4706 studies identified, 21 were included with most of them opting for monthly or more frequent retraining sessions. The length of intervention ranged from 2-minutes up to 3.5 hours, with most studies selecting shorter durations (<1h). All studies pointed to the importance of regular retraining sessions for acquisition and retention of pCPR skills. Conclusions: Brief and frequent pCPR retraining may result in more successful skill retention and consequent higher-quality performance. There is no strong evidence regarding the ideal retraining schedule however, with as little as two minutes of refresher training every month, there is the potential to increase pCPR performance and retain the skills for longer.

Item Type:Article
Uncontrolled Keywords:APLS, Advanced paediatric life support; ATLS, Advanced trauma life support; BLS, Basic life support; CPR, Cardiopulmonary resuscitation; EM, Emergency medical; EMS, Emergency medical services; EPALS, European paediatric advanced life support; Healthcare professionals; ILCOR, International liaison committee on resuscitation; PALS, Paediatric advanced life support; PHPLS, Pre-hospital paediatric life support; PILS, Paediatric intermediate life support; Paediatric cardiopulmonary resuscitation; RCT, Randomised controlled trial; Retraining intervals; Scoping review; Training strategies; pCPR, Paediatric cardiopulmonary resuscitation
Group:Faculty of Health & Social Sciences
ID Code:37795
Deposited By: Symplectic RT2
Deposited On:11 Nov 2022 11:27
Last Modified:11 Nov 2022 11:27


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