Effect of listening to Nellie the Elephant during CPR training on performance of chest compressions by lay people: randomised crossover trial

Objectives To determine whether listening to music during cardiopulmonary resuscitation (CPR) training increases the proportion of lay people delivering chest compressions of 100 per minute.Design Prospective randomised crossover trial.Setting Large UK university.Participants 130 volunteers (81 men)...

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Bibliographic Details
Published in:BMJ 2009-12, Vol.339 (7735), p.1429-1431
Main Authors: Rawlins, L, Woollard, M, Williams, J, Hallam, P
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Chest Wall Oscillation
CPR
Cross over studies
Emergency Medicine - education
Guidelines
Heart attacks
Humans
Hypotheses
Interventional Cardiology
Listening
Male
Medical personnel
Medieval music
Middle Aged
Music
MUSICAL INTERLUDE
Musical intervals
Musical performance
Musical performances
Professional training
Prospective Studies
Publishing
Resuscitation
Skills
Studies
Tempo
Training
Transponders
Young Adult
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Summary:Objectives To determine whether listening to music during cardiopulmonary resuscitation (CPR) training increases the proportion of lay people delivering chest compressions of 100 per minute.Design Prospective randomised crossover trial.Setting Large UK university.Participants 130 volunteers (81 men) recruited on an opportunistic basis. Exclusion criteria included age under 18, trained health professionals, and cardiopulmonary resuscitation (CPR) training within the past three months.Interventions Volunteers performed three sequences of one minute of continuous chest compressions on a skill meter resuscitation manikin accompanied by no music, repeated choruses of Nellie the Elephant (Nellie), and That’s the Way (I like it) (TTW) according to a pre-randomised order.Main outcome measures Rate of chest compressions delivered (primary outcome), depth of compressions, proportion of incorrect compressions, and type of error.Results Median (interquartile range) compression rates were 110 (93-119) with no music, 105 (98-107) with Nellie, and 109 (103-110) with TTW. There were significant differences within groups between Nellie v no music and Nellie v TTW (P
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.b4707