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Biomed Res Int. 2016;2016:5460964. doi: 10.1155/2016/5460964. Epub 2016 Aug 31.

DARE Train-the-Trainer Pedagogy Development Using 2-Round Delphi Methodology.

BioMed research international

Wei Wei Dayna Yong, Phek Hui Jade Kua, Swee Sung Soon, Pin Pin Maeve Pek, Marcus Eng Hock Ong

Affiliations

  1. Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  2. Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
  3. Department of Pharmacy, National University of Singapore, Singapore.
  4. Department of Emergency Medicine, Singapore General Hospital, Singapore.

PMID: 27660757 PMCID: PMC5021864 DOI: 10.1155/2016/5460964

Abstract

The Dispatcher-Assisted first REsponder programme aims to equip the public with skills to perform hands-only cardiopulmonary resuscitation (CPR) and to use an automated external defibrillator (AED). By familiarising them with instructions given by a medical dispatcher during an out-of-hospital cardiac arrest call, they will be prepared and empowered to react in an emergency. We aim to formalise curriculum and standardise the way information is conveyed to the participants. A panel of 20 experts were chosen. Using Delphi methodology, selected issues were classified into open-ended and close-ended questions. Consensus for an item was established at a 70% agreement rate within the panel. Questions that had 60%-69% agreement were edited and sent to the panel for another round of voting. After 2 rounds of voting, 70 consensus statements were agreed upon. These covered the following: focus of CPR; qualities and qualifications of trainers; recognition of agonal breathing; head-tilt-chin lift; landmark for chest compression; performance of CPR when injuries are present; trainers' involvement in training lay people; modesty of female patients during CPR; AED usage; content of trainer's manual; addressing of questions and answers; updates-dissemination to trainers and attendance of refresher courses. Recommendations for pedagogy for trainers of dispatcher-assisted CPR programmes were developed.

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