Achy breaky makey wakey heart? A randomised crossover trial of musical prompts
Journal article
Woollard, Malcolm, Poposki, Jason, McWhinnie, Brae, Rawlins, Lettie, Munro, Graham George and O'Meara, Peter. (2012). Achy breaky makey wakey heart? A randomised crossover trial of musical prompts. Emergency Medicine Journal. 29(4), pp. 290 - 294. https://doi.org/10.1136/emermed-2011-200187
Authors | Woollard, Malcolm, Poposki, Jason, McWhinnie, Brae, Rawlins, Lettie, Munro, Graham George and O'Meara, Peter |
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Abstract | Objective: Compared with no music (NM), does listening to ‘Achy breaky heart’ (ABH) or ‘Disco science’ (DS) increase the proportion of prehospital professionals delivering chest compressions at 2010 guideline-compliant rates of 100–120 bpm and 50–60 mm depths? Methods: A randomised crossover trial recruiting at an Australian ambulance conference. Volunteers performed three 1-min sequences of continuous chest compressions on a manikin accompanied by NM, repeated choruses of ABH and DS, prerandomised for order. Results: 37 of 74 participants were men; median age 37 years; 61% were paramedics, 20% students and 19% other health professionals. 54% had taken cardiopulmonary resuscitation training within 1 year. Differences in compression rate (mode, IQR) were significant for NM (105, 99–116) versus ABH (120, 107–120) and DS (104, 103–107) versus ABH (p < 0.001) but not NM versus DS (p=0.478). Differences in proportions of participants compressing at 100–120 bpm were significant for DS (61/74, 82%) versus NM (48/74, 65%, p=0.007) and DS versus ABH (47/74, 64%, p=0.007) but not NM versus ABH (p=1). Differences in compression depth were significant for NM (48 mm, 46–59 mm) versus DS (54 mm, 44–58 mm, p=0.042) but not NM versus ABH (54 mm, 43–59 mm, p=0.065) and DS versus ABH (p=0.879). Differences in proportions of subjects compressing at 50–60 mm were not significant (NM 31/74 (42%); ABH 32/74 (43%); DS 29/74 (39%); all p > 0.5). Conclusions: Listening to DS significantly increased the proportion of prehospital professionals compressing at 2010 guideline-compliant rates. Regardless of intervention more than half gave compressions that were too shallow. Alternative audible feedback mechanisms may be more effective. |
Year | 2012 |
Journal | Emergency Medicine Journal |
Journal citation | 29 (4), pp. 290 - 294 |
Publisher | BMJ Publishing Group |
ISSN | 1472-0205 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/emermed-2011-200187 |
Scopus EID | 2-s2.0-84858792762 |
Page range | 290 - 294 |
Research Group | School of Nursing, Midwifery and Paramedicine |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/88516/achy-breaky-makey-wakey-heart-a-randomised-crossover-trial-of-musical-prompts
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