Adequacy of Videos for Adult Basic Life Support in a Portal Site of Korea

ABSTRACT

PURPOSE: Prompt initiation of effective cardiopulmonary resuscitation (CPR) and defibrillation is underlined in the guideline. Many people search health-related information on the internet. The objective of this study was to evaluate the content and quality of videos for adult basic life support (BLS) on the internet. METHODS: We searched 'Daum' for the term 'CPR' in Korean. Videos dealing with BLS over 5 sequences were included. Videos inserted in the news and drama or used for advertisement or entertainment, or which only contained pediatric BLS were excluded. Two emergency physicians analyzed videos using a standardized checklist. RESULTS: Of 1,600 videos, 32 met the inclusion criteria, except for duplicate videos. More than 90% of videos showed appropriate demonstration for check response, activate emergency response system, correct hand placement, minimize interruptions in chest compression, 302 compression to ventilation ratio, open airway, and deliver rescue breath; 13 (40.6%) and 12 (37.5%) videos demonstrated 'call for automated external defibrillator (AED)' and 'apply AED', respectively; 25 (78.1%), 23 (71.9%), and 27 (84.4%) videos showed correct demonstration for chest compression rate and depth, and complete chest recoil, respectively; 6 (18.8%) and 10 (31.3%) videos contained instructions for 'complete chest recoil' and 'minimize interruptions in chest compression', respectively. Only 2 (6.3%) videos dealt with hands-only CPR. CONCLUSION: A large proportion of educational videos for adult BLS contained basic sequence of BLS, except for 'call for AED' and 'apply AED'. There is a lack of instruction for high-quality CPR, particularly for minimizing interruptions in chest compression and complete chest recoil, and hands-only CPR.