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Enhanced self-assessment of CPR by low-dose, high-frequency training

Anna Abelsson (Department of Nursing Science, Jönköping University, Jönköping, Sweden)
Jari Appelgren (Faculty of Arts and Social Sciences, Karlstads Universitet, Karlstad, Sweden)
Christer Axelsson (Prehospen-Centre for Prehospital Research, Hogskolan i Boras, Boras, Sweden)

International Journal of Emergency Services

ISSN: 2047-0894

Article publication date: 24 September 2020

Issue publication date: 6 April 2021




The purpose was to investigate what effect an intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for one month would have on professionals' subjective self-assessment skill of CPR.


This study had a quantitative approach. In total, 38 firefighters performed CPR for two minutes on a Resusci Anne QCPR. They then self-assessed their CPR through four multiple-choice questions regarding compression rate, depth, recoil and ventilation volume. After one month of low-dose, high-frequency training with visual feedback, the firefighters once more performed CPR and self-assessed their CPR.


With one month of low-dose, high-frequency training with visual feedback, the level of self-assessment was 87% (n = 33) correct self-assessment of compression rate, 95% (n = 36) correct self-assessment of compression depth, 68% (n = 26) correct self-assessment of recoil and 87% (n = 33) correct self-assessment of ventilations volume. The result shows a reduced number of firefighters who overestimate their ability to perform CPR.


With low-dose, high-frequency CPR training with visual feedback for a month, the firefighters develop a good ability to self-assess their CPR to be performed within the guidelines. By improving their ability to self-assess their CPR quality, firefighters can self-regulate their compression and ventilation quality.



Funding: This research received no specific grant from any funding agency in public, commercial or not-for-profit sectors.Conflicts of interest: none


Abelsson, A., Appelgren, J. and Axelsson, C. (2021), "Enhanced self-assessment of CPR by low-dose, high-frequency training", International Journal of Emergency Services, Vol. 10 No. 1, pp. 93-100.



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