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A11 Achy Breaky Makey Wakey Heart?
  1. M Woollard1,
  2. B McWhinnie2,
  3. J Poposki2,
  4. L Rawlins3,
  5. G Munro2,
  6. P O'Meara1
  1. 1Coventry University, Coventry, UK
  2. 2Charles Sturt University, Australia
  3. 3Birmingham University, Birmingham, UK


Background Music has been recommended as an aid to improving chest compression quality, but research indicates the popular European tune “Nellie the Elephant” reduces the proportion of lay-persons compressing at the correct depth.

Objectives Compared to no music (NM), does listening to “Achy Breaky Heart” (ABH) or “Disco Science” (DS) increase the proportion of CPR-trained health professionals delivering compressions at the 100 bpm recommended rate and 4–5 cm depth?

Methods Randomised cross-over trial recruiting at the 2009 ACAP conference.

Findings Of 74 participants 50% were male; median age was 37; 61% were paramedics, 20% students, and 19% other health professionals. 54% had taken CPR training within 1 year. Mode and IQR for compression rate were NM 105 (99–116); ABH 120 (107–120); DS 104 (103–107). Differences between-interventions were significant for NM vs ABH and DS vs ABH (p<0.001) but not NM vs DS (p=0.478). Compression rates of 95-105 were achieved with NM, ABH, and DS for 26/74 (35%), 8/74 (11%) and 34/74 (46%) of participants respectively. Differences were significant for NM vs ABH (p=0.0005) and DS vs ABH (p<0.0001) but not NM vs DS (p=0.256). RR for a compression rate of 95-105 for ABH vs NM=0.31, for DS vs NM=1.31 (not significant) and for DS vs ABH=4.25. The number needed to harm was 5 for listening to ABH vs NM and 3 for ABH vs DS. A high proportion of compressions were too deep (NM 86%; ABH 79%; DS 77%, differences not significant).

Conclusions Listening to Disco Science while performing CPR did not increase the proportion of prehospital professionals delivering compressions correctly. Perhaps unsurprisingly, listening to Achy Breaky Heart had a negative effect. Disconcertingly, regardless of the nature or absence of musical accompaniment, the majority of participants did not compress at the recommended rate or depth.

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