Humming ‘La Macarena’ improves the quality of compressions during cardiopulmonary resuscitation


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Performing chest compressions in time with the beats of the international 90’s hit song ‘La Macarena’ can improve the quality of cardiopulmonary resuscitation (CPR), scientists say.


Researchers from University of Barcelona and Universitat Autonoma Barcelona, in Spain, compare the effectiveness of a smartphone metronome application, and a musical mental metronome in the form of the song “La Macarena” at improving the quality of chest compressions.Improving the quality of compressions performed during CPR can significantly increase the chance of survival and lead to better health outcomes.

Both the app and the song provide a regular rhythm to help time compressions.

The team selected a group of 164 medical students from the University of Barcelona to perform continuous chest compressions on a mannequin for two minutes.

Subjects either received no guidance (control), were provided with the smartphone app (App group), or were asked to perform compressions to the mental beat of the song “La Macarena” (Macarena group).

The smartphone app made a noise for each compression at 103 beats per minute (bpm), but in the Macarena group the students needed to prove first that they knew the song La Macarena in order to do the compressions correctly.

Researchers also collected demographic data and information about the quality of chest compressions, as well as conducting a satisfaction survey.

The study found that the average percentage of compressions occurring in the target range of 100-120 beats per minute was significantly higher in the App and Macarena groups (91 per cent and 74 per cent respectively) compared to the control group (24 per cent).

No group achieved the required compression depth of five centimeters, but those using the App had the best overall quality compression scores despite having the longest onset delay before performing the first compression.

The students who participated in the experiment also rated the app as being the most useful help method.


“Both the app and using mental memory aid ‘La Macarena’ improved the quality of chest compressions by increasing the proportion of adequate rate but not the depth of compressions. The metronome app was more effective but with a significant onset delay,” researchers said.


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