RT Journal Article T1 Assessing the quality of chest compressions with a DIY low‑cost manikin (LoCoMan) versus a standard manikin: a quasi‑experimental study in primary education A1 Peixoto Pino, Lucía A1 Martínez Isasi, Santiago A1 Otero-Agra, Martín A1 Van Duijin, Tina A1 Rico Díaz, Javier A1 Rodríguez Núñez, Antonio A1 Barcala Furelos, Roberto K1 Hands-only cardiopulmonary resuscitation K1 Low-cost K1 Schoolchildren K1 Chest compressions K1 Educational program AB Extending the access to cardiopulmonary resuscitation (CPR) training to a wider public is an important step in increasing survivability of out-of-hospital cardiac arrest. However, often price and maintenance of CPR manikins are barriers that prevent training at schools. This study aims to evaluate the learning of hands-only (HO) CPR by practicing with a low-cost manikin (LoCoMan) with visual qualitative feedback and to compare the results with the skills acquired by practice on a conventional manikin. A quasi-experimental study with 193 schoolchildren (10 to 12 years old) who were allocated to two groups: the LoCoMan group was taught via an integrative approach (science combined with physical education (PE)) and practiced on a handmade manikin, and a control group practiced in a traditional setting with a commercial manikin (Resusci Junior, Laerdal, Norway). All participants practiced for 1 hands-on skill session before performing a post-test on an instrumented CPR manikin. The outcomes including HO-CPR performance variables were compared between groups. The LoCoMan and control groups both achieved acceptable percentage of HO-CPR quality (57% and 71%, p = 0.004). Among 6th-graders, there were no significant differences in HO-CPR quality between LoCoMan 68% and control 71%, p = 0.66. The control group achieved better chest compression depth while the LoCoMan group showed more compressions with adequate chest recoil.Conclusion: Schoolchildren are able to build and use a low-cost manikin with visual feedback. The integrative learning approach used in this study may be a feasible alternative methodology for training and learning HO-CPR in schools when commercial manikins are not available. PB Springer Nature YR 2024 FD 2024 LK http://hdl.handle.net/10347/34067 UL http://hdl.handle.net/10347/34067 LA eng NO Peixoto-Pino, L., Isasi, S.M., Agra, M.O. et al. Assessing the quality of chest compressions with a DIY low-cost manikin (LoCoMan) versus a standard manikin: a quasi-experimental study in primary education. Eur J Pediatr (2024). https://doi.org/10.1007/s00431-024-05601-8 NO Open Access funding provided thanks to the CRUE-CSICagreement with Springer Nature. Research funded by Instituto de SaludCarlos III (ISCIII)—PI20/01355—co-funded by the European Union(EU). Research funded by Instituto de Salud Carlos III (ISCIII)—PI23/00687—co-funded by the European Union (EU) DS Minerva RD 25 abr 2026