University of Hertfordshire

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Original languageEnglish
Pages (from-to)643
JournalJournal of Paramedic Practice
Journal publication date2009
Publication statusPublished - 2009


People frequently suggest singing Nellie the Elephant (Nellie) to help maintain good compression rates during cardiopulmonary resuscitation (CPR), but is this practice evidence-based? This prospective randomized crossover trial included 130 people who had little or no previous experience of CPR. Having given participants a brief training in chest compression they were asked to perform three sequences, pre-randomized for order, of 1-minute per sequence of continuous chest compressions on a skill meter resuscitation manikin accompanied by: repeated choruses of Nellie (105 beats per minute); repeated choruses of That's the Way (I like it) (109 beats per minute); and to no music at all.


Julia Williams, 'Is it curtains for Nellie?', Journal of Paramedic Practice, Vol. 1 (15):643, published online 29 September 2013, available online at:

ID: 10299391