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Dumcke R, Wegner C, Wingen S, Rahe-Meyer N. Facilitators and Barriers Perceived by German Teachers Considering Basic Life Support Education in School-A Qualitative Study. Eur J Investig Health Psychol Educ 2024; 14:1769-1785. [PMID: 38921083 PMCID: PMC11202837 DOI: 10.3390/ejihpe14060117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 04/10/2024] [Accepted: 06/12/2024] [Indexed: 06/27/2024] Open
Abstract
This qualitative study aims to analyse the personal qualification, attitudes and the pedagogical concepts of German teachers as experts in their profession regarding basic life support (BLS) education in secondary schools. Thirteen (n = 13) secondary school teachers participated in semi-structured expert interviews and were interviewed for at least 20 to 60 min regarding BLS student education. Interviews were semi-structured with guiding questions addressing (1) personal experience, (2) teacher qualification for BLS and (3) implementation factors (e.g., personal, material and organisational). Audio-recorded interviews were analysed by content analysis, generating a coding system. School teachers provided a heterogeneous view on implementation-related processes in BLS education. Many teachers were educated in first aid, acknowledge its importance, but had no experience in teaching BLS. They want to assure being competent for teaching BLS and need tailored trainings, materials, pedagogical information and the incorporation into the curriculum. Also, the management of time constraints, unwilling colleagues, or young students being overwhelmed were commonly mentioned considerations. Concluding, teachers reported to be willing to teach BLS but a stepwise implementation framework incorporating practice-oriented qualification and educational goals is missing.
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Affiliation(s)
- Rico Dumcke
- Faculty of Biology/Biology Didcactics (OZHB), Bielefeld University, 33615 Bielefeld, Germany;
| | - Claas Wegner
- Faculty of Biology/Biology Didcactics (OZHB), Bielefeld University, 33615 Bielefeld, Germany;
| | - Sabine Wingen
- Department of Anaesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany;
- German Resuscitation Council, 89070 Ulm, Germany
- FOM University of Applied Sciences, 50678 Cologne, Germany
| | - Niels Rahe-Meyer
- Clinic for Anaesthesiology and Intensive Care Medicine, Franziskus Hospital Bielefeld, 33615 Bielefeld, Germany;
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Strnad M, Borovnik Lesjak V, Jerot P, Esih M. Prehospital Predictors of Survival in Patients with Out-of-Hospital Cardiac Arrest. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1717. [PMID: 37893434 PMCID: PMC10608532 DOI: 10.3390/medicina59101717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 09/14/2023] [Accepted: 09/25/2023] [Indexed: 10/29/2023]
Abstract
Background and Objectives: Despite advances in the treatment of heart diseases, the outcome of patients experiencing sudden cardiac arrest remains poor. The aim of our study was to determine the prehospital variables as predictors of survival outcomes in out-of-hospital cardiac arrest (OHCA) victims. Materials and Methods: This was a retrospective observational cohort study of OHCA cases. EMS protocols created in accordance with the Utstein style reporting for OHCA, first responder intervention reports, medical dispatch center dispatch protocols and hospital medical reports were all reviewed. Multivariate logistic regression was performed with the following variables: age, gender, witnessed status, location, bystander CPR, first rhythm, and etiology. Results: A total of 381 interventions with resuscitation attempts were analyzed. In more than half (55%) of them, bystander CPR was performed. Thirty percent of all patients achieved return of spontaneous circulation (ROSC), 22% of those achieved 30-day survival (7% of all OHCA victims), and 73% of those survived with Cerebral Performance Score 1 or 2. The logistic regression model of adjustment confirms that shockable initial rhythm was a predictor of ROSC [OR: 4.5 (95% CI: 2.5-8.1)] and 30-day survival [OR: 9.3 (95% CI: 2.9-29.2)]. Age was also associated (≤67 years) [OR: 3.9 (95% CI: 1.3-11.9)] with better survival. Conclusions: Elderly patients have a lower survival rate. The occurrence of bystander CPR in cardiac arrest remains alarmingly low. Shockable initial rhythm is associated with a better survival rate and neurological outcome compared with non-shockable rhythm.
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Affiliation(s)
- Matej Strnad
- Prehospital Unit, Center for Emergency Medicine, Community Healthcare Center, Cesta Proletarskih Brigad 21, 2000 Maribor, Slovenia;
- Emergency Department, University Medical Center Maribor, Ljubljanska ul. 5, 2000 Maribor, Slovenia;
- Department of Emergency Medicine, Medical Faculty, University of Maribor, Taborska 8, 2000 Maribor, Slovenia
| | - Vesna Borovnik Lesjak
- Prehospital Unit, Center for Emergency Medicine, Community Healthcare Center, Cesta Proletarskih Brigad 21, 2000 Maribor, Slovenia;
| | - Pia Jerot
- Community Healthcare Center, Mariborska Cesta 37, 2360 Radlje ob Dravi, Slovenia;
| | - Maruša Esih
- Emergency Department, University Medical Center Maribor, Ljubljanska ul. 5, 2000 Maribor, Slovenia;
- Department of Emergency Medicine, Medical Faculty, University of Maribor, Taborska 8, 2000 Maribor, Slovenia
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Schroeder DC, Semeraro F, Greif R, Bray J, Morley P, Parr M, Kondo Nakagawa N, Iwami T, Finke SR, Malta Hansen C, Lockey A, Del Rios M, Bhanji F, Sasson C, Schexnayder SM, Scquizzato T, Wetsch WA, Böttiger BW. Temporarily Removed. Resuscitation 2023:109772. [PMID: 37190748 DOI: 10.1016/j.resuscitation.2023.109772] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
BACKGROUND Basic life support education for schoolchildren has become a key initiative to increase bystander cardiopulmonary resuscitation rates. Our objective was to review the existing literature on teaching schoolchildren basic life support to identify the best practices to provide basic life support training in schoolchildren. METHODS After topics and subgroups were defined, a comprehensive literature search was conducted. Systematic reviews and controlled and uncontrolled prospective and retrospective studies containing data on students <20 years of age were included. RESULTS Schoolchildren are highly motivated to learn basic life support. The CHECK-CALL-COMPRESS algorithm is recommended for all schoolchildren. Regular training in basic life support regardless of age consolidates long-term skills. Young children from 4 years of age are able to assess the first links in the chain of survival. By 10 to 12 years of age, effective chest compression depths and ventilation volumes can be achieved on training manikins. A combination of theoretical and practical training is recommended. Schoolteachers serve as effective basic life support instructors. Schoolchildren also serve as multipliers by passing on basic life support skills to others. The use of age-appropriate social media tools for teaching is a promising approach for schoolchildren of all ages. CONCLUSIONS Schoolchildren basic life support training has the potential to educate whole generations to respond to cardiac arrest and to increase survival after out-of-hospital cardiac arrest. Comprehensive legislation, curricula, and scientific assessment are crucial to further develop the education of schoolchildren in basic life support.
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Zeng J, Chen W, Chen W, Wang Y, Li X. OPTIMIZATION OF PRE-HOSPITAL FIRST AID MANAGEMENT STRATEGIES FOR PATIENTS WITH INFECTIOUS DISEASES IN HUIZHOU CITY USING DEEP LEARNING ALGORITHM. Acta Clin Croat 2023; 62:131-140. [PMID: 38304377 PMCID: PMC10829963 DOI: 10.20471/acc.2023.62.01.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 12/07/2021] [Indexed: 02/03/2024] Open
Abstract
The aim of the study was to optimize the pre-hospital first aid management strategy for patients with infectious diseases in Huizhou city, which is expected to provide a basis for the epidemic prevention and control, to save lives, and increase the pre-hospital first aid efficiency. At the Department of Emergency, Huizhou Third People's Hospital as the research subject, the common pre-hospital first aid procedure for infectious diseases was identified. The Petri net was used to model and determine the execution time of each link of the pre-hospital first aid process. The isomorphic Markov chain was used to optimize the pre-hospital first aid procedure for infectious diseases. In terms of the emergency path, deep learning was combined with the reinforcement learning model to construct the reinforcement learning model for ambulance path planning. Isomorphic Markov chain analysis revealed that the patient status when returning to the hospital, the time needed for the ambulance to come to designated location, and the on-site treatment were the main problems in the first aid process, and the time needed for the pre-hospital first aid process was reduced by 25.17% after optimization. In conclusion, Petri net and isomorphic Markov chain can optimize the pre-hospital first aid management strategies for patients with infectious diseases, and the use of deep learning algorithm can effectively plan the emergency path, achieving intelligent and informationalized pre-hospital transfer, which provides a basis for reducing the suffering, mortality, and disability rate of patients with infectious diseases.
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Affiliation(s)
- Jing Zeng
- Department of Emergency, Huizhou Third People’s Hospital, Guangzhou Medical University, Huizhou, China
| | - WeiSheng Chen
- Department of Emergency Intensive Care Unit, Huizhou Third People’s Hospital, Guangzhou Medical University, Huizhou, China
| | - WeiWei Chen
- Department of Emergency, Huizhou Third People’s Hospital, Guangzhou Medical University, Huizhou, China
| | - YaWei Wang
- Department of Emergency, Huizhou Third People’s Hospital, Guangzhou Medical University, Huizhou, China
| | - XueSong Li
- Center for Neuromedicine, Huizhou Third People’s Hospital, Guangzhou Medical University, Huizhou, Guangdong Province, China
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Lo MF, Ng WCJ, Ng CFG, Ng MLP. The past, present, and future of first aid and health education: a case study in Hong Kong. INTERNATIONAL JOURNAL OF PHARMACEUTICAL AND HEALTHCARE MARKETING 2022. [DOI: 10.1108/ijphm-10-2021-0100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Purpose
The demand for ambulance services in Hong Kong is increasing and first aid plays an important role in saving lives. The government recognized first aid training courses offered by four organizations. This study aims to review and discuss the past, present and future of first aid and health training in Hong Kong.
Design/methodology/approach
This study adopted a case study approach to investigate the operations and development of the first aid and health training in one of the largest training providers in Hong Kong. Publicly available secondary data, including annual reports, websites, newspapers and social media, were collected and analysed. Using the thematic analysis procedure, researchers familiarised the data collected, generated initial codes, searched for themes, reviewed themes, defined themes and reported the results.
Findings
Through data analysis, researchers identified six themes which help to address the research questions regarding the types of first aid and health training courses, quality issue, awareness of first aid in the community and the future delivery of first aid training.
Practical implications
This study provided two implications on both micro and macro levels. At the micro level, training providers can enhance training quality by adopting technology. At the macro level, training providers can continue to advocate and facilitate the integration of first aid into the formal education curriculum. The last section addressed the limitations of this study and provided future research directions.
Originality/value
This study provided insights about the development of the first aid and health education and training. Health-care training providers and policymakers could benchmark the findings from this study and develop appropriate measures for promoting health education.
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Alhasan D, Fakhraldeen M, Alqabandi S, Alajmi M. High School Student CPR Training in Kuwait: A Cross-Sectional Study of Teacher Perspectives, Willingness, and Perceived Barriers. Open Access Emerg Med 2022; 14:639-648. [DOI: 10.2147/oaem.s382744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Accepted: 11/11/2022] [Indexed: 11/30/2022] Open
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Juul Grabmayr A, Andelius L, Bo Christensen N, Folke F, Bundgaard Ringgren K, Torp-Pedersen C, Gislason G, Jensen TW, Rolin Kragh A, Tofte Gregers MC, Samsoee Kjoelbye J, Malta Hansen C. Contemporary levels of cardiopulmonary resuscitation training in Denmark. Resusc Plus 2022; 11:100268. [PMID: 35812720 PMCID: PMC9256815 DOI: 10.1016/j.resplu.2022.100268] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 06/10/2022] [Accepted: 06/20/2022] [Indexed: 11/29/2022] Open
Abstract
Aim Many efforts have been made to train the Danish population in cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use. We assessed CPR and AED training levels among the broad Danish population and volunteer responders. Methods In November 2018, an electronic cross-sectional survey was sent to (1) a representative sample of the general Danish population (by YouGov) and (2) all volunteer responders in the Capital Region of Denmark. Results A total of 2,085 people from the general population and 7,768 volunteer responders (response rate 36%) completed the survey. Comparing the general Danish population with volunteer responders, 81.0% (95% CI 79.2–82.7%) vs. 99.2% (95% CI 99.0–99.4%) p < 0.001 reported CPR training, and 54.0% (95% CI 51.8; 56.2) vs. 89.5% (95% CI 88.9–90.2) p < 0.001 reported AED training, at some point in life. In the general population, the unemployed and the self-employed had the lowest proportion of training with CPR training at 71.9% (95% CI 68.3–75.4%) and 65.4% (95% CI 53.8–75.8%) and AED training at 39.0% (95% CI 35.2–42.9%) and 34.6% (95% CI 24.2–46.2%), respectively. Applicable to both populations, the workplace was the most frequent training provider. Among 18–29-year-olds in the general population, most reported training when acquiring a driver's license. Conclusions A large majority of the Danish population and volunteer responders reported previous CPR/AED training. Mandatory training when acquiring a driver's license and training through the workplace seems to disseminate CPR/AED training effectively. However, new strategies reaching the unemployed and self-employed are warranted to ensure equal access.
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Affiliation(s)
- Anne Juul Grabmayr
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
- Corresponding author at: Telegrafvej 5, 2750 Ballerup, Denmark.
| | - Linn Andelius
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
| | - Nanna Bo Christensen
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
| | - Fredrik Folke
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
- Department of Cardiology, Herlev Gentofte University Hospital, Gentofte Hospitalsvej 1, 2900 Hellerup, Denmark
| | | | - Christian Torp-Pedersen
- Department of Cardiology, North Zealand Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark
- Department of Public Health, University of Copenhagen, Denmark
| | - Gunnar Gislason
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
- Department of Cardiology, Herlev Gentofte University Hospital, Gentofte Hospitalsvej 1, 2900 Hellerup, Denmark
| | - Theo Walther Jensen
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
| | - Astrid Rolin Kragh
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
| | - Mads Christian Tofte Gregers
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
| | - Julie Samsoee Kjoelbye
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
| | - Carolina Malta Hansen
- Emergency Medical Services Copenhagen, Telegrafvej 5, 2750 Ballerup, Denmark
- Department of Cardiology, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark
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Busto-Parada L, Solís-Sánchez G, Riaño-Galán I. [Perceived needs regarding school health care]. J Healthc Qual Res 2021; 37:3-11. [PMID: 34635467 DOI: 10.1016/j.jhqr.2021.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 08/08/2021] [Accepted: 08/24/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND AND OBJECTIVE Changes in infant morbidity require adaptations to preserve their proper development and academic performance. The objective of this study was to know the perceived needs of teachers, pediatricians and pediatric nurses regarding the training of schools to deal with emergences related to chronic pathology and accidents. METHOD Cross-sectional study using an ad hoc validated questionnaire on digital support (Google Forms) that included sociodemographic variables and a structured survey that collected information on chronic pathology, health care and safety in case of emergency in the school. RESULTS Data from 266 questionnaires (134 teachers, 132 pediatricians and pediatric nurses) were analyzed. 73.9% of the teachers stated that they have had students with chronic pathology during the last year and 45.5% confirmed the existence of protocols for their assistance, although 68.7% did not receive specific training for their care. 25% of pediatricians and nurses stated that the parents of children with chronic disease always notify the schools and 17.4% stated that they knew about the existence of specific protocols. 35.6% collaborated in training related to specific pathology or emergencies in schools, with a greater predominance of primary health care (P<.001). 50.7% of the pediatricians and 79.7% of the nurses stated as a medium-high priority the need to have a school nurse in the centers. CONCLUSIONS The health care of students with chronic diseases in schools can be improved for teachers, pediatricians and pediatric nurses, considering the figure of school nurse as the main improvement measure.
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Affiliation(s)
- L Busto-Parada
- Servicio de Pediatría, Hospital Universitario San Agustín, Avilés, Asturias, España.
| | - G Solís-Sánchez
- Área de Gestión Clínica de Pediatría, Servicio de Neonatología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
| | - I Riaño-Galán
- Área de Gestión Clínica de Pediatría, Unidad de Endocrino, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
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Phillips EJ, Chapman CG. Mandatory CPR teaching in Welsh schools: missed opportunity? J Accid Emerg Med 2020; 37:655. [PMID: 32651177 DOI: 10.1136/emermed-2020-210045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2020] [Indexed: 11/03/2022]
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10
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Tewari N, Goel S, Rahul M, Mathur VP, Ritwik P, Haldar P, Priya H, Pandey RM. Global status of knowledge for prevention and emergency management of traumatic dental injuries among school teachers: A systematic review and meta‐analysis. Dent Traumatol 2020; 36:568-583. [DOI: 10.1111/edt.12579] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 05/12/2020] [Accepted: 05/13/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Nitesh Tewari
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Shubhi Goel
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Morankar Rahul
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Vijay P. Mathur
- Division of Pedodontics & Preventive Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Priyanshi Ritwik
- Department of Pediatric Dentistry School of Dentistry University of Texas Health Sciences Centre at Houston Houston TX USA
| | - Partha Haldar
- Centre of Community Medicine All India Institute of Medical Sciences New Delhi India
| | - Harsh Priya
- Division of Public Health Dentistry Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India
| | - Ravindra M. Pandey
- Department of Biostatistics All India Institute of Medical Sciences New Delhi India
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Ojifinni K, Motara F, Laher AE. Knowledge, Attitudes and Perceptions Regarding Basic Life Support Among Teachers in Training. Cureus 2019; 11:e6302. [PMID: 31938594 PMCID: PMC6944153 DOI: 10.7759/cureus.6302] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background Cardiac arrests may occur anytime, anywhere and to anyone including learners at schools. Teachers have a moral obligation to care for learners while on the school premises. Outcomes after cardiac arrest are better when the first-responder possesses adequate knowledge and skill in basic life support (BLS) and cardiopulmonary resuscitation (CPR). The aim of this study was to assess the knowledge, attitudes and perceptions of student-teachers pertaining to BLS. Methods This was a self-administered, questionnaire based, prospective and cross-sectional study of senior undergraduate student-teachers enrolled at a South African university. The study was conducted between 04 November 2017 and 18 February 2018. Results A total of 316 student-teachers, with a mean age of 21.8 ± 2.6 years completed the survey. Trauma-related emergencies, allergic reactions and breathing difficulties were witnessed during practice teaching sessions at various schools by 52.5% (n = 166), 36.4% (n = 115) and 32.9% (n = 104) of participants, respectively. The mean knowledge score pertaining to BLS was 4.0 ± 1.7 out of 12 points. Previous CPR training was associated with a good knowledge score (p = 0.005) and confidence in responding to an emergency (p = 0.005). Most of the participants (N = 288, 91.1%) had no formal training in CPR with more than three-quarters (76.4%) of them not knowing where to acquire training. Barriers to initiating CPR included fear of litigation (n = 264, 83.5%), injury to the victim (n = 238, 75.3%), presence of blood, vomitus or secretions (n = 206, 65.2%) and fear of contracting a disease (n = 186, 58.8%). Most (n = 255, 80.7%) respondents reported that they would perform CPR on a learner at school. Conclusion Student-teachers surveyed in this study displayed poor knowledge and perceptions but positive attitudes with regards to the practice of CPR and BLS. Consideration should be given to including formal CPR training as part of the curriculum for teachers in training.
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Affiliation(s)
- Kehinde Ojifinni
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
| | - Feroza Motara
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
| | - Abdullah E Laher
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
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Alexander TD, McGovern SK, Leary M, Abella BS, Blewer AL. Association of state-level CPR training initiatives with layperson CPR knowledge in the United States. Resuscitation 2019; 140:9-15. [PMID: 31059748 DOI: 10.1016/j.resuscitation.2019.04.037] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 04/17/2019] [Accepted: 04/26/2019] [Indexed: 11/18/2022]
Abstract
STUDY AIM Recent work has demonstrated low rates of layperson CPR training across the US. In an attempt to increase rates, some states passed legislation that requires CPR training before high school graduation. We hypothesized laypeople in states with required training would exhibit a greater likelihood of being currently trained in CPR when compared with laypeople in states without required CPR training. METHODS We used a previously conducted nationwide cross-sectional random-digit dial survey of the US adult population (09/2015-11/2015). Survey weighted descriptive statistics and logistic regression were used to assess the primary association of likelihood of CPR training and required CPR training by graduation. RESULTS Of the 9022 participants, 677 healthcare workers were excluded. Among those living in states with required training, 17% of laypersons were currently trained, while 14% of laypersons in states without required training were currently trained (p < 0.01). Amongst younger individuals (18-24), 29% were currently trained in states with required CPR training compared with 19% currently trained in states without required training (p < 0.01). Those in required training states were 34% more likely to be currently trained than individuals in states without required training (OR: 1.34, 95%CI: 1.20-1.50, p < 0.01). In a secondary analysis, younger laypersons in required training states were almost two times more likely to be currently trained (OR: 1.81, 95% CI: 1.18-2.78, p = 0.01). CONCLUSIONS Individuals were more likely to be currently trained in CPR in states with mandatory CPR training for high school graduation, suggesting a need for additional research on this public policy.
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Affiliation(s)
- Tyler D Alexander
- Department of Emergency Medicine and the Center for Resuscitation Science, University of Pennsylvania, Philadelphia, PA, United States
| | - Shaun K McGovern
- Department of Emergency Medicine and the Center for Resuscitation Science, University of Pennsylvania, Philadelphia, PA, United States
| | - Marion Leary
- School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - Benjamin S Abella
- Department of Emergency Medicine and the Center for Resuscitation Science, University of Pennsylvania, Philadelphia, PA, United States
| | - Audrey L Blewer
- Department of Family Medicine and Community Health, Duke University, Durham, NC, United States.
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Hsu SC, Kuo CW, Weng YM, Lin CC, Chen JC. The effectiveness of teaching chest compression first in a standardized public cardiopulmonary resuscitation training program. Medicine (Baltimore) 2019; 98:e14418. [PMID: 30921176 PMCID: PMC6456000 DOI: 10.1097/md.0000000000014418] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Effectiveness of bystander cardiopulmonary resuscitation (CPR) is known to provide emergency medical services which reduce the number of deaths in patients with out-of-hospital cardiac arrest. The survival at these patients is affected by the training level of the bystander, but the best format of CPR training is unclear. In this pilot study, we aimed to examine whether the sequence of CPR instruction improves learning retention on the course materials.A total of 95 participants were recruited and divided into 2 groups; Group 1: 49 participants were taught firstly how to recognize a cardiac arrest and activate the emergency response system, and Group 2: 46 participants were taught chest compression first. The performance of participants was observed and evaluated, the results from 1 pre-test and 2 post-tests between 2 groups were then compared.There was a significantly better improvement of participants in Group 2 regarding the recognition of a cardiac arrest and the activation of the emergency response system than of those in Group 1. At the post-test, participants in Group 2 had an improvement in chest compression compared to those in Group 1, but the difference was not statistically significant.Our study had revealed that teaching CPR first in a standardized public education program had improved the ability of participants to recognize cardiac arrest and to activate the emergency response system.
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Affiliation(s)
- Shou-Chien Hsu
- Department of Emergency Medicine, Camillians Saint Mary's Hospital Luodong
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linko
| | - Chan-Wei Kuo
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linko
- Department of Emergency Medicine, Tao-Yuan General Hospital
| | - Yi-Ming Weng
- Department of Emergency Medicine, Chang Gung Memorial Hospital, and Chang Gung University College of Medicine
- Department of Emergency Medicine, Prehospital Care Division, Tao-Yuan General Hospital
- Faculty of Medicine, National Yang-Ming University
| | - Chi-Chun Lin
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linko
- Department of Emergency Medicine, Ton-Yen General Hospital, Taiwan
| | - Jih-Chang Chen
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Linko
- Department of Emergency Medicine, Tao-Yuan General Hospital
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Bakke HK, Bakke HK, Schwebs R. First-aid training in school: amount, content and hindrances. Acta Anaesthesiol Scand 2017; 61:1361-1370. [PMID: 28832913 PMCID: PMC5659131 DOI: 10.1111/aas.12958] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Revised: 07/13/2017] [Accepted: 07/26/2017] [Indexed: 11/30/2022]
Abstract
Background To increase knowledge and competence about first aid in the population, first‐aid instruction is included in primary and secondary school curricula. This study aimed to establish how much time is spent on first‐aid training, which first‐aid measures are taught, and which factors prevent teachers from providing the quantity and quality of first‐aid training that they wish to give. Methods A questionnaire was distributed to teachers in physical education in primary and secondary schools and to teachers in vocational subjects in higher secondary schools. Results The teachers taught a median of two lessons in first aid per year. Cardiopulmonary resuscitation (CPR) was taught by 64% of teachers, free airway and recovery position by 69% and stopping severe bleeding by 51%. Recognising heart attack and stroke was taught by 25% and 23%, respectively. The main factors that the teachers perceived as limiting the amount and quality of first‐aid training were insufficient learning objective specifications in the curriculum, too many other competence aims, lack of CPR mannequins and lack of training as first‐aid instructors. Discussion Norwegian teachers provide an appreciable amount of first‐aid training to their students. However, several potential life‐saving measures are poorly covered. The curriculum needs to contain first aid but also should specify what first‐aid measures to be taught. First‐aid training of teachers should adequately prepare them to be first‐aid instructors.
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Affiliation(s)
- H. K. Bakke
- Mo i Rana Hospital; Helgeland Hospital Trust; Mo i Rana Norway
- Department of Anaesthesiology and Intensive Care; University Hospital of North Norway; Tromsø Norway
- Anaesthesia and Critical Care Research Group; Faculty of Health Sciences; University of Tromsø; Tromsø Norway
| | | | - R. Schwebs
- Faculty of Education; Western Norway University of Applied Sciences; Bergen Norway
- Ortun School; Bergen Norway
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