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Cardiopulmonary resuscitation and automatic external defibrillator training in schools: “Is anyonelearning how to save a life?”

Published online by Cambridge University Press:  04 March 2015

Devin Hart ,
Oscar Flores-Medrano ,
Steve Brooks ,
Jason E. Buick  and
Laurie J. Morrison
Devin Hart
Affiliation:
Rescu, Keenan Research Centre, Li Ka Shing Knowledge Institute, and St. Michael's Hospital, University of Toronto, Toronto, ON Faculty of Science, McGill University, Montreal, QC
Oscar Flores-Medrano
Affiliation:
Rescu, Keenan Research Centre, Li Ka Shing Knowledge Institute, and St. Michael's Hospital, University of Toronto, Toronto, ON Faculty of Science, Western University, London, ON
Steve Brooks
Affiliation:
Rescu, Keenan Research Centre, Li Ka Shing Knowledge Institute, and St. Michael's Hospital, University of Toronto, Toronto, ON Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON Department of Emergency Medicine, Queen's University, Kingston, ON
Jason E. Buick
Affiliation:
Rescu, Keenan Research Centre, Li Ka Shing Knowledge Institute, and St. Michael's Hospital, University of Toronto, Toronto, ON Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON
Laurie J. Morrison*
Affiliation:
Rescu, Keenan Research Centre, Li Ka Shing Knowledge Institute, and St. Michael's Hospital, University of Toronto, Toronto, ON Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Department of Emergency Services, St Michael's Hospital, Toronto, ON
*
Rescu, Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, Toronto, ON M5B 1W8; morrisonl@smh.ca

Abstract

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Objectives:

Bystander resuscitation efforts, such as cardiopulmonary resuscitation (CPR) and use of an automatic external defibrillator (AED), save lives in cardiac arrest cases. School training in CPR and AED use may increase the currently low community rates of bystander resuscitation. The study objective was to determine the rates of CPR and AED training in Toronto secondary schools and to identify barriers to training and training techniques.

Methods:

This prospective study consisted of telephone interviews conducted with key school staff knowledgeable about CPR and AED teaching. An encrypted Web-based tool with prespecified variables and built-in logic was employed to standardize data collection.

Results:

Of 268 schools contacted, 93% were available for interview and 83% consented to participate. Students and staff were trained in CPR in 51% and 80% of schools, respectively. Private schools had the lowest training rate (39%). Six percent of schools provided AED training to students and 47% provided AED training to staff. Forty-eight percent of schools had at least one AED installed, but 25% were unaware if their AED was registered with emergency services dispatch. Cost (17%), perceived need (11%), and school population size (10%) were common barriers to student training. Frequently employed training techniques were interactive (32%), didactic instruction (30%) and printed material (16%).

Conclusions:

CPR training rates for staff and students were moderate overall and lowest in private schools, whereas training rates in AED use were poor in all schools. Identified barriers to training include cost and student population size (perceived to be too small to be cost-effective or too large to be implemented). Future studies should assess the application of convenient and cost-effective teaching alternatives not presently in use.

Keywords

automatic external defibrillationbystander resuscitationcardiac arrestclassroom-based educationeducationself-directed education
Type
Original Research • Recherche originale
Information
Canadian Journal of Emergency Medicine , Volume 15 , Issue 5 , September 2013 , pp. 270 - 278
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

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