Basic life support training programme in schools by school nurses: How long and how often to train?
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
02 Apr 2021
02 Apr 2021
Historique:
received:
30
06
2020
accepted:
28
01
2021
entrez:
31
3
2021
pubmed:
1
4
2021
medline:
13
4
2021
Statut:
ppublish
Résumé
Cardiopulmonary resuscitation (CPR) training in schools, despite being legislated in Spain, is not established as such within the subjects that children are taught in schools. to evaluate the acquisition of CPR skills by 11-year-old children after a brief theoretical-practical teaching programme taught by nurses at school. 62 students were assessed in a quasi-experimental study on 2 cohorts (51.4% of the sample in control group [CG]). In total, 2 sessions were given, a theoretical one, and a practical training for skill development in children, in which the CG performed the CPR in 2-minute cycles and the intervention group in 1-minute cycles. The anthropometric variables recorded were weight and height, and the variables compression quality and ventilation quality were recorded using the Laerdal ResusciAnne manikin with Personal Computer/Wireless SkillReport. The assessment showed better results, in terms of BLS sequence performance and use of automated external defibrillator, in the CG and after training, except for the evaluation of the 10-second breathing assessment technique. The quality of chest compressions was better in the CG after training, as was the quality of the ventilations. There were no major differences in CPR quality after training and 4 months after the 1-minute and 2-minute training cycles. 11-year-old children do not perform quality chest compressions or ventilations but, considering their age, they are able to perform a BLS sequence correctly.
Sections du résumé
BACKGROUND
BACKGROUND
Cardiopulmonary resuscitation (CPR) training in schools, despite being legislated in Spain, is not established as such within the subjects that children are taught in schools.
OBJECTIVE
OBJECTIVE
to evaluate the acquisition of CPR skills by 11-year-old children after a brief theoretical-practical teaching programme taught by nurses at school.
METHODS
METHODS
62 students were assessed in a quasi-experimental study on 2 cohorts (51.4% of the sample in control group [CG]). In total, 2 sessions were given, a theoretical one, and a practical training for skill development in children, in which the CG performed the CPR in 2-minute cycles and the intervention group in 1-minute cycles. The anthropometric variables recorded were weight and height, and the variables compression quality and ventilation quality were recorded using the Laerdal ResusciAnne manikin with Personal Computer/Wireless SkillReport.
RESULTS
RESULTS
The assessment showed better results, in terms of BLS sequence performance and use of automated external defibrillator, in the CG and after training, except for the evaluation of the 10-second breathing assessment technique. The quality of chest compressions was better in the CG after training, as was the quality of the ventilations. There were no major differences in CPR quality after training and 4 months after the 1-minute and 2-minute training cycles.
CONCLUSIONS
CONCLUSIONS
11-year-old children do not perform quality chest compressions or ventilations but, considering their age, they are able to perform a BLS sequence correctly.
Identifiants
pubmed: 33787576
doi: 10.1097/MD.0000000000024819
pii: 00005792-202104020-00011
pmc: PMC8021366
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
e24819Informations de copyright
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose .
Références
Wissenberg M, Lippert FK, Folke F, et al. Association of National Initiatives to Improve Cardiac Arrest Management With Rates of Bystander Intervention and Patient Survival After Out-of-Hospital Cardiac Arrest. JAMA 2013;310:1377.
Lester CA, Weston CFM, Donnelly PD, et al. The need for wider dissemination of CPR skills: are schools the answer? Resuscitation 1994;3:233–7.
Semeraro F, Wingen S, Schroeder DC, et al. KIDS SAVE LIVES implementation in Europe: a survey through the ERC Research NET. Resuscitation 2016;107:e7–9.
Real Decreto 126/2014, de 28 de febrero, por el que se establece el currículo básico de la Educación Primaria. [Internet]. Boletín Oficial del Estado no 52 2014 19349-19420. Available at: http://www.boe.es/boe/dias/2014/03/01/pdfs/BOE-A-2014-2222.pdf
López-Unanua MC, Freire-Tellado M, Pérez-Romero E, et al. RCP na aula: programa de enseñanza de la reanimación cardiopulmonar básica para estudiantes de secundaria. Emergencias 2012;24:74–80.
Miró O, Escalada X, Jiménez-Fábrega X, et al. Programa de Reanimación Cardiopulmonar Orientado a Centros de Enseñanza Secundaria (PROCES): conclusiones tras 5 años de experiencia. Emergencias 2008;20:229–36.
García-Vega FJ, Montero-Pérez FJ, Encinas-Puente RM. La comunidad escolar como objetivo de la formación en resucitación: la RCP en las escuelas. Emergencias Rev la Soc Española Med Urgencias y Emergencias 2008;20:223–5.
López-Messa JB, Martín-Hernández H, Pérez-Vela JL, et al. Novedades en métodos formativos en resucitación. Med Intensiva 2011;35:433–41.
Plant N, Taylor K. How best to teach CPR to schoolchildren: a systematic review. Resuscitation 2013;84:415–21.
Reveruzzi B, Buckley L, Sheehan M. School-based first aid training programs: a systematic review. J Sch Health 2016;86:266–72.
Yeung J, Okamoto D, Soar J, et al. AED training and its impact on skill acquisition, retention and performance - A systematic review of alternative training methods. Resuscitation 2011;82:657–64.
Abelairas-Gómez C, Rodríguez-Núñez A, Casillas-Cabana M, et al. Schoolchildren as life savers: at what age do they become strong enough? Resuscitation 2014;85:814–9.
Ammirati C, Gagnayre R, Amsallem C, et al. Are schoolteachers able to teach first aid to children younger than 6 years? A comparative study. BMJ Open 2014;4:e005848–15848.
Perkins GD, Handley AJ, Koster RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation. Resuscitation 2015;95:81–99.
Perkins GD, Colquhoun M, Simons R. Training manikins in ABC of Resucitation. BMJ books 2004;97–101.
Borg G. Psychophysical bases of perceived exertion. Med Sci Sport Exerc 1982;14:377–81.
Böttiger BW, Bossaert LL, Castrén M, et al. Kids Save Lives? ERC position statement on school children education in CPR.:? Hands that help? Training children is training for life? Resuscitation 2016;105:A1–3.
Connolly M, Toner P, Connolly D, et al. The “ABC for life” programme-Teaching basic life support in schools. Resuscitation 2007;72:270–9.
Cortegiani A, Russotto V, Baldi E, et al. Is it time to consider visual feedback systems the gold standard for chest compression skill acquisition? Crit Care 2017;21:166.
Cortegiani A, Russotto V, Montalto F, et al. Use of a real-Time training software (Laerdal QCPR®) compared to instructor-based feedback for high-quality chest compressions acquisition in secondary school students: a randomized trial. PLoS One 2017;12:1–1.
Lorem T, Palm A, Wik L. Impact of a self-instruction CPR kit on 7th graders’ and adults’ skills and CPR performance. Resuscitation 2008;79:103–8.
Lubrano R, Romero S, Scoppi P, et al. How to become an under 11 rescuer: a practical method to teach first aid to primary schoolchildren. Resuscitation 2005;64:303–7.
Banfai B, Pek E, Pandur A, et al. “The year of first aid”: effectiveness of a 3-day first aid programme for 7-14-year-old primary school children. Emerg Med J 2017;34:526–32.
He D, Huang K, Yang YI, et al. What is the optimal age for students to receive cardiopulmonary resuscitation training? Prehosp Disaster Med 2018;33:394–8.
Hill K, Mohan C, Stevenson M, et al. Objective assessment of cardiopulmonary resuscitation skills of 10-11-year-old schoolchildren using two different external chest compression to ventilation ratios. Resuscitation 2009;80:96–9.
Bohn A, Van Aken H, Lukas RP, et al. Schoolchildren as lifesavers in Europe - Training in cardiopulmonary resuscitation for children. Best Pract Res Clin Anaesthesiol 2013;27:387–96.