Disparities in layperson resuscitation education: A scoping review

Ko, Ying‐Chih; Hsieh, Ming‐Ju; Schnaubelt, Sebastian; Matsuyama, Tasuku; Cheng, Adam; Greif, Robert

doi:10.1016/j.ajem.2023.07.033

Cited by 5 publications

(6 citation statements)

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“…The full online CoSTR can be found on the ILCOR website. 442 e247 comments, and case reports were excluded. All relevant publications in any language were included as long as there was an English abstract.…”

Section: Rationale For Reviewmentioning

confidence: 99%

2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Berg,

Bray,

et al. 2023

Circulation

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The International Liaison Committee on Resuscitation engages in a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation and first aid science. Draft Consensus on Science With Treatment Recommendations are posted online throughout the year, and this annual summary provides more concise versions of the final Consensus on Science With Treatment Recommendations from all task forces for the year. Topics addressed by systematic reviews this year include resuscitation of cardiac arrest from drowning, extracorporeal cardiopulmonary resuscitation for adults and children, calcium during cardiac arrest, double sequential defibrillation, neuroprognostication after cardiac arrest for adults and children, maintaining normal temperature after preterm birth, heart rate monitoring methods for diagnostics in neonates, detection of exhaled carbon dioxide in neonates, family presence during resuscitation of adults, and a stepwise approach to resuscitation skills training. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, using Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces list priority knowledge gaps for further research. Additional topics are addressed with scoping reviews and evidence updates.

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Section: Rationale For Reviewmentioning

confidence: 99%

2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Berg,

Bray,

et al. 2023

Circulation

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“…Each individual may have his/her own way of learning, and a great variety of educational modalities can be used for this purpose. 7,8 Our study has limitations. The electronic survey on emergency situations was sent to approximately 59,000 students of three public universities.…”

Section: Discussionmentioning

confidence: 92%

“…Each individual may have his/her own way of learning, and a great variety of educational modalities can be used for this purpose. 7, 8…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] In the last two decades, studies showed that geographical region, racial distributions, bystanders aged > 30 years, and low income are associated with lower probabilities of bystanders initiating CPR in OHCA. 3,6,7 Recently, education for laypeople in CPR and AED use have been widely proposed since childhood to improve quality of life 8 and to increase survival after OHCA by the World Health Organization, 9 and the International Liaison Committee on Resuscitation. [10][11] BLS training follows the current international guidelines, and young adults have favorable cognitive and physical characteristics (larger than 1.5 meter, more than 50 kg or body mass index higher than 22 kg.m.-2 to adequately perform CPR and to use AED.…”

Section: Introductionmentioning

confidence: 99%

“…In the last two decades, studies showed that geographical region, racial distributions, bystanders aged > 30 years, and low income are associated with lower probabilities of bystanders initiating CPR in OHCA. 3, 6, 7 Recently, education for laypeople in CPR and AED use have been widely proposed since childhood to improve quality of life 8 and to increase survival after OHCA by the World Health Organization, 9 and the International Liaison Committee on Resuscitation. 10-11…”

Section: Introductionmentioning

confidence: 99%

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Targeting students of nonhealth academic fields for basic life support: they need to know why, what and how to do CPR

Sugimoto,

Gouvêa,

Salles

et al. 2024

Preprint

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Education in basic life support is widely proposed to increase survival and quality-of-life in out-of-hospital sudden cardiac arrest. We aimed to assess knowledge, skills and attitudes regarding acute myocardial infarction and sudden cardiac arrest among university students of all fields of knowledge.MethodsThe local Ethical Research Committee approved this cross-sectional study. An electronic survey “KIDS SAVE LIVES BRAZIL” was sent to 58,862 students of 82 disciplines in three universities, aged ≥ 18 years. The survey covered three categories: knowledge, skills, and attitude. Each category was graded between 0 and 10 points (the highest).ResultsAmong university students, 4,803 undergraduates (8.2 %) answered the survey, and were divided in three groups of disciplines: medicine (219, ∼21.7 years, 38% male), other-health-care (n=1,058; ∼22.9 years; 36% male), and nonhealth-care (n=3,526; ∼22.9 years; 35% male). All three groups showed significant differences between them (p<0.001). The nonhealth-care compared with medicine and other-health-care group showed, respectively, the lowest (p<0.001) median scores (25-75%) in knowledge [4.0 (0.0-9.3), 4.0 (4.0-8.0), and 4.0 (4.0-4.7)], skills [2.4 (1.2-3.3), 6.4 (4.0-8.3), 4.0 (2.4-6.2], and attitude [5.9 (5.9-6.8), 7.3 (5.9-7.3), and 7.3 (5.9-7.3)].ConclusionUniversity students have the willingness to help victims suffering from acute myocardial infarction or sustaining sudden cardiac arrest. However, nonhealth-care students markedly lack knowledge and skills to perform cardiopulmonary resuscitation and automated external defibrillation. Our findings reveal a stark difference in basic life support competencies between students in health-care related fields and those in nonhealthy-care fields, emphasizing the need for universal basic life support training.KEY MESSAGES1. Our findings reveal a stark difference in basic life support competencies between students in health-care related fields and those in nonhealth fields, emphasizing the need for universal basic life support training.2. An action for curriculum modification to include basic life support training for all students is timely and practical, given the global burden of heart disease and the proven benefits of early intervention in sudden cardiac arrest cases.3. Our study contributes significantly to the ongoing discussion about public health education and the role of nonhealth professionals in emergency medical response. It may serve as a catalyst for policy changes within educational institutions and among healthcare policymakers, aiming to create a more resilient and responsive community in the face of out-of-hospital medical emergencies.

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A novel approach to community CPR and AED outreach focused on underserved learner communities

Fisher,

Bouland,

Zemple

et al. 2024

JACEP Open

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Creating a sustainable community cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) program that reaches underserved communities poses a challenge for the emergency medical services (EMS) community. Attendance, funding, and resources have all been linked to struggles surrounding community CPR/AED programs. Through our experience in conducting CPR/AED trainings in underserved regions of eastern North Carolina, we propose a method of effectively utilizing existing organizations and institutions of learning to expand and maintain a sustainable community CPR/AED program. Furthermore, we demonstrate 10 cornerstones in developing relationships within the community to increase attendance and participation in diverse communities.

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Disparities in layperson resuscitation education: A scoping review

Cited by 5 publications

References 50 publications

Targeting students of nonhealth academic fields for basic life support: they need to know why, what and how to do CPR

A novel approach to community CPR and AED outreach focused on underserved learner communities

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