Knowledge and attitudes of Singapore schoolchildren learning cardiopulmonary resuscitation and automated external defibrillator skills

Kua, Phj; Ae, White; Wy, Ng; Fook‐Chong, S.; Ekx, Ng; Ng, YY; Ong, Meh

doi:10.11622/smedj.2018021

Cited by 15 publications

(4 citation statements)

References 30 publications

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“…Improving secondary school student’s knowledge and attitudes towards performing CPR and using an AED is just as important as teaching the physical skills associated with the delivery of life-saving CPR and AED interventions. 19 The large gain in BLS knowledge (38%, 95% CI 33% to 43%) in this study appeared to be greater than the results comparing a baseline control group and three postinstructional methods (computer training, computer training plus practice, video plus demonstration and practice) for teaching CPR and AED. 20 Knowledge deficits in rate and depth of CPR compression were apparent before training in this study, but substantially improved and were retained at the 3-month follow-up.…”

Section: Discussioncontrasting

confidence: 61%

“…BLS instructors reassuring students, for example, about the trade-off of a victim with CPR-related broken ribs having a higher chance of survival versus poorer outcomes without CPR could partly address this common misconception. 19 Nearly half of our students were worried about the legal responsibility in performing CPR as a Good Samaritan Law is not in place. A local survey showed that if the Good Samaritan Law was enacted, 57% of first aid course participants indicated they would be more willing to perform bystander CPR.…”

Section: Discussionmentioning

confidence: 99%

“…These results were also comparable to knowledge gains immediately after a training video and hands-on practice intervention delivered to five Singaporean junior secondary schools. 19 A positive attitude towards CPR is likely to be a good predictor of a person willing to perform CPR in a real situation. 14 Most students in this study were self-selected and motivated to learn CO-CPRAED skills to increase the victim's chance of survival.…”

Section: Discussionmentioning

confidence: 99%

“…These results were also comparable to knowledge gains immediately after a training video and hands-on practice intervention delivered to five Singaporean junior secondary schools. 19 …”

Section: Discussionmentioning

confidence: 99%

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Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

Tsui

et al. 2020

BMJ Open

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ObjectivesThis study assessed the feasibility and preliminary efficacy of a 2-hour compression-only cardiopulmonary resuscitation and automated external defibrillator (CO-CPRAED) course in secondary school students.DesignProspective pre-post feasibility study.Setting and participants128 students (12–15 years old) without prior basic life support (BLS) training at four secondary schools in Hong Kong. All students were followed up at 3 months after training.InterventionsEmergency medicine-trained nurse and physicians taught the 2-hour CO-CPRAED course using the American Heart Association ‘CPR in School Training Kit’ programme. Students were trained in groups up to 40 students/session, with an instructor to student ratio not exceeding 1:10. To practise hands-on compressions, the manikin to student ratio was 1:1. For a simulated cardiac arrest, the manikin and AED to student ratio was 1:10.Primary and secondary outcomesCPR and AED knowledge, attitude statements towards bystander CPR and AED, quality of BLS performance skills during training and at 3 months.ResultsSome students (46%) knew how deep to push on an adult chest when doing CO-CPR before training. The course was associated with an increase in knowledge score (pretraining 55%, post-training 93%; adjusted mean difference (MD) 38%, 95% CI 33% to 43%; p<0.001). Most students (68%) thought that CPR education in senior secondary school was essential before training. The students had a very positive attitude towards CPR; no change in the mean (SD) attitude score out of 30 over time (pretraining 27.2 (2.5), post-training 27.6 (2.7); adjusted MD 0.5, 95% CI −0.1 to 1.0; p=0.132). Most students were competent in performing BLS immediately after training (77%) and at 3 months (83%) (adjusted MD 6%, 95% CI −4% to 15%; p=0.268).ConclusionsThe results demonstrate the feasibility of scaling up the number of secondary schools trained in a brief CO-CPRAED course within the local school curriculum.

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Section: Discussioncontrasting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…These results were also comparable to knowledge gains immediately after a training video and hands-on practice intervention delivered to five Singaporean junior secondary schools. 19 …”

Section: Discussionmentioning

confidence: 99%

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Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

Tsui

et al. 2020

BMJ Open

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A review on initiatives for the management of daily medical emergencies prior to the arrival of emergency medical services

Matinrad

Reuter-Oppermann

2021

Cent Eur J Oper Res

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Emergency services worldwide face increasing cost pressure that potentially limits their existing resources. In many countries, emergency services also face the issues of staff shortage–creating extra challenges and constraints, especially during crisis times such as the COVID-19 pandemic–as well as long distances to sparsely populated areas resulting in longer response times. To overcome these issues and potentially reduce consequences of daily (medical) emergencies, several countries, such as Sweden, Germany, and the Netherlands, have started initiatives using new types of human resources as well as equipment, which have not been part of the existing emergency systems before. These resources are employed in response to medical emergency cases if they can arrive earlier than emergency medical services (EMS). A good number of studies have investigated the use of these new types of resources in EMS systems, from medical, technical, and logistical perspectives as their study domains. Several review papers in the literature exist that focus on one or several of these new types of resources. However, to the best of our knowledge, no review paper that comprehensively considers all new types of resources in emergency medical response systems exists. We try to fill this gap by presenting a broad literature review of the studies focused on the different new types of resources, which are used prior to the arrival of EMS. Our objective is to present an application-based and methodological overview of these papers, to provide insights to this important field and to bring it to the attention of researchers as well as emergency managers and administrators.

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Bystanders’ willingness to assist using automated external defibrillators during cardiac arrest

Kono,

Takaishi,

Onuma

et al. 2024

Heliyon

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Knowledge and attitudes of Singapore schoolchildren learning cardiopulmonary resuscitation and automated external defibrillator skills

Abstract: Introduction: Victims of out-of-hospital cardiac arrests require timely cardiopulmonary

Cited by 15 publications

References 30 publications

Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

A review on initiatives for the management of daily medical emergencies prior to the arrival of emergency medical services

Bystanders’ willingness to assist using automated external defibrillators during cardiac arrest

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