The understanding and recall of school children in Mumbai in compression only life support cardiopulmonary resuscitation

Abstract

Background and Aims: Out of hospital cardiac arrest (OHCA) is a leading cause of mortality worldwide. Increased bystander cardiopulmonary resuscitation (CPR) is observed in regions where school CPR training has been mandatory and led to reduced mortality by OHCA. We would like to explore the feasibility of teaching compression only life support (COLS) CPR to Indian school children through the following objectives determining their understanding of theoretical knowledge after a training session in the Indian Society of Anaesthesiologists' (ISA) COLS protocol and reviewing the information recall three months later. Methods: The participants of this quasi-experimental study were 132 school children, aged 12 to 15. The children were all below the age of 18 and consent was obtained vicariously through the principals of the schools and assent from the students in the form of willingness to answer the multiple-choice questionnaires. The study sample comprised of participants who responded to both questionnaires, immediately post-training session and three months later. Their responses were compiled in Excel and analysed using the paired t -test and R programming language. Results: None of the children had any previous knowledge on COLS. A one-hour session in COLS proved sufficient to increase the baseline knowledge with a mean post-training score by 82%. On comparing the two scores obtained, a statistically significant attrition rate was observed ( P < 0.001). Conclusion: The children exhibited good understanding of COLS after a single training session. This makes us believe that more periodic revision, probably by inclusion of COLS in school curricula could be a satisfactory solution towards lowering the attrition in knowledge recall.

Educational Technologies Devised to Teach Basic Life Support to Adolescents: A Scoping Review

“…To mitigate the effect of forgetfulness within this category, periodic reviews 58 and combination of audiovisual resources can be offered to complement instructor-led training 32,40,42,43,45 . In this sense, feedback mechanisms and songs can be used, as they favor knowledge memorization and retention 34,44 .…”

KIDS SAVE LIVES: Basic Life Support Education for Schoolchildren: A Narrative Review and Scientific Statement From the International Liaison Committee on Resuscitation

“…30,87,88 Even brief theoretical sessions result in effective knowledge transfer. 17,44,89 A combination of e-learning and face-to-face-teaching (blended training methods) seems to preserve retention of knowledge over a longer period. 66 The assessment should be provided in simulated scenarios rather than in formal testing.…”

Metodologias educativas na aprendizagem de primeiros socorros em escolas:

“…No que se refere ao desenho metodológico, a maioria dos estudos foi de abordagem quantitativa (19)(20)(21)23,(25)(26)(27)(29)(30)(31)(33)(34)36) , com estudos quase experimentais (n=8) (16,19,22,23,29,30,34,35) , estudos experimentais com grupo controle (n=3) (17,25,33) , estudos longitudinais (n=3) (21,27,31) , estudos randomizados (n=1) (28) e estudo de intervenção (n=2) (26,32) . Os demais estudos foram do tipo relatos de experiência (n=2) (20,24) , método misto (n=1) (36) e estudo exploratório (n=1) (18) .…”

“…(16,(23)(24)(25)29,30,32) Nenhum estudo investigou os dois sujeitos de forma concomitante. Nos estudos realizados com estudantes, a faixa etária prevalente foi dos 10 aos 14 anos (17)(18)(19)(20)(21)(22)(26)(27)(28)31,33,(34)(35)(36) . O número de participantes nos estudos analisados variou de 15 (16) a 764 (36) , sendo os estudantes o grupo prevalente.…”

“…Porto Alegre, Rio Grande do Sul, Brasil, 2021. (RCP) (n=15) (17)(18)(19)(20)(21)(22)(23)(28)(29)(30)(33)(34)(35)(36) , controle de sangramento (n=6) (17,23,27,30,32,35) , queimaduras (n=6) (16)(17)(18)22,25,26) , engasgo (n=6) (18,(22)(23)(24)30,32) , uso do desfibrilador externo automático (DEA) (n=5) (16,20,23,27,33) e o chamado de ambulância (n=4) (25,27,29,31) . Temas como convulsão, insolação, choque elétrico, intoxicações, acidentes com animais peçonhentos, afogamentos, fraturas, desmaio e reações alérgicas também foram contemplados nos estudos, mas em menor escala.…”