Are high school cardiopulmonary resuscitation education mandates working? Insights from a high school survey on CPR knowledge, attitudes, and readiness.

Autor: Katapadi A; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Bawa D; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Garg J; Loma Linda University, Loma Linda, California, USA., Lakkireddy A; Barstow School, Kansas City, Missouri, USA., Ahmed A; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Syed A; University of Missouri Kansas City, Kansas City, Missouri, USA., Korlakunta S; Boston University, Boston, MA, USA., Gangasani N; State University of New York, Binghamton, Binghamton, New York, USA., Nalamachu M; Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA., Atkins D; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Kabra R; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Darden D; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Pothineni NV; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Gopinathannair R; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA., Biga C; American Cardiology of Cardiology, Washington, DC, USA., Chung M; Cleveland Clinic Foundation, Cleveland, Ohio, USA., Ellenbogen K; Virginia Commonwealth University, Richmond, Virginia, USA., Kovacs R; American Cardiology of Cardiology, Washington, DC, USA., Lakkireddy D; Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA. Electronic address: dhanunjaya.lakkireddy@hcahealthcare.com.
Jazyk: angličtina
Zdroj: Heart rhythm [Heart Rhythm] 2024 Sep 28. Date of Electronic Publication: 2024 Sep 28.
DOI: 10.1016/j.hrthm.2024.09.057
Abstrakt: Background: The use of cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs) significantly improve the chances of survival after out-of-hospital cardiac arrest. Subsequently, state laws mandate training in CPR and AED use for high school graduation. However, training and its impact vary and must be better understood.
Objective: We assessed the current CPR training mandates and their impact.
Methods: We performed a nationwide, cross-sectional, survey-based observational study of high schoolers in 9th to 12th grades in all 50 states from 2020 to 2022 (NCT04493970), assessing basic demographics, attitudes, knowledge and skills, and willingness to learn CPR and AED.
Results: We had an 8% response rate, resulting in 2395 high school students surveyed. The mean age of respondents was 16.8 ± 0.7 years, with 52.5% female students. Of these, 86% underwent some form of training, and 25.1% had CPR training in the last year. Only 58.7% knew how to use an AED. Notably, 26.9% had previously witnessed CPR, and almost all (94%) realized the importance of learning CPR. Most respondents also believed recurrent and longitudinal would be beneficial.
Conclusion: Surprisingly, only a small cohort of students undergo CPR training even when it is mandatory. The quality of this training appears to be inadequate to impart appropriate confidence and knowledge levels. This suggests a need for a significant overhaul of CPR training mandates across the United States.
Competing Interests: Disclosures Dr Garg has received fees from Biosense Webster, Zoll, Kestra, and Biotronik. Dr Kabra has received fees from Volta Medical. Dr Pothineni has received fees from Medtronic and Biosense Webster; Dr Dhanunjaya Lakkireddy has received fees from Abbott Vascular, Biotronik, BioSense Webster, Medtronic, Boston Scientific, Atricure, Acutus, and Northeast Scientific. The other authors have no conflicts of interest.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE