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Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2014

Open Access 01-12-2014 | Original research

Basic life support knowledge, self-reported skills and fears in Danish high school students and effect of a single 45-min training session run by junior doctors; a prospective cohort study

Authors: Anne Marie Roust Aaberg, Caroline Emilie Brenner Larsen, Bodil Steen Rasmussen, Carolina Malta Hansen, Jacob Moesgaaard Larsen

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2014

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Abstract

Background

Early recognition and immediate bystander cardiopulmonary resuscitation are critical determinants of survival after out-of-hospital cardiac arrest (OHCA). Our aim was to evaluate current knowledge on basic life support (BLS) in Danish high school students and benefits of a single training session run by junior doctors.

Methods

Six-hundred-fifty-one students were included. They underwent one 45-minute BLS training session including theoretical aspects and hands-on training with mannequins. The students completed a baseline questionnaire before the training session and a follow-up questionnaire one week later. The questionnaire consisted of an eight item multiple-choice test on BLS knowledge, a four-level evaluation of self-assessed BLS skills and evaluation of fear based on a qualitative description and visual analog scale from 0 to 10 for being first responder.

Results

Sixty-three percent of the students (413/651) had participated in prior BLS training. Only 28% (179/651) knew how to correctly recognize normal breathing. The majority was afraid of exacerbating the condition or causing death by intervening as first responder. The response rate at follow-up was 61% (399/651). There was a significant improvement in correct answers on the multiple-choice test (p < .001). The proportion of students feeling well prepared to perform BLS increased from 30% to 90% (p < .001), and the level of fear of being first responder was decreased 6.8 ± 2.2 to 5.5 ± 2.4 (p < .001).

Conclusion

Knowledge of key areas of BLS is poor among high school students. One hands-on training session run by junior doctors seems to be efficient to empower the students to be first responders to OHCA.
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Literature
1.
go back to reference Parnell MM, Pearson J, Galletly DC, Larsen PD: Knowledge of and attitudes towards resuscitation in new zealand high-school students. Emerg Med J. 2006, 23 (12): 899-902. 10.1136/emj.2006.041160.PubMedCentralCrossRefPubMed Parnell MM, Pearson J, Galletly DC, Larsen PD: Knowledge of and attitudes towards resuscitation in new zealand high-school students. Emerg Med J. 2006, 23 (12): 899-902. 10.1136/emj.2006.041160.PubMedCentralCrossRefPubMed
2.
go back to reference Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, Jans H, Hansen PA, Lang-Jensen T, Olesen JB, Lindhardsen J, Fosbol EL, Nielsen SL, Gislason GH, Kober L, Torp-Pedersen C: 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 (13): 1377-1384. 10.1001/jama.2013.278483.CrossRefPubMed Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, Jans H, Hansen PA, Lang-Jensen T, Olesen JB, Lindhardsen J, Fosbol EL, Nielsen SL, Gislason GH, Kober L, Torp-Pedersen C: 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 (13): 1377-1384. 10.1001/jama.2013.278483.CrossRefPubMed
3.
go back to reference Eisenburger P, Sterz F, Haugk M, Scheinecker W, Holzer M, Koreny M, Kaff A, Laggner A, Herkner H: Cardiac arrest in public locations–an independent predictor for better outcome?. Resuscitation. 2006, 70 (3): 395-403. 10.1016/j.resuscitation.2006.02.002.CrossRefPubMed Eisenburger P, Sterz F, Haugk M, Scheinecker W, Holzer M, Koreny M, Kaff A, Laggner A, Herkner H: Cardiac arrest in public locations–an independent predictor for better outcome?. Resuscitation. 2006, 70 (3): 395-403. 10.1016/j.resuscitation.2006.02.002.CrossRefPubMed
4.
go back to reference Lund-Kordahl I, Olasveengen TM, Lorem T, Samdal M, Wik L, Sunde K: Improving outcome after out-of-hospital cardiac arrest by strengthening weak links of the local chain of survival; quality of advanced life support and post-resuscitation care. Resuscitation. 2010, 81 (4): 422-426. 10.1016/j.resuscitation.2009.12.020.CrossRefPubMed Lund-Kordahl I, Olasveengen TM, Lorem T, Samdal M, Wik L, Sunde K: Improving outcome after out-of-hospital cardiac arrest by strengthening weak links of the local chain of survival; quality of advanced life support and post-resuscitation care. Resuscitation. 2010, 81 (4): 422-426. 10.1016/j.resuscitation.2009.12.020.CrossRefPubMed
5.
go back to reference Tanigawa K, Iwami T, Nishiyama C, Nonogi H, Kawamura T: Are trained individuals more likely to perform bystander CPR? an observational study. Resuscitation. 2011, 82 (5): 523-528. 10.1016/j.resuscitation.2011.01.027.CrossRefPubMed Tanigawa K, Iwami T, Nishiyama C, Nonogi H, Kawamura T: Are trained individuals more likely to perform bystander CPR? an observational study. Resuscitation. 2011, 82 (5): 523-528. 10.1016/j.resuscitation.2011.01.027.CrossRefPubMed
6.
go back to reference Cave DM, Aufderheide TP, Beeson J, Ellison A, Gregory A, Hazinski MF, Hiratzka LF, Lurie KG, Morrison LJ, Mosesso VN, Nadkarni V, Potts J, Samson RA, Sayre MR, Schexnayder SM: Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools: a science advisory from the american heart association. Circulation. 2011, 123 (6): 691-706. 10.1161/CIR.0b013e31820b5328.CrossRefPubMed Cave DM, Aufderheide TP, Beeson J, Ellison A, Gregory A, Hazinski MF, Hiratzka LF, Lurie KG, Morrison LJ, Mosesso VN, Nadkarni V, Potts J, Samson RA, Sayre MR, Schexnayder SM: Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools: a science advisory from the american heart association. Circulation. 2011, 123 (6): 691-706. 10.1161/CIR.0b013e31820b5328.CrossRefPubMed
7.
go back to reference Plant N, Taylor K: How best to teach CPR to schoolchildren: a systematic review. Resuscitation. 2013, 84 (4): 415-421. 10.1016/j.resuscitation.2012.12.008.CrossRefPubMed Plant N, Taylor K: How best to teach CPR to schoolchildren: a systematic review. Resuscitation. 2013, 84 (4): 415-421. 10.1016/j.resuscitation.2012.12.008.CrossRefPubMed
8.
go back to reference Meissner TM, Kloppe C, Hanefeld C: Basic life support skills of high school students before and after cardiopulmonary resuscitation training: A longitudinal investigation. Scand J Trauma Resusc Emerg Med. 2012, 20: 31-10.1186/1757-7241-20-31. doi:10.1186/1757-7241-20-31PubMedCentralCrossRefPubMed Meissner TM, Kloppe C, Hanefeld C: Basic life support skills of high school students before and after cardiopulmonary resuscitation training: A longitudinal investigation. Scand J Trauma Resusc Emerg Med. 2012, 20: 31-10.1186/1757-7241-20-31. doi:10.1186/1757-7241-20-31PubMedCentralCrossRefPubMed
9.
go back to reference Bossaert LL: The european resuscitation council's guidelines for resuscitation 2010 in perspective: we need to do better. Rev Esp Cardiol. 2011, 64 (6): 445-450. 10.1016/j.recesp.2011.02.013.CrossRefPubMed Bossaert LL: The european resuscitation council's guidelines for resuscitation 2010 in perspective: we need to do better. Rev Esp Cardiol. 2011, 64 (6): 445-450. 10.1016/j.recesp.2011.02.013.CrossRefPubMed
10.
go back to reference Kanstad BK, Nilsen SA, Fredriksen K: CPR knowledge and attitude to performing bystander CPR among secondary school students in norway. Resuscitation. 2011, 82 (8): 1053-1059. 10.1016/j.resuscitation.2011.03.033.CrossRefPubMed Kanstad BK, Nilsen SA, Fredriksen K: CPR knowledge and attitude to performing bystander CPR among secondary school students in norway. Resuscitation. 2011, 82 (8): 1053-1059. 10.1016/j.resuscitation.2011.03.033.CrossRefPubMed
11.
go back to reference Savastano S, Vanni V: Cardiopulmonary resuscitation in real life: the most frequent fears of lay rescuers. Resuscitation. 2011, 82 (5): 568-571. 10.1016/j.resuscitation.2010.12.010.CrossRefPubMed Savastano S, Vanni V: Cardiopulmonary resuscitation in real life: the most frequent fears of lay rescuers. Resuscitation. 2011, 82 (5): 568-571. 10.1016/j.resuscitation.2010.12.010.CrossRefPubMed
12.
go back to reference Lindner TW, Soreide E, Nilsen OB, Torunn MW, Lossius HM: Good outcome in every fourth resuscitation attempt is achievable–an utstein template report from the stavanger region. Resuscitation. 2011, 82 (12): 1508-1513. 10.1016/j.resuscitation.2011.06.016.CrossRefPubMed Lindner TW, Soreide E, Nilsen OB, Torunn MW, Lossius HM: Good outcome in every fourth resuscitation attempt is achievable–an utstein template report from the stavanger region. Resuscitation. 2011, 82 (12): 1508-1513. 10.1016/j.resuscitation.2011.06.016.CrossRefPubMed
13.
go back to reference Chamberlain DA, Hazinski MF, European Resuscitation Council: An ILCOR symposium: Utstein abbey: Stavanger, norway: June 22-24, 2001. Circulation. 2003, 108 (20): 2575-2594. 10.1161/01.CIR.0000099898.11954.3B.CrossRefPubMed Chamberlain DA, Hazinski MF, European Resuscitation Council: An ILCOR symposium: Utstein abbey: Stavanger, norway: June 22-24, 2001. Circulation. 2003, 108 (20): 2575-2594. 10.1161/01.CIR.0000099898.11954.3B.CrossRefPubMed
14.
go back to reference Chen ZQ, Zhao Y, Lu ZH, Li XY, Shi HJ, Sun J, Patrick R: Awareness and attitudes of chinese students towards cardiopulmonary resuscitation. Emerg Med J. 2010, 27 (12): 907-910. 10.1136/emj.2009.079558.CrossRefPubMed Chen ZQ, Zhao Y, Lu ZH, Li XY, Shi HJ, Sun J, Patrick R: Awareness and attitudes of chinese students towards cardiopulmonary resuscitation. Emerg Med J. 2010, 27 (12): 907-910. 10.1136/emj.2009.079558.CrossRefPubMed
15.
go back to reference Miro O, Jimenez-Fabrega X, Espigol G, Culla A, Escalada-Roig X, Díaz N, Salvador J, Abad J, Sánchez M: Teaching basic life support to 12-16 year olds in barcelona schools: views of head teachers. Resuscitation. 2006, 70 (1): 107-116. 10.1016/j.resuscitation.2005.11.015.CrossRefPubMed Miro O, Jimenez-Fabrega X, Espigol G, Culla A, Escalada-Roig X, Díaz N, Salvador J, Abad J, Sánchez M: Teaching basic life support to 12-16 year olds in barcelona schools: views of head teachers. Resuscitation. 2006, 70 (1): 107-116. 10.1016/j.resuscitation.2005.11.015.CrossRefPubMed
16.
go back to reference Mpotos N, Vekeman E, Monsieurs K, Derese A, Valcke M: Knowledge and willingness to teach cardiopulmonary resuscitation: a survey amongst 4273 teachers. Resuscitation. 2013, 84 (4): 496-500. 10.1016/j.resuscitation.2013.01.023.CrossRefPubMed Mpotos N, Vekeman E, Monsieurs K, Derese A, Valcke M: Knowledge and willingness to teach cardiopulmonary resuscitation: a survey amongst 4273 teachers. Resuscitation. 2013, 84 (4): 496-500. 10.1016/j.resuscitation.2013.01.023.CrossRefPubMed
17.
go back to reference Reder S, Quan L: Cardiopulmonary resuscitation training in washington state public high schools. Resuscitation. 2003, 56 (3): 283-288. 10.1016/S0300-9572(02)00376-3.CrossRefPubMed Reder S, Quan L: Cardiopulmonary resuscitation training in washington state public high schools. Resuscitation. 2003, 56 (3): 283-288. 10.1016/S0300-9572(02)00376-3.CrossRefPubMed
18.
go back to reference Hart D, Flores-Medrano O, Brooks S, Buick JE, Morrison LJ: Cardiopulmonary resuscitation and automatic external defibrillator training in schools: "Is anyone learning how to save a life?". CJEM. 2013, 15 (5): 270-278.PubMed Hart D, Flores-Medrano O, Brooks S, Buick JE, Morrison LJ: Cardiopulmonary resuscitation and automatic external defibrillator training in schools: "Is anyone learning how to save a life?". CJEM. 2013, 15 (5): 270-278.PubMed
19.
go back to reference Parnell MM, Larsen PD: Poor quality teaching in lay person CPR courses. Resuscitation. 2007, 73 (2): 271-278. 10.1016/j.resuscitation.2006.09.008.CrossRefPubMed Parnell MM, Larsen PD: Poor quality teaching in lay person CPR courses. Resuscitation. 2007, 73 (2): 271-278. 10.1016/j.resuscitation.2006.09.008.CrossRefPubMed
Metadata
Title
Basic life support knowledge, self-reported skills and fears in Danish high school students and effect of a single 45-min training session run by junior doctors; a prospective cohort study
Authors
Anne Marie Roust Aaberg
Caroline Emilie Brenner Larsen
Bodil Steen Rasmussen
Carolina Malta Hansen
Jacob Moesgaaard Larsen
Publication date
01-12-2014
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1757-7241-22-24

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