Short Survey on Cardiopulmonary Resuscitation and Automated External Defibrillator Training in Rural British Columbia Schools: Preliminary Findings and Hypothesis-Generating Insights

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS CJC Open Pub Date : 2024-10-01 DOI:10.1016/j.cjco.2024.07.006
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Abstract

Background

British Columbia (BC) faces more than 7000 out-of-hospital cardiac arrests annually, which disproportionately affect rural areas, owing to their slower emergency medical service response and limited specialized care. Despite the known benefits of automated external defibrillator (AED) access and cardiopulmonary resuscitation (CPR) training, their status in rural BC schools is poorly documented.

Methods

We used an online survey of principals and vice-principals of rural schools in BC. The survey assessed AED accessibility, prevalence of CPR and AED training, and obstacles to implementing such training. Questions covered school demographics, AED installation, and CPR and/or AED training for staff and students.

Results

We recruited 23 elementary schools (kindergarten-grade 7; 46%), 6 middle schools (grades 6-8; 12%), and 21 high schools (grades 8- 12; 42%). A total of 72% (36 of 50) had at least one AED installed; 46% required staff CPR training; and 24% provided student CPR training. Significant gaps in training were noted for elementary and middle school students, compared to the training for high schools (P < 0.05).

Conclusions

Disparities in AED and CPR training across rural schools in BC exist, highlighting a need for policy improvements and innovative solutions to enhance first-aid education. Barriers to implementing CPR and AED training included lack of funding, curricular priority, time constraints, and limited resources. Despite a 10.3% response rate, this study reveals significant disparities in AED and CPR training across school levels in rural BC, underscoring the need for targeted policies and educational strategies to enhance emergency preparedness and improve cardiac arrest outcomes in underserved areas.
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关于不列颠哥伦比亚省农村学校心肺复苏术和自动体外除颤器培训的简短调查:初步调查结果和假设启示
背景不列颠哥伦比亚省(BC 省)每年都会发生 7000 多起院外心脏骤停事件,由于农村地区的急救医疗服务响应速度较慢且专业护理有限,因此农村地区受到的影响尤为严重。尽管自动体外除颤器(AED)的使用和心肺复苏(CPR)培训的好处众所周知,但它们在不列颠哥伦比亚省农村学校的使用情况却鲜有记录。调查评估了自动体外除颤器的可及性、心肺复苏术和自动体外除颤器培训的普及率以及开展此类培训的障碍。问题涉及学校人口统计、自动体外除颤器的安装以及对教职员工和学生的心肺复苏术和/或自动体外除颤器培训。结果我们招募了 23 所小学(幼儿园至七年级;46%)、6 所初中(六至八年级;12%)和 21 所高中(八至十二年级;42%)。72%的学校(50 所学校中的 36 所)至少安装了一台自动体外除颤器;46%的学校要求教职员工接受心肺复苏培训;24%的学校为学生提供心肺复苏培训。结论不列颠哥伦比亚省的农村学校在自动体外除颤器和心肺复苏术培训方面存在差异,突出表明需要改进政策和创新解决方案来加强急救教育。实施心肺复苏术和自动体外除颤器培训的障碍包括缺乏资金、课程优先级、时间限制和资源有限。尽管回复率为 10.3%,但本研究揭示了不列颠哥伦比亚省农村地区各级学校在自动体外除颤器和心肺复苏培训方面存在的显著差异,突出表明需要制定有针对性的政策和教育策略,以加强应急准备并改善服务不足地区的心脏骤停后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CJC Open
CJC Open Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.30
自引率
0.00%
发文量
143
审稿时长
60 days
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