Knowledge of first aid and the procedure of cardiopulmonary resuscitation in high school students and teachers

    Authors

    Keywords

    cardiopulmonary resuscitation – education, first aid, out-of-hospital cardiac arrest

    DOI

    https://doi.org/10.15836/ccar2024.512

    Full Text

    **Introduction**: According to data from the European Resuscitation Council (ERC) from 2021, the incidence of out-of-hospital cardiac arrest (OHCA) in European countries was between 67 and 170 per 100,000 inhabitants with an average survival rate of 8%. The European country with the highest OHCA survival rate of 25% is Norway, where the cardiopulmonary resuscitation (CPR) course has been an integral part of the national school curriculum since 1961. (1-3) Aim: To examine general knowledge about recognizing emergency situations and the correct procedure for performing CPR among high school students and teachers in the General Gymnasium in Valpovo, Croatia. **Patients and Methods**: A cross-sectional study was conducted with 47 teachers and 47 students in the second grade. An anonymous survey containing 10 questions with 4 proposed answers was used, and the number of correct answers was unknown. **Results**: Knowledge of the etiology of cardiac arrest and the purpose of CPR is unsatisfactory among both teachers and students (2% of teachers vs 0% of students answered correctly). Teachers achieved better results in questions about the EpiPen mechanism of action (51% compared to 17% of students), accurate localization of pulse palpation in unconscious persons (68% compared to 60% of students) and recognition of situations in which emergency medical help should be called (38% compared to 26% of students), while the students achieved better results regarding the correct ratio of heart massage and ventilation during the CPR procedure (38% compared to 15% of teachers). Knowledge of proper handling of an unconscious person was satisfactory in both observed groups. **Conclusion**: First aid and CPR courses should be understood as lifelong learning programs that should be implemented at a young age and repeated regularly. As a result, the survival rate of OHCA would increase.

    Literature

    1. Gräsner JT, Wnent J, Herlitz J, Perkins GD, Lefering R, Tjelmeland I, et al. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation. 2020 March 1;148:218–26. https://doi.org/10.1016/j.resuscitation.2019.12.042
    2. Böttiger BW, Van Aken H. Kids save lives--Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015 September;94:A5–7. https://doi.org/10.1016/j.resuscitation.2015.07.005
    3. Böttiger BW, Van Aken HK. Saving 100,000 lives each year in Europe. Best Pract Res Clin Anaesthesiol. 2013 September;27(3):291–2. https://doi.org/10.1016/j.bpa.2013.08.001
    Cardiologia Croatica
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    Knowledge of first aid and the procedure of cardiopulmonary resuscitation in high school students and teachers

    Extended Abstract
    Issue11-12
    Published
    Pages512
    PDF via DOIhttps://doi.org/10.15836/ccar2024.512
    cardiopulmonary resuscitation – education
    first aid
    out-of-hospital cardiac arrest

    Authors

    Livija Sušić*ORCIDHealth Center of Osijek-Baranja County, Osijek, Croatia
    Matea LukićORCIDFaculty of Medicine, Osijek, Croatia
    Ana MatijevićORCIDHealth Center of Osijek-Baranja County, Osijek, Croatia
    Ksenija LukićORCIDOsijek-Baranja County, Osijek, Croatia

    *Correspondence email: livija.susic@gmail.com

    Full Text

    Introduction: According to data from the European Resuscitation Council (ERC) from 2021, the incidence of out-of-hospital cardiac arrest (OHCA) in European countries was between 67 and 170 per 100,000 inhabitants with an average survival rate of 8%. The European country with the highest OHCA survival rate of 25% is Norway, where the cardiopulmonary resuscitation (CPR) course has been an integral part of the national school curriculum since 1961. (1–3) Aim: To examine general knowledge about recognizing emergency situations and the correct procedure for performing CPR among high school students and teachers in the General Gymnasium in Valpovo, Croatia.

    Patients and Methods: A cross-sectional study was conducted with 47 teachers and 47 students in the second grade. An anonymous survey containing 10 questions with 4 proposed answers was used, and the number of correct answers was unknown.

    Results: Knowledge of the etiology of cardiac arrest and the purpose of CPR is unsatisfactory among both teachers and students (2% of teachers vs 0% of students answered correctly). Teachers achieved better results in questions about the EpiPen mechanism of action (51% compared to 17% of students), accurate localization of pulse palpation in unconscious persons (68% compared to 60% of students) and recognition of situations in which emergency medical help should be called (38% compared to 26% of students), while the students achieved better results regarding the correct ratio of heart massage and ventilation during the CPR procedure (38% compared to 15% of teachers). Knowledge of proper handling of an unconscious person was satisfactory in both observed groups.

    Conclusion: First aid and CPR courses should be understood as lifelong learning programs that should be implemented at a young age and repeated regularly. As a result, the survival rate of OHCA would increase.

    Literature

    1. 1.
      Gräsner JT, Wnent J, Herlitz J, Perkins GD, Lefering R, Tjelmeland I, et al. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation. 2020 March 1;148:218–26.DOI
    2. 2.
      Böttiger BW, Van Aken H. Kids save lives--Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015 September;94:A5–7.DOI
    3. 3.
      Böttiger BW, Van Aken HK. Saving 100,000 lives each year in Europe. Best Pract Res Clin Anaesthesiol. 2013 September;27(3):291–2.DOI