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BackgroundBackground•Out-of-Hospital Cardiac Arrest (OHCA) is cessation of
cardiac mechanical activity confirmed by the absence
of signs of circulation•There are 420,000 OHCA cases nationally•Only 1 of 3 victims receives bystander CPR •Only 3.7% of OHCA victims have AED placement
applied before arrival of EMS provider •Bystander CPR and AED use can triple a victim’s
chance of survival
BackgroundBackground•Out-of-Hospital Cardiac Arrest (OHCA) is cessation of
cardiac mechanical activity confirmed by the absence
of signs of circulation•There are 420,000 OHCA cases nationally•Only 1 of 3 victims receives bystander CPR •Only 3.7% of OHCA victims have AED placement
applied before arrival of EMS provider •Bystander CPR and AED use can triple a victim’s
chance of survival
MethodsMethodsStudy design • Retrospective cohort study of 6-12 graders in four
demographically different Chicago schools • Participants recruited based on grade levels
available on date of training• Trainers were volunteer undergraduate and medical
students previously trained in compression only
CPR and AED use• At the end of training, a survey was administered to
determine CPR and AED knowledge acquisition
ILHR Map: Chicago School
Trainings by Poverty Rate
MethodsMethodsStudy design • Retrospective cohort study of 6-12 graders in four
demographically different Chicago schools • Participants recruited based on grade levels
available on date of training• Trainers were volunteer undergraduate and medical
students previously trained in compression only
CPR and AED use• At the end of training, a survey was administered to
determine CPR and AED knowledge acquisition
ILHR Map: Chicago School
Trainings by Poverty Rate
Discussion•CPR and AED educational curriculum with a lecture
and hands on component can effectively train large
numbers of students in a 45 minute period
•School based training:
• Feasible to reach a large section of the population
with minimal volunteer force
• Enables segments of the population that
otherwise would not be trained due to availability
• Can be an avenue to increased accessibility of
OHCA education in the community
•Increased knowledge about OHCA amongst lay
people may impact bystander response
Discussion•CPR and AED educational curriculum with a lecture
and hands on component can effectively train large
numbers of students in a 45 minute period
•School based training:
• Feasible to reach a large section of the population
with minimal volunteer force
• Enables segments of the population that
otherwise would not be trained due to availability
• Can be an avenue to increased accessibility of
OHCA education in the community
•Increased knowledge about OHCA amongst lay
people may impact bystander response
Alejandra Cano MSIVAlejandra Cano MSIV11, Marina Del Ríos MD, MSc, Marina Del Ríos MD, MSc11, Amer Aldeen MD, Amer Aldeen MD22, Teri Campbell RN, Teri Campbell RN33, Ellen Demertsidis EMT-B, Ellen Demertsidis EMT-B11, Sara Heinert MPH, Sara Heinert MPH11, Terry VandenHoek MD, Terry VandenHoek MD11
1. University of Illinois at Chicago, Chicago, IL; 2. Northwestern University Feinberg School of Medicine, Chicago, IL; 3. University of Chicago, Chicago, IL1. University of Illinois at Chicago, Chicago, IL; 2. Northwestern University Feinberg School of Medicine, Chicago, IL; 3. University of Chicago, Chicago, IL
AcknowledgementsAcknowledgements•Special thanks to our ILHR volunteers, especially Special thanks to our ILHR volunteers, especially
Catherine Duncan and Jennifer Sinchi, for their tireless Catherine Duncan and Jennifer Sinchi, for their tireless
efforts to increase OHCA survival throughout Illinois efforts to increase OHCA survival throughout Illinois
through community education. We would also like to through community education. We would also like to
thank our sponsor Medtronic Philanthropy and the thank our sponsor Medtronic Philanthropy and the
Heart Rescue Project for financial support with Heart Rescue Project for financial support with
educational materials and providing content expertise. educational materials and providing content expertise.
AcknowledgementsAcknowledgements•Special thanks to our ILHR volunteers, especially Special thanks to our ILHR volunteers, especially
Catherine Duncan and Jennifer Sinchi, for their tireless Catherine Duncan and Jennifer Sinchi, for their tireless
efforts to increase OHCA survival throughout Illinois efforts to increase OHCA survival throughout Illinois
through community education. We would also like to through community education. We would also like to
thank our sponsor Medtronic Philanthropy and the thank our sponsor Medtronic Philanthropy and the
Heart Rescue Project for financial support with Heart Rescue Project for financial support with
educational materials and providing content expertise. educational materials and providing content expertise.
Youth Heart Rescue Pilot: A School-centered out-of-hospital cardiac arrest educational intervention
Implications and future directionsImplications and future directions
•Our 45-minute Youth Heart Rescue educational
intervention is a feasible way to disseminate
knowledge of cardiac arrest to school aged children
•Further research with a larger sample targeting
communities with the highest rates of OHCA is
necessary to measure long-term knowledge retention
and dissemination to the community
•The results of this study will be used as a framework
in the development of future OHCA promotion
campaigns
Implications and future directionsImplications and future directions
•Our 45-minute Youth Heart Rescue educational
intervention is a feasible way to disseminate
knowledge of cardiac arrest to school aged children
•Further research with a larger sample targeting
communities with the highest rates of OHCA is
necessary to measure long-term knowledge retention
and dissemination to the community
•The results of this study will be used as a framework
in the development of future OHCA promotion
campaigns
Table 2: Youth Heart Rescue Recall Questions
ResultsResults
LimitationsLimitations
•Post-training only survey design without evaluations
of previous knowledge
•No long-term knowledge retention dataNo long-term knowledge retention data
LimitationsLimitations
•Post-training only survey design without evaluations
of previous knowledge
•No long-term knowledge retention dataNo long-term knowledge retention data
Table 1: Demographics of Students Trained
• Training session successfully implemented during school hours
• 201 participants with 100% survey response rate
• Post-training questionnaire results suggest good immediate
recall
• 5 out of 6 questions had greater than 88% correct
response
• TEICA was 0.12 volunteer hours per person trained
Purpose Purpose • Determine knowledge acquisition of a 45-minute
compression-only CPR and AED educational
curriculum • Determine Training Efficiency Index for Cardiac
Arrest (TEICA) i.e. volunteer hours per person
trained
Purpose Purpose • Determine knowledge acquisition of a 45-minute
compression-only CPR and AED educational
curriculum • Determine Training Efficiency Index for Cardiac
Arrest (TEICA) i.e. volunteer hours per person
trained
Methods ContinuedMethods ContinuedProcedure
1. OHCA recognition, CPR and AED training program
Part 1 (20 min)•PowerPoint covering introduction of response steps
(1) Shake/Shout
(2) Call 9-1-1
(3) Start chest compressions
(4) Tell someone to find an AED •2 minute CPR training video in English
Part 2 (10 minutes) •Demonstration of chest compression technique on mannequins •Hands on training with supervision for appropriate hand placement
and depth (2 inches)•Practice performing chest compressions on mannequins
Part 3 (10 minutes) •Demonstration of how to use an AED•Supervised AED hands on practice•Practiced OHCA survival sequence•Questions answered
• Post-training survey administration (5 min)•Recall questions•Pledge question
Outcomes Measures • Primary outcome: knowledge acquisition as determined by immediate
post-training surveys• Secondary outcome: Training efficiency determined by the training
efficiency index for cardiac arrest (TEICA) or volunteer hours per
person trained
Post-training survey administered
Methods ContinuedMethods ContinuedProcedure
1. OHCA recognition, CPR and AED training program
Part 1 (20 min)•PowerPoint covering introduction of response steps
(1) Shake/Shout
(2) Call 9-1-1
(3) Start chest compressions
(4) Tell someone to find an AED •2 minute CPR training video in English
Part 2 (10 minutes) •Demonstration of chest compression technique on mannequins •Hands on training with supervision for appropriate hand placement
and depth (2 inches)•Practice performing chest compressions on mannequins
Part 3 (10 minutes) •Demonstration of how to use an AED•Supervised AED hands on practice•Practiced OHCA survival sequence•Questions answered
• Post-training survey administration (5 min)•Recall questions•Pledge question
Outcomes Measures • Primary outcome: knowledge acquisition as determined by immediate
post-training surveys• Secondary outcome: Training efficiency determined by the training
efficiency index for cardiac arrest (TEICA) or volunteer hours per
person trained
Post-training survey administered
Table 3: Pledge Question Willingness to Teach Family Members