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Background Out-of-Hospital Cardiac Arrest (OHCA) is cessation of cardiac mechanical activity confirmed by the absence of signs of circulation There are.

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Presentation on theme: "Background Out-of-Hospital Cardiac Arrest (OHCA) is cessation of cardiac mechanical activity confirmed by the absence of signs of circulation There are."— Presentation transcript:

1 Background 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 survivalBackground 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 Methods Study 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 RateMethods Study 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 MSIV 1, Marina Del Ríos MD, MSc 1, Amer Aldeen MD 2, Teri Campbell RN 3, Ellen Demertsidis EMT-B 1, Sara Heinert MPH 1, Terry VandenHoek MD 1 1. University of Illinois at Chicago, Chicago, IL; 2. Northwestern University Feinberg School of Medicine, Chicago, IL; 3. University of Chicago, Chicago, IL Acknowledgements Special thanks to our ILHR volunteers, especially Catherine Duncan and Jennifer Sinchi, for their tireless efforts to increase OHCA survival throughout Illinois through community education. We would also like to thank our sponsor Medtronic Philanthropy and the Heart Rescue Project for financial support with educational materials and providing content expertise.Special thanks to our ILHR volunteers, especially Catherine Duncan and Jennifer Sinchi, for their tireless efforts to increase OHCA survival throughout Illinois through community education. We would also like to thank our sponsor Medtronic Philanthropy and the Heart Rescue Project for financial support with educational materials and providing content expertise.Acknowledgements Youth Heart Rescue Pilot: A School-centered out-of-hospital cardiac arrest educational intervention Implications 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 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 Results Limitations Post-training only survey design without evaluations of previous knowledge No long-term knowledge retention dataNo long-term knowledge retention dataLimitations 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 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 trainedPurpose 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 Continued Procedure 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 2. 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 Continued Procedure 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 2. 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


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