Lorem Tonje, Palm Aud, Wik Lars
Department of Research and Development, Norwegian Air Ambulance Foundation, Drobak, Norway.
Resuscitation. 2008 Oct;79(1):103-8. doi: 10.1016/j.resuscitation.2008.04.030. Epub 2008 Jul 24.
Norwegian 7th graders (12 years old) trained CPR using a 30 min DVD, an inflatable manikin and teachers as facilitators. They were instructed to take the kit home and expose as many family members and friends (adults) as possible to the training. We wanted to document the number of lay rescuers trained by this distribution model and CPR skills achieved.
The school principals reported the total number trained using the kit of both 7th graders (first tier) and adults (second tier). They were divided into four groups (first and second tier before and after training) of 50 subjects and CPR was performed on a Skillmeter Anne manikin in order to be electronically documented and their performances were videotaped.
A total of 54,876 7th graders and 119,758 adults were trained, representing 87% of the 7th graders in Norway and approximately 4% of the Norwegian population. The skill test of 200 subjects divided into four groups respectively showed that second tier scored significantly lower than first tier in all CPR variables except compression depth.
The present model of CPR kit distribution via 7th graders enabled a significant percentage of the population to focus on CPR training. We believe the model secure discipline through the training program for first tier but not for second tier and speculate that 12-year-old children are too young to have an impact of adults commitment and motivation for training.
挪威七年级学生（12岁）使用时长30分钟的DVD、充气人体模型并在教师的协助下接受心肺复苏术培训。他们被要求将培训工具包带回家，让尽可能多的家庭成员和朋友（成年人）接受培训。我们想要记录通过这种分发模式培训的非专业救援人员数量以及所达到的心肺复苏技能水平。
学校校长报告了使用该工具包培训的七年级学生（第一层）和成年人（第二层）的总数。他们被分成四组（培训前后的第一层和第二层），每组50人，在技能测量仪安妮人体模型上进行心肺复苏术操作以便进行电子记录，并且对他们的操作进行录像。
总共培训了54876名七年级学生和119758名成年人，分别占挪威七年级学生的87%和挪威人口的约4%。分别分为四组的200名受试者的技能测试表明，除按压深度外，第二层在所有心肺复苏变量方面的得分均显著低于第一层。
目前通过七年级学生分发心肺复苏术培训工具包的模式使相当大比例的人口能够专注于心肺复苏术培训。我们认为该模式通过对第一层的培训计划确保了纪律性，但对第二层则不然，并推测12岁的儿童太小，无法影响成年人参与培训的投入度和积极性。
