[CPR education in Japan--past, present and future].

the last 7 years, more than 300,000 automated external defibrillators(AEDs) installed nationwide in Japan, and at least one AED has placed in 38,634 schools. Therefore, only 0.7% of bystanders used the AEDs(By-AED) in all OHCA cases with th 48 % of ROSC. In recent years, elementary and junior high school student has interested in AED results in each school has at least one AED. Therefore, introduction of CPR education starting from elementary school was extremely important. CPR education is not yet ubiquitous, and the promotion of AEDs and CPR education on a nationwide scale remains an urgent issue. Therefore, to solve this problem, we investigated the status of CPR education in schools teachers. We conducted surveys targeting for school teachers in Tokyo. Question; "What age do you think suitable for CPR training ?" Most of teachers answered"Suitable age for start CPR education from the upper grades of elementary school to a junior high school". Reason is, physically, continuous high quality chest compression could performed age of junior high. However, 'Importance of life' could teach from lower grade of elementary school because of child have a good long time memory. In this reason, CPR education is extremely important. Also teachers need 'more time', 'curriculum for CPR education and 'good CPR instruction tool for teaching'. The solution to teacher's request, we prepared follows. A 90 minutes hands only CPR curriculum should be introduced to elementary school CPR for basic CPR education. CPR +AED education should be started in lower grade of elementary school with AED trainer. In conclusion, school CPR programs are extremely important for awareness both in skill and knowledge of CPR among the entire school. Future research is warranted to improve the resuscitation rate by school CPR program.