Department of Anaesthesiology, University Medical Center Hamburg-Eppendorf, Martini-Str. 52, 20246 Hamburg, Germany.
Department of Anaesthesiology, University Medical Center Hamburg-Eppendorf, Martini-Str. 52, 20246 Hamburg, Germany.
Resuscitation. 2016 Nov;108:1-7. doi: 10.1016/j.resuscitation.2016.08.020. Epub 2016 Aug 27.
The "kids save lives" joint-statement highlights the effectiveness of training all school children worldwide in cardiopulmonary resuscitation (CPR) to improve survival after cardiac arrest. The personnel requirement to implement this statement is high. Until now, no randomised controlled trial investigated if medical students benefit from their engagement in the BLS-education of school children regarding their later roles as physicians. The objective of the present study is to evaluate if medical students improve their teaching behaviour and CPR-skills by teaching school children in basic life support.
The study is a randomised, single blind, controlled trial carried out with medical students during their final year. In total, 80 participants were allocated alternately to either the intervention or the control group. The intervention group participated in a CPR-instructor-course consisting of a 4h-preparatory seminar and a teaching-session in BLS for school children. The primary endpoints were effectiveness of teaching in an objective teaching examination and pass-rates in a simulated BLS-scenario.
The 28 students who completed the CPR-instructor-course had significantly higher scores for effective teaching in five of eight dimensions and passed the BLS-assessment significantly more often than the 25 students of the control group (Odds Ratio (OR): 10.0; 95%-CI: 1.9-54.0; p=0.007).
Active teaching of BLS improves teaching behaviour and resuscitation skills of students. Teaching school children in BLS may prepare medical students for their future role as a clinical teacher and support the implementation of the "kids save lives" statement on training all school children worldwide in BLS at the same time.
“孩子拯救生命”联合声明强调了在全球范围内培训所有在校儿童进行心肺复苏术（CPR）以提高心搏骤停后生存率的有效性。实施这一声明需要大量人员。到目前为止，还没有随机对照试验研究医学生是否从参与儿童基本生命支持的 BLS 教育中受益，以及他们以后作为医生的角色。本研究的目的是评估医学生通过教授在校儿童基本生命支持是否可以提高他们的教学行为和 CPR 技能。
这是一项在医学生最后一年进行的随机、单盲、对照试验。共有 80 名参与者被交替分配到干预组或对照组。干预组参加了为期 4 小时的预备研讨会和面向儿童的 BLS 教学课程。主要终点是客观教学考试中的教学效果和模拟 BLS 场景中的通过率。
完成 CPR 讲师课程的 28 名学生在八项维度中的五项中有更高的有效教学得分，并且通过 BLS 评估的比例显著高于对照组的 25 名学生（优势比（OR）：10.0；95%CI：1.9-54.0；p=0.007）。
积极教授 BLS 可以提高学生的教学行为和复苏技能。教授儿童 BLS 可能为医学生未来的临床教学角色做好准备，同时支持实施“孩子拯救生命”声明，即在全球范围内培训所有在校儿童进行 BLS。
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