Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, Kyoto, Japan.
Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, Kyoto, Japan.
Resuscitation. 2019 Aug;141:63-68. doi: 10.1016/j.resuscitation.2019.05.040. Epub 2019 Jun 12.
Although cardiopulmonary resuscitation (CPR) training is recommended in schools, there are few attempts to train all students at universities and no reports showing actual resuscitation actions at emergency settings after the training. We surveyed how many students encountered a collapsed person, whether they performed any resuscitation actions, and any reasons why they could not do any resuscitation actions.
We have provided chest compression-only CPR and automated external defibrillator (AED) use training for 3000 new university students every April since 2015 and followed up on their subsequent emergency actions to collapsed persons in the real world. We carried out a questionnaire survey for 2nd through 4th-year students during the annual student health checkup period in 2018.
A total of 7595 students underwent the annual health checkup and 5549 of them (73.1%) responded to the survey. The rates of encountering collapsed persons and out-of-hospital cardiac arrest (OHCA) patients were 2.5 and 1.1 per 100 person-years, respectively. Of the 264 students who encountered a collapsed person, 82 (53.6%) who encountered non-OHCA collapsed persons and 54 (48.6%) who encountered OHCA persons performed at least one resuscitation action including either chest compression, AED use, or any other various resuscitation actions.
The incidence rate of encountering OHCA patients was 1.1 per 100 person-years and half of them who encountered a collapsed person performed at least one resuscitation action. Hands-on mass training would encourage university students to perform any resuscitation actions on the emergency scene.
尽管心肺复苏(CPR)培训在学校中被推荐,但很少有尝试在大学中对所有学生进行培训,也没有关于培训后在紧急情况下实际进行复苏操作的报告。我们调查了有多少学生遇到过倒下的人,他们是否进行了任何复苏操作,以及他们不能进行任何复苏操作的任何原因。
自 2015 年以来,我们每年 4 月为 3000 名新大学生提供单纯胸外按压心肺复苏和自动体外除颤器(AED)使用培训,并对他们在现实世界中对倒下的人随后采取的紧急行动进行了跟踪调查。我们在 2018 年的年度学生体检期间对二至四年级学生进行了问卷调查。
共有 7595 名学生接受了年度体检,其中 5549 名(73.1%)学生对调查做出了回应。遇到倒下的人和院外心脏骤停(OHCA)患者的发生率分别为每 100 人年 2.5 人和 1.1 人。在遇到倒下的人的 264 名学生中,遇到非 OHCA 倒下的人中有 82 人(53.6%)和遇到 OHCA 人的有 54 人(48.6%)至少进行了一项复苏操作,包括胸外按压、AED 使用或任何其他各种复苏操作。
遇到 OHCA 患者的发生率为每 100 人年 1.1 人,其中一半遇到倒下的人至少进行了一项复苏操作。实际的大规模培训将鼓励大学生在紧急情况下进行任何复苏操作。