Circulation. 2023 Jun 13;147(24):1854-1868. doi: 10.1161/CIR.0000000000001128. Epub 2023 May 17.
Basic life support education for schoolchildren has become a key initiative to increase bystander cardiopulmonary resuscitation rates. Our objective was to review the existing literature on teaching schoolchildren basic life support to identify the best practices to provide basic life support training in schoolchildren.
After topics and subgroups were defined, a comprehensive literature search was conducted. Systematic reviews and controlled and uncontrolled prospective and retrospective studies containing data on students <20 years of age were included.
Schoolchildren are highly motivated to learn basic life support. The CHECK-CALL-COMPRESS algorithm is recommended for all schoolchildren. Regular training in basic life support regardless of age consolidates long-term skills. Young children from 4 years of age are able to assess the first links in the chain of survival. By 10 to 12 years of age, effective chest compression depths and ventilation volumes can be achieved on training manikins. A combination of theoretical and practical training is recommended. Schoolteachers serve as effective basic life support instructors. Schoolchildren also serve as multipliers by passing on basic life support skills to others. The use of age-appropriate social media tools for teaching is a promising approach for schoolchildren of all ages.
Schoolchildren basic life support training has the potential to educate whole generations to respond to cardiac arrest and to increase survival after out-of-hospital cardiac arrest. Comprehensive legislation, curricula, and scientific assessment are crucial to further develop the education of schoolchildren in basic life support.
对学童进行基本生命支持教育已成为提高旁观者心肺复苏率的一项关键举措。我们的目的是回顾现有的关于教授学童基本生命支持的文献,以确定在学童中提供基本生命支持培训的最佳实践。
在确定主题和分组后,进行了全面的文献检索。纳入了包含<20 岁学生数据的系统评价以及对照和非对照前瞻性和回顾性研究。
学童非常有动力学习基本生命支持。建议所有学童使用 CHECK-CALL-COMPRESS 算法。无论年龄大小,定期进行基本生命支持培训都可以巩固长期技能。4 岁的幼儿能够评估生存链的最初环节。到 10 至 12 岁时,能够在训练模型上实现有效的胸部按压深度和通气量。建议采用理论与实践相结合的培训方法。学校教师是基本生命支持的有效指导员。学童还可以通过将基本生命支持技能传递给他人来充当传播者。使用适合年龄的社交媒体工具进行教学是所有年龄段学童的一种有前途的方法。
学童基本生命支持培训有可能教育整代人对心脏骤停做出反应,并提高院外心脏骤停后的生存率。全面的立法、课程和科学评估对于进一步发展学童基本生命支持教育至关重要。