Katapadi Aashish, Bawa Danish, Garg Jalaj, Lakkireddy Avani, Ahmed Adnan, Syed Aatif, Korlakunta Sneha, Gangasani Nikhil, Nalamachu Megan, Atkins Donita, Kabra Rajesh, Darden Douglas, Pothineni Naga Venkata, Gopinathannair Rakesh, Biga Cathi, Chung Mina, Ellenbogen Kenneth, Kovacs Richard, Lakkireddy Dhanunjaya
Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA.
Loma Linda University, Loma Linda, California, USA.
Heart Rhythm. 2024 Sep 28. doi: 10.1016/j.hrthm.2024.09.057.
The use of cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs) significantly improve the chances of survival after out-of-hospital cardiac arrest. Subsequently, state laws mandate training in CPR and AED use for high school graduation. However, training and its impact vary and must be better understood.
We assessed the current CPR training mandates and their impact.
We performed a nationwide, cross-sectional, survey-based observational study of high schoolers in 9th to 12th grades in all 50 states from 2020 to 2022 (NCT04493970), assessing basic demographics, attitudes, knowledge and skills, and willingness to learn CPR and AED.
We had an 8% response rate, resulting in 2395 high school students surveyed. The mean age of respondents was 16.8 ± 0.7 years, with 52.5% female students. Of these, 86% underwent some form of training, and 25.1% had CPR training in the last year. Only 58.7% knew how to use an AED. Notably, 26.9% had previously witnessed CPR, and almost all (94%) realized the importance of learning CPR. Most respondents also believed recurrent and longitudinal would be beneficial.
Surprisingly, only a small cohort of students undergo CPR training even when it is mandatory. The quality of this training appears to be inadequate to impart appropriate confidence and knowledge levels. This suggests a need for a significant overhaul of CPR training mandates across the United States.
心肺复苏术（CPR）和自动体外除颤器（AED）的使用显著提高了院外心脏骤停后的存活几率。随后，各州法律规定高中毕业生必须接受心肺复苏术和自动体外除颤器使用方面的培训。然而，培训情况及其影响各不相同，必须更好地加以了解。
我们评估了当前的心肺复苏术培训要求及其影响。
我们在2020年至2022年期间对全美50个州9至12年级的高中生进行了一项基于调查的全国性横断面观察性研究（NCT04493970），评估基本人口统计学特征、态度、知识和技能，以及学习心肺复苏术和自动体外除颤器的意愿。
我们的回复率为8%，共对2395名高中生进行了调查。受访者的平均年龄为16.8±0.7岁，其中女生占52.5%。在这些学生中，86%接受过某种形式的培训，25.1%在过去一年接受过心肺复苏术培训。只有58.7%的学生知道如何使用自动体外除颤器。值得注意的是，26.9%的学生此前曾目睹过心肺复苏术实施过程，几乎所有学生（94%）都意识到学习心肺复苏术的重要性。大多数受访者还认为反复和长期培训将有所助益。
令人惊讶的是，即使心肺复苏术培训是强制性的，也只有一小部分学生接受培训。这种培训的质量似乎不足以让学生获得适当的信心和知识水平。这表明美国需要对心肺复苏术培训要求进行重大改革。
