Hoops Katherine, Bedner Ashley, Kemper Emily, Aksamit Deborah, O'Brien Caitlin, Johnson Marcie K, Stewart Rosalyn W, Maydan Daniella D, Hailey-Fair Kimberly, Galiatsatos Panagis
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Front Public Health. 2025 Mar 6;13:1339215. doi: 10.3389/fpubh.2025.1339215. eCollection 2025.
In this community engagement feasibility review, we evaluate the infrastructure warranted to implement bystander CPR and bleeding control skills training to diverse social organizations in an urban region over an 9-month period. Further, we review the necessary variables to sustain such an effort, for both the health system as well as the partnering communities. The intervention, brought forth with partnering communities through community health workers or other community brokers, for this community engagement feasibility study is the execution of teaching CPR skills and bleeding-control skills to various social networks in an urban region. The intervention focused on a changeable behavior, specifically on community members' abilities to execute life-saving interventions. The goal is to meet the intended behavior outcome under ideal circumstances, which are training of the aforementioned skills in respective community settings over a 120-min teaching session. Over an 9-month period, we were able to implement CPR training at 5 communities reaching 136 community members. These trainings were implemented in regions that have the highest homicide rates (mean of 0.86 ± 0.14 homicides per 1,000 persons; Maryland as a state averages 0.12). Implementation of CPR and bleeding control training in diverse community settings in an urban region was feasible and cost-efficient over a 9-month period. Further, utilizing community liaisons, such as community health workers, was critical to its success.
在这项社区参与可行性评估中,我们评估了在9个月的时间内,为城市地区的不同社会组织开展旁观者心肺复苏术(CPR)和出血控制技能培训所需的基础设施。此外,我们还审视了卫生系统以及合作社区维持这一工作所需的各种变量。在这项社区参与可行性研究中,通过社区卫生工作者或其他社区协调员与合作社区共同开展的干预措施,是在城市地区向各类社交网络传授心肺复苏术技能和出血控制技能。该干预措施聚焦于一种可改变的行为,具体而言是社区成员实施救生干预措施的能力。目标是在理想情况下实现预期的行为结果,即在各自社区环境中通过120分钟的教学课程对上述技能进行培训。在9个月的时间里,我们能够在5个社区为136名社区成员开展心肺复苏术培训。这些培训在凶杀率最高的地区实施(平均每1000人中有0.86±0.14起凶杀案;马里兰州全州平均为0.12起)。在城市地区的不同社区环境中开展心肺复苏术和出血控制培训在9个月的时间里是可行且具有成本效益的。此外,利用社区联络人,如社区卫生工作者,对其成功至关重要。