kidefib – can children defibrillate? dr thomas hughes mrcp frcs mba fcem consultant emergency...
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KIDEFIB – Can children defibrillate?
Dr Thomas Hughes MRCP FRCS MBA FCEMConsultant Emergency Medicine
Dr Peyton Davis MRCS(Eng) FCEM DICMSpecialist Registrar Emergency and Intensive Care Medicine
Mrs Lynn Pilgrim, Oxfordshire I.M.P.S. Manager
Oxford University Hospitals, Oxford, UK
• Less than 1% of population can do CPR – aim for 20%• ELS – teaching ALL children how to save a life• Joint campaign by the Resuscitation Council (UK) and
the British Heart Foundation (Launched March 2011)
• Lobbying UK Parliament to include ELS as a mandatory part of the national school curriculum.
• European Resuscitation Council• ILCOR Advisory statement
• “Secondary school students should be taught it from year 7, and their skills should be refreshed every year.
• ELS is simple, and easy to teach and learn. • It takes as little as two hours to teach, 0.2% of school year.• Teachers can include ELS in a range of different subjects.• Children of 10 years+ can learn the full range of ELS.• Teachers at primary school should be encouraged to teach…
dialing 999, calling for help and checking for danger.”
How do you educate your population?
• Passive training• Active training• Simplistic / Cartoons• Adults / Children• Context
http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8
Active training: KIDEFIB Study
• RCTs in Educational Research rare• Mainly observational / questionnaire-based• Cluster Randomised Controlled Trial • Control versus • Passive CPR versus • Active CPR (including AED use)
June/July 2010March 2010January 2010
Stage 3 Testing
Stage 2 Selection
Stage 1 Teaching
313 Children in Primary Schools in
Oxfordshire, UK
7 schools
106 Active Participation
102 Passive Participation
2 schools 105 Controls
Teaching Programme
• Public health programme• School visit to John Radcliffe Hospital• 3-hours, including tour of ED and BLS / AED use.• Basic Life Support (BLS), and the phased introduction
Automatic External Defibrillator (AED).• Approved by the ethics committee
Results – Can they defibrillate?
• Control – 42/105 (40%)• Passive – 86/102 (84%)• Active – 99/106 (93%)
Control Passive Active0%
10%20%30%40%50%60%70%80%90%
100%
Successful Defibrillation?
ControlPassiveActive
Can they defibrillate effectively?
• Mean (SD) time in seconds to defibrillation:• Control – 171 (57) seconds• Passive – 175 (40) seconds• Active – 160 (42) seconds
Control Passive Active0
10
20
30
40
50
60
Mean Time to defibrillate (secs)
Conclusions
• This study demonstrates that children aged 11 years old can use a defibrillator effectively and safely, and retain this knowledge over 4-5 months.
• Active training involving use of the AED appears to be the most effective method.
Recommendations
• If you’re from the UK… Online e-petition
www.bhf.org.uk
• http://campaigning.bhf.org.uk/ea-campaign/clientcampaign.do?ea.client.id=57&ea.campaign.id=9432&ea.tracking.id=7296e6f9