Literature DB >> 17468118

At what age can schoolchildren provide effective chest compressions? An observational study from the Heartstart UK schools training programme.

Ian Jones1, Richard Whitfield, Michael Colquhoun, Douglas Chamberlain, Norman Vetter, Robert Newcombe.   

Abstract

OBJECTIVE: To determine at what age children can perform effective chest compressions for cardiopulmonary resuscitation.
DESIGN: Observational study.
SETTING: Four schools in Cardiff. PARTICIPANTS: 157 children aged 9-14 years in three school year groups (ages 9-10, 11-12, and 13-14).
INTERVENTIONS: Participants were taught basic life support skills in one lesson lasting 20 minutes. MAIN OUTCOME MEASURE: Effectiveness of chest compression during three minutes' continuous chest compression on a manikin.
RESULTS: No year 5 pupil (age 9-10) was able to compress the manikin's chest to the depth recommended in guidelines (38-51 mm). 19% of pupils in year 7 (age 11-12) and 45% in year 9 (age 13-14) achieved adequate compression depth. Only the 13-14 year olds performed chest compression as well as adults in other reported studies. Compression depth showed a significant relation with children's age, weight, and height (P<0.001). Multivariate analyses showed that, if the age and weight of the children were both known, the height (which is closely related to both) was no longer significant (P=0.95). No association was found between pupils' age, sex, weight, or height and the average rate of chest compressions over the three minute period. Similarly, no relation was found between year group and ability to place the hands in the correct position. During the three minutes' compression, compression rate increased and depth decreased.
CONCLUSIONS: The children's ability to achieve an adequate depth of chest compression depended on their age and weight. The ability to provide the correct rate and to employ the correct hand position was similar across all the age ranges tested. Young children who are not yet physically able to compress the chest can learn the principles of chest compression as well as older children.

Entities:  

Mesh:

Year:  2007        PMID: 17468118      PMCID: PMC1889955          DOI: 10.1136/bmj.39167.459028.DE

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  15 in total

1.  An automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training.

Authors:  L Wik; J Thowsen; P A Steen
Journal:  Resuscitation       Date:  2001-08       Impact factor: 5.262

Review 2.  Part 1: introduction to the International Guidelines 2000 for CPR and ECC. A consensus on science. European Resuscitation Council.

Authors: 
Journal:  Resuscitation       Date:  2000-08-23       Impact factor: 5.262

3.  Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator.

Authors:  Anthony J Handley; Simon A J Handley
Journal:  Resuscitation       Date:  2003-04       Impact factor: 5.262

4.  Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min.

Authors:  A Ashton; A McCluskey; C L Gwinnutt; A M Keenan
Journal:  Resuscitation       Date:  2002-11       Impact factor: 5.262

5.  A study of school students' long term retention of expired air resuscitation knowledge and skills.

Authors:  P J Moore; R C Plotnikoff; G D Preston
Journal:  Resuscitation       Date:  1992 Aug-Sep       Impact factor: 5.262

6.  Retention of cardiopulmonary resuscitation knowledge and skills by 11- and 12-year-old children.

Authors:  R Plotnikoff; P J Moore
Journal:  Med J Aust       Date:  1989-03-20       Impact factor: 7.738

7.  American Academy of Pediatrics Committee on School Health. Basic life support training school.

Authors: 
Journal:  Pediatrics       Date:  1993-01       Impact factor: 7.124

8.  The effectiveness of repeated cardiopulmonary resuscitation training in a school population.

Authors:  E Van Kerschaver; H H Delooz; G F Moens
Journal:  Resuscitation       Date:  1989-06       Impact factor: 5.262

9.  Decay in quality of closed-chest compressions over time.

Authors:  D Hightower; S H Thomas; C K Stone; K Dunn; J A March
Journal:  Ann Emerg Med       Date:  1995-09       Impact factor: 5.721

10.  To blow or not to blow: a randomised controlled trial of compression-only and standard telephone CPR instructions in simulated cardiac arrest.

Authors:  Malcolm Woollard; Anna Smith; Richard Whitfield; Douglas Chamberlain; Robert West; Robert Newcombe; Jeff Clawson
Journal:  Resuscitation       Date:  2003-10       Impact factor: 5.262

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  30 in total

1.  Teaching children basic life support skills.

Authors:  Ian Maconochie; Sheila Simpson; Bob Bingham
Journal:  BMJ       Date:  2007-06-09

Review 2.  ["Kids Save Lives"-resuscitation training for schoolchildren : Systematic review].

Authors:  D C Schroeder; H Ecker; S Wingen; F Semeraro; B W Böttiger
Journal:  Anaesthesist       Date:  2017-05-11       Impact factor: 1.041

3.  [Defi catches on : Implementation of a curriculum for resuscitation in secondary schools].

Authors:  Sebastian Wanke; Marian Strack; Carsten Dählmann; Kathrin Kuhr; Carsten Zobel; Hannes Reuter
Journal:  Wien Med Wochenschr       Date:  2018-01-31

Review 4.  Improving outcomes from out-of-hospital cardiac arrest in young children and adolescents.

Authors:  Dianne L Atkins; Stuart Berger
Journal:  Pediatr Cardiol       Date:  2011-08-13       Impact factor: 1.655

Review 5.  School Children Save Lives.

Authors:  Bahar Kuvaki; Şule Özbilgin
Journal:  Turk J Anaesthesiol Reanim       Date:  2017-06-01

6.  Medical students teaching cardiopulmonary resuscitation to middle school Brazilian students.

Authors:  Lucas Gaspar Ribeiro; Rafael Germano; Pedro Lugarinho Menezes; André Schmidt; Antônio Pazin-Filho
Journal:  Arq Bras Cardiol       Date:  2013-08-14       Impact factor: 2.000

7.  Comparison of peer-led versus professional-led training in basic life support for medical students.

Authors:  Takashi Fujiwara; Mai Nishimura; Ryoko Honda; Takashi Nishiyama; Masahiro Nomoto; Naoto Kobayashi; Masayuki Ikeda
Journal:  Adv Med Educ Pract       Date:  2011-07-26

8.  Retention, retention, retention: targeting the young in CPR skills training!

Authors:  Lynn P Roppolo; Paul E Pepe
Journal:  Crit Care       Date:  2009-09-09       Impact factor: 9.097

Review 9.  [Education for resuscitation].

Authors:  Robert Greif; Andrew Lockey; Jan Breckwoldt; Francesc Carmona; Patricia Conaghan; Artem Kuzovlev; Lucas Pflanzl-Knizacek; Ferenc Sari; Salma Shammet; Andrea Scapigliati; Nigel Turner; Joyce Yeung; Koenraad G Monsieurs
Journal:  Notf Rett Med       Date:  2021-06-02       Impact factor: 0.826

10.  Resuscitation training in small-group setting--gender matters.

Authors:  Saša Sopka; Henning Biermann; Rolf Rossaint; Steffen Rex; Michael Jäger; Max Skorning; Nicole Heussen; Stefan K Beckers
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2013-04-16       Impact factor: 2.953

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