BackgroundBackground•Out-of-Hospital Cardiac Arrest (OHCA) is cessation of

cardiac mechanical activity confirmed by the absence

of signs of circulation•There are 420,000 OHCA cases nationally•Only 1 of 3 victims receives bystander CPR •Only 3.7% of OHCA victims have AED placement

applied before arrival of EMS provider •Bystander CPR and AED use can triple a victim’s

chance of survival

BackgroundBackground•Out-of-Hospital Cardiac Arrest (OHCA) is cessation of

cardiac mechanical activity confirmed by the absence

of signs of circulation•There are 420,000 OHCA cases nationally•Only 1 of 3 victims receives bystander CPR •Only 3.7% of OHCA victims have AED placement

applied before arrival of EMS provider •Bystander CPR and AED use can triple a victim’s

chance of survival

MethodsMethodsStudy design • Retrospective cohort study of 6-12 graders in four

demographically different Chicago schools • Participants recruited based on grade levels

available on date of training• Trainers were volunteer undergraduate and medical

students previously trained in compression only

CPR and AED use• At the end of training, a survey was administered to

determine CPR and AED knowledge acquisition

ILHR Map: Chicago School

Trainings by Poverty Rate

MethodsMethodsStudy design • Retrospective cohort study of 6-12 graders in four

demographically different Chicago schools • Participants recruited based on grade levels

available on date of training• Trainers were volunteer undergraduate and medical

students previously trained in compression only

CPR and AED use• At the end of training, a survey was administered to

determine CPR and AED knowledge acquisition

ILHR Map: Chicago School

Trainings by Poverty Rate

Discussion•CPR and AED educational curriculum with a lecture

and hands on component can effectively train large

numbers of students in a 45 minute period

•School based training:

• Feasible to reach a large section of the population

with minimal volunteer force

• Enables segments of the population that

otherwise would not be trained due to availability

• Can be an avenue to increased accessibility of

OHCA education in the community

•Increased knowledge about OHCA amongst lay

people may impact bystander response

Discussion•CPR and AED educational curriculum with a lecture

and hands on component can effectively train large

numbers of students in a 45 minute period

•School based training:

• Feasible to reach a large section of the population

with minimal volunteer force

• Enables segments of the population that

otherwise would not be trained due to availability

• Can be an avenue to increased accessibility of

OHCA education in the community

•Increased knowledge about OHCA amongst lay

people may impact bystander response

Alejandra Cano MSIVAlejandra Cano MSIV11, Marina Del Ríos MD, MSc, Marina Del Ríos MD, MSc11, Amer Aldeen MD, Amer Aldeen MD22, Teri Campbell RN, Teri Campbell RN33, Ellen Demertsidis EMT-B, Ellen Demertsidis EMT-B11, Sara Heinert MPH, Sara Heinert MPH11, Terry VandenHoek MD, Terry VandenHoek MD11

1. University of Illinois at Chicago, Chicago, IL; 2. Northwestern University Feinberg School of Medicine, Chicago, IL; 3. University of Chicago, Chicago, IL1. University of Illinois at Chicago, Chicago, IL; 2. Northwestern University Feinberg School of Medicine, Chicago, IL; 3. University of Chicago, Chicago, IL

AcknowledgementsAcknowledgements•Special thanks to our ILHR volunteers, especially Special thanks to our ILHR volunteers, especially

Catherine Duncan and Jennifer Sinchi, for their tireless Catherine Duncan and Jennifer Sinchi, for their tireless

efforts to increase OHCA survival throughout Illinois efforts to increase OHCA survival throughout Illinois

through community education. We would also like to through community education. We would also like to

thank our sponsor Medtronic Philanthropy and the thank our sponsor Medtronic Philanthropy and the

Heart Rescue Project for financial support with Heart Rescue Project for financial support with

educational materials and providing content expertise. educational materials and providing content expertise.

AcknowledgementsAcknowledgements•Special thanks to our ILHR volunteers, especially Special thanks to our ILHR volunteers, especially

Catherine Duncan and Jennifer Sinchi, for their tireless Catherine Duncan and Jennifer Sinchi, for their tireless

efforts to increase OHCA survival throughout Illinois efforts to increase OHCA survival throughout Illinois

through community education. We would also like to through community education. We would also like to

thank our sponsor Medtronic Philanthropy and the thank our sponsor Medtronic Philanthropy and the

Heart Rescue Project for financial support with Heart Rescue Project for financial support with

educational materials and providing content expertise. educational materials and providing content expertise.

Youth Heart Rescue Pilot: A School-centered out-of-hospital cardiac arrest educational intervention

Implications and future directionsImplications and future directions

•Our 45-minute Youth Heart Rescue educational

intervention is a feasible way to disseminate

knowledge of cardiac arrest to school aged children

•Further research with a larger sample targeting

communities with the highest rates of OHCA is

necessary to measure long-term knowledge retention

and dissemination to the community

•The results of this study will be used as a framework

in the development of future OHCA promotion

campaigns

Implications and future directionsImplications and future directions

•Our 45-minute Youth Heart Rescue educational

intervention is a feasible way to disseminate

knowledge of cardiac arrest to school aged children

•Further research with a larger sample targeting

communities with the highest rates of OHCA is

necessary to measure long-term knowledge retention

and dissemination to the community

•The results of this study will be used as a framework

in the development of future OHCA promotion

campaigns

Table 2: Youth Heart Rescue Recall Questions

ResultsResults

LimitationsLimitations

•Post-training only survey design without evaluations

of previous knowledge

•No long-term knowledge retention dataNo long-term knowledge retention data

LimitationsLimitations

•Post-training only survey design without evaluations

of previous knowledge

•No long-term knowledge retention dataNo long-term knowledge retention data

Table 1: Demographics of Students Trained

• Training session successfully implemented during school hours

• 201 participants with 100% survey response rate

• Post-training questionnaire results suggest good immediate

recall

• 5 out of 6 questions had greater than 88% correct

response

• TEICA was 0.12 volunteer hours per person trained

Purpose Purpose • Determine knowledge acquisition of a 45-minute

compression-only CPR and AED educational

curriculum • Determine Training Efficiency Index for Cardiac

Arrest (TEICA) i.e. volunteer hours per person

trained

Purpose Purpose • Determine knowledge acquisition of a 45-minute

compression-only CPR and AED educational

curriculum • Determine Training Efficiency Index for Cardiac

Arrest (TEICA) i.e. volunteer hours per person

trained

Methods ContinuedMethods ContinuedProcedure

1. OHCA recognition, CPR and AED training program

Part 1 (20 min)•PowerPoint covering introduction of response steps

(1) Shake/Shout

(2) Call 9-1-1

(3) Start chest compressions

(4) Tell someone to find an AED •2 minute CPR training video in English

Part 2 (10 minutes) •Demonstration of chest compression technique on mannequins •Hands on training with supervision for appropriate hand placement

and depth (2 inches)•Practice performing chest compressions on mannequins

Part 3 (10 minutes) •Demonstration of how to use an AED•Supervised AED hands on practice•Practiced OHCA survival sequence•Questions answered

• Post-training survey administration (5 min)•Recall questions•Pledge question

Outcomes Measures • Primary outcome: knowledge acquisition as determined by immediate

post-training surveys• Secondary outcome: Training efficiency determined by the training

efficiency index for cardiac arrest (TEICA) or volunteer hours per

person trained

Post-training survey administered

Methods ContinuedMethods ContinuedProcedure

1. OHCA recognition, CPR and AED training program

Part 1 (20 min)•PowerPoint covering introduction of response steps

(1) Shake/Shout

(2) Call 9-1-1

(3) Start chest compressions

(4) Tell someone to find an AED •2 minute CPR training video in English

Part 2 (10 minutes) •Demonstration of chest compression technique on mannequins •Hands on training with supervision for appropriate hand placement

and depth (2 inches)•Practice performing chest compressions on mannequins

Part 3 (10 minutes) •Demonstration of how to use an AED•Supervised AED hands on practice•Practiced OHCA survival sequence•Questions answered

• Post-training survey administration (5 min)•Recall questions•Pledge question

Outcomes Measures • Primary outcome: knowledge acquisition as determined by immediate

post-training surveys• Secondary outcome: Training efficiency determined by the training

efficiency index for cardiac arrest (TEICA) or volunteer hours per

person trained

Post-training survey administered

Table 3: Pledge Question Willingness to Teach Family Members