Importance and Implementation of Training in Cardiopulmonary Resuscitation and Automated External Defibrillation in Schools
Importance and Implementation of Training in Cardiopulmonary Resuscitation and Automated External Defibrillation in Schools
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学校心肺复苏和自动体外除颤培训的重要性和实施
作者：
Diana M. Cave;T. Aufderheide;J. Beeson;Alison Ellison;Andrew Gregory;M. Hazinski;L. Hiratzka;K. Lurie;L. Morrison;V. Mosesso;V. Nadkarni;Jerald Potts;R. Samson;M. Sayre;S. Schexnayder
2003年，国际复苏联络委员会发表了一份关于复苏教育的共识文件，强烈建议“. 1第二年，美国心脏协会（AHA）建议学校“……制定一个目标，对每位教师进行心肺复苏和急救培训，并对所有学生进行心肺复苏培训”，作为应对校园医疗紧急情况准备工作的一部分。2
从那时起，人们对立法越来越感兴趣，立法要求学校课程包括心肺复苏术或心肺复苏术和自动体外除颤的培训。36个州的法律或课程内容标准（截至2009-2010学年）现在鼓励将心肺复苏术培训课程纳入学校课程。这些法律和标准中的语言差异很大，从建议学生“认识”心肺复苏术的步骤到要求心肺复苏术认证。因此，毫不奇怪，各州的实施情况并不一致，即使是那些法律或标准鼓励在学校用最强烈的语言进行心肺复苏术培训的州。本声明建议，应将心肺复苏术培训和熟悉自动体外除颤器（AED）作为中学课程的必要内容，并提供了实施心肺复苏术培训的理由，以及克服实施障碍的指导。
在美国和加拿大，心脏骤停是导致死亡的主要原因。据估计，每年紧急医疗服务（EMS）人员评估294 851（准置信区间，236 063至325 007）院外心脏骤停（OHCAs）在美国。生存率定义为活着出院，不同地区差异很大（3.0%至16.3%;中位数为8.4%），但出院的总体平均生存率估计为2.5%。
In 2003, the International Liaison Committee on Resuscitation published a consensus document on education in resuscitation that strongly recommended that “…instruction in CPR [cardiopulmonary resuscitation] be incorporated as a standard part of the school curriculum.”1 The next year the American Heart Association (AHA) recommended that schools “…establish a goal to train every teacher in CPR and first aid and train all students in CPR” as part of their preparation for a response to medical emergencies on campus.2
Since that time, there has been an increased interest in legislation that would mandate that school curricula include training in CPR or CPR and automated external defibrillation. Laws or curriculum content standards in 36 states (as of the 2009–2010 school year) now encourage the inclusion of CPR training programs in school curricula. The language in those laws and standards varies greatly, ranging from a suggestion that students “recognize” the steps of CPR to a requirement for certification in CPR. Not surprisingly, then, implementation is not uniform among states, even those whose laws or standards encourage CPR training in schools in the strongest language. This statement recommends that training in CPR and familiarization with automated external defibrillators (AEDs) should be required elements of secondary school curricula and provides the rationale for implementation of CPR training, as well as guidance in overcoming barriers to implementation.
Sudden cardiac arrest is a leading cause of death in the United States and Canada. It is estimated that each year emergency medical services (EMS) personnel assess 294 851 (quasi-confidence intervals, 236 063 to 325 007) out-of-hospital cardiac arrests (OHCAs) in the United States. Survival, which is defined as being discharged alive from the hospital, varies widely by region (3.0% to 16.3%; median, 8.4%), but the overall average rate of survival to discharge from the hospital is estimated …
影响因子：
158.5
作者：
Hallstrom, AP;Ornato, JP;Kerr, A
通讯作者：
Kerr, A
喘气的神经发生、控制和功能意义。
DOI：
10.1152/jappl.1990.68.4.1305
发表时间：
1990
期刊：
Journal of applied physiology (Bethesda, Md. : 1985)
影响因子：
--
作者：
StJohn,WM
通讯作者：
StJohn,WM
简单心肺复苏：在非裔美国教会中进行视频自学心肺复苏训练的随机对照试验。
影响因子：
6.2
作者：
Todd,KH;Heron,SL;Thompson,M;Dennis,R;O'Connor,J;Kellermann,AL
通讯作者：
Kellermann,AL