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KIDS SAVE LIVES BRAZIL: A successful pilot program to implement CPR at primary and high schools in Brazil resulting in a state law for a training CPR week

2019; Elsevier BV; Volume: 140; Linguagem: Inglês

10.1016/j.resuscitation.2019.05.009

1873-1570

Naomi Kondo Nakagawa, L.M. Silva, Regiani Carvalho-Oliveira, Katia Moreno Garcia Oliveira, FA Santos, Marcelo Calderaro, Heraldo Possolo de Souza, Ludhmila Abrahão Hajjar, Eduardo Vieira da Motta, P. W. G. N. Teixeira, Sérgio Timerman, Federico Semeraro, Maria José Carvalho Carmona, Bernd W. Böttiger,

Mechanical Circulatory Support Devices

Brazil is the biggest country in South America, with more than 207 million of inhabitants. From them, 15% of the population is in primary and high schools. The worldwide KIDS SAVE LIVES campaign1Böttiger B.W. Van Aken H. Kids save lives training school children in cardio-pulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO).Resuscitation. 2015; 94: A5-A7Abstract Full Text Full Text PDF PubMed Scopus (129) Google Scholar, 2Böttiger B.W. Semeraro F. Altemeyer K.H. et al.KIDS SAVE LIVES: school children education in resuscitation for Europe and the world.Eur J Anaesthesiol. 2017; 34: 792-796Crossref PubMed Scopus (30) Google Scholar, 3Böttiger B.W. Bossaert L.L. Castrén M. et al.Board of European Resuscitation Council (ERC). Kids Save Lives — ERC position statement on school children education in CPR: "Hands that help training children is training for life".Resuscitation. 2016; 105: A1-A3Abstract Full Text Full Text PDF PubMed Scopus (90) Google Scholar was first implemented in Brazil as KIDS SAVE LIVES BRAZIL by a group of associate professors, researchers and graduate students from multidisciplinary areas of University of São Paulo. KIDS SAVE LIVES BRAZIL program sought to train school community as all citizens can save a life4Böttiger B.W. Lockey A. World Restart a Heart initiative: all citizens of the world can save a life.Lancet. 2018; 392: 1305Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar to know, to identify and to take effective first actions in cardiac arrest, acute stroke and choke. We used a specific learning process of competences based on "who teaches, can better learn": we trained members of the University community that, in turn, were enrolled as trainers for the next participants (students, teachers and employees, the "school-community") at Skills Health Laboratory with high-fidelity manikins. Then, these participants were enrolled as trainers for the school-community members in loco at school and using low-cost manikins handmade with recycled materials. Using these handmade manikins, schoolchildren and adolescents can teach their family, friends and neighbors. We developed and use a flowchart and materials to differentiate and to spread KIDS SAVE LIVES BRAZIL program (Fig. 1). To understand the scenario in school, we conducted a survey on key principles of KIDS SAVE LIVES BRAZIL before training. The survey covered several topics on cardiac arrest and CPR. From 1366 students, we received 857 responses (62.7%), from children 7–12 years (25.3%) and adolescents 13–20 years (74.7%). Among the responders, 11.9% declared to have witnessed victims getting unconscious, 79% declared no knowledge on cardiac arrest, 73.4% declared that CPR was an important topic education at school and 65% declared that it should be compulsory. Low rates of effective competences were declared before intervention: 7.6% would know how to check victim´s responsiveness and breathing, 30% would call medical emergence service after no victim´s response, 64.3% would dial the right number, 31% would be able to follow orientations about chest compressions, 2% would provide 100–120 compressions/minute, and 6% would appropriately use an external automatic defibrillator. After training, participants´ (aged > 9 years) skills were assessed: 98.5% performed clear identification of emergence situation and local safety, 98.5% succeeded to assess victim´s responsiveness and breathing, 97% were able to call for help, 95.5% performed immediate CPR and 76.1% were effective, 95.5% correctly used defibrillator (when bystander > 12 years), 94% returned to chest compression immediately thereafter and 97% positioned the conscious victim in the recovery position. Using self-reported satisfaction survey after training, 94% reported good/very good skill practice with high-fidelity manikins, 82.1% reported good/very good performance, 94% reported that instructors showed good/very good teaching skills and 86.1% reported good/very good the overall learning process.5Semeraro F. Scapigliati A. De Marco S. et al."Kids Save Lives" campaign in Italy: a picture from a nationwide survey on the web.Resuscitation. 2017; 111: e5-e6Abstract Full Text Full Text PDF PubMed Scopus (9) Google Scholar We started to establish a State Law 310 (dated April 2, 2019) to have a week to promote, to train and to spread knowledge, skills and attitude for students, teachers and the employees of the basic and high schools including the community around, named KIDS SAVE LIVES BRAZIL. Naomi Kondo Nakagawa* is an Associate Editor, Clinics. Maria José Carmona Carvalho is the Editor, Brazilian Journal of Anaesthesiology. Sergio Timmerman is an Associate Editor, Resuscitation. Federico Semeraro is SEC BLS co-chair European Resuscitation Council (ERC); Past President Italian Resuscitation Council. Bernd W. Böttiger is European Resuscitation Council (ERC) Board Director Science and Research; Associated Editor, European Journal of Anaesthesiology (EJA); Speakers honorarium from Medupdate, FoMF, Baxalta,Bayer Vital, Bard; Chairman, German Resuscitation Council (GRC); Board Member, German Society of Interdisciplinary Intensive Care and Emergency Medicine (DIVI); Associated Editor, Resuscitation. We would like to thank for helping us to improve the project in primary and high schools: Ms. Benedita Aparecida Azevedo from Escola do Município de Guarulhos Josafá Tito Figueiredo, Guarulhos, Sao Paulo, Ms. Marcia Benedicto from Escola Estadual Professor Antonio Alves Cruz, Sao Paulo, Sao Paulo, Mr. Paulo Cezar dos Santos from Escola Estadual Professora Elza Saraiva Monteiro, Sao Paulo, Sao Paulo, and Medicine Faculty Foundation, Sao Paulo, Brazil.