A survey on training in pediatric cardiopulmonary resuscitation in Latin America, Spain, and Portugal.
OBJECTIVE
To determine how training in pediatric cardiopulmonary resuscitation is provided in the Iberoamerican countries.


METHODS
Survey.


METHODS
Latin America, Spain, and Portugal.


METHODS
Experts in pediatric cardiopulmonary resuscitation education.


RESULTS
A questionnaire was sent to experts in pediatric cardiopulmonary resuscitation training in 21 countries in Latin America, Spain, and Portugal; we received 15 replies. Pediatric cardiopulmonary resuscitation training is not included in medical undergraduate or nursing training in any of these countries and pediatric residents receive systematic cardiopulmonary resuscitation training in only four countries. Basic pediatric life support courses, pediatric advanced life support courses, and pediatric cardiopulmonary resuscitation instructors courses are given in 13 of 15, 14 of 15, and 11 of 15 respondent countries, respectively. Course duration and the number of hours of practical training were variable: basic life support, 5 hrs (range, 4-8 hrs); practical training, 4 hrs (range, 2-5 hrs); advanced life support, 18 hrs (range, 10-30 hrs); and practical training, 14 hrs (range, 5-18 hrs). Only nine countries (60%) had a national group that organized pediatric cardiopulmonary resuscitation training. Thirteen countries (86.6%) had fewer than five centers offering pediatric cardiopulmonary resuscitation training. Respondents considered the main obstacles to the expansion of training in pediatric cardiopulmonary resuscitation to be the shortage of instructors (28.5%), students' lack of financial resources (21.4%), and deficiencies in educational organization (21.4%).


CONCLUSIONS
Pediatric cardiopulmonary resuscitation training is not uniform across the majority of Iberoamerican countries, with poor organization and little institutional involvement. National groups should be created in each country to plan and coordinate pediatric cardiopulmonary resuscitation training and to coordinate with other Iberoamerican countries.
Pediatric Intensive Care Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain. pielvi@hotmail.com
Jesús
J
López-Herce
Angel
A
Carrillo
D016887:Cardiopulmonary Resuscitation / Q000193:education*; D019538:Health Care Surveys; D006801:Humans; D007843:Latin America; D011174:Portugal; D013030:Spain