title: Compression-only CPR training in elementary schools and student attitude toward CPR.
abstract: BACKGROUND
  Little is known about the effectiveness of systematic cardiopulmonary resuscitation (CPR) training for elementary school children.
  
  
  METHODS
  We introduced systematic training of chest compression-only CPR and automated external defibrillator (AED) use to elementary school students aged 10-12 years at 17 schools. The questionnaire compared student attitudes towards CPR and their knowledge about it before and after CPR training. We also evaluated parent and teacher views about CPR training in school education. The primary outcome was positive attitude, defined as "yes" and "maybe yes" on a 5 point Likert-type scale of student attitudes towards CPR.1 RESULTS: A total of 2047 elementary school students received CPR training. Of them, 1899 (92.8%) responded to the questionnaire regarding their attitude towards CPR before and after the training. Before training, 50.2% answered "yes" and 30.3% answered "maybe yes", to the question: "If someone suddenly collapses in front of you, can you do something such as check response or call emergency?" After training, their answers changed to 75.6% and 18.3% for "yes" and "maybe yes", respectively. Many of the students (72.3%, 271/370) who did not have a positive attitude before CPR training had a positive attitude after the training (P < 0.001). Most students understood how to perform CPR (97.7%) and use an AED (98.5%). Parents (96.2%, 1173/1220) and teachers (98.3%, 56/57) answered that it was "good" and "maybe good" for children to receive the training at elementary schools.
  
  
  CONCLUSIONS
  Systematic chest compression-only CPR training helped elementary school students to improve their attitude towards CPR.
authors.affiliation: Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
authors.forename: Tetsuhisa
authors.initials: T
authors.lastname: Kitamura
authors.affiliation: Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, Kyoto, Japan.
authors.forename: Chika
authors.initials: C
authors.lastname: Nishiyama
authors.affiliation: Kyoto University Health Service, Kyoto, Japan.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Murakami
authors.affiliation: Toyonaka City Fire Department, Toyonaka, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yonezawa
authors.affiliation: Toyonaka City Fire Department, Toyonaka, Japan.
authors.forename: Shohei
authors.initials: S
authors.lastname: Nakai
authors.affiliation: Toyonaka City Fire Department, Toyonaka, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Hamanishi
authors.affiliation: Iseikai Hospital, Osaka, Japan.
authors.forename: Seishiro
authors.initials: S
authors.lastname: Marukawa
authors.affiliation: Department of Emergency Medicine, Teikyo University School of Medicine, Tokyo, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: Kyoto University Health Service, Kyoto, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Iwami
mesh_terms: D001290:Attitude; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D002648:Child; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008348:Manikins; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D012574:Schools; D013334:Students; D011795:Surveys and Questionnaires
keywords: automated external defibrillator; basic life support; cardiopulmonary resuscitation; chest compression-only CPR; school child