title: TAKE10: A community approach to teaching compression-only CPR to high-risk zip codes.
abstract: OBJECTIVE
  Bystander cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) has the ability to improve patient survival. However, the rates at which CPR occurs are suboptimal. We hypothesized that targeted CPR training in neighborhoods with low bystander CPR and high incidence of cardiac arrests would increase the incidence of bystander CPR for adult OHCA.
  
  
  METHODS
  This study is a descriptive observation and analysis of the TAKE 10 program, which recruited City of Austin and Travis County residents to teach fellow community members compression-only CPR. Twelve zip codes in Austin and Travis County were identified as "high-risk," based on low bystander CPR rates and high incidences of cardiac arrest. Data was collected on bystander CPR for OHCA over the study period of July 2008 to September 2013. Incidence of cardiac arrest and bystander CPR were calculated yearly and overall.
  
  
  RESULTS
  Over the study period, a total of 11,242 community members completed compression-only CPR training. While there was no significant difference in the number of individuals trained in high-risk zip codes compared to the other zip codes (High-Risk [n±sd] 263±235; General 212±193; p-value 0.46), the amount of people trained in the high-risk zip codes did trend upwards over the study period. Additionally, there was an increase in percent of bystander CPR per eligible cardiac arrest in the high-risk zip codes (2009: [n±sd] 0.28±0.34 to 2013: 0.39±0.28).
  
  
  CONCLUSIONS
  Targeted compression-only CPR training in high-risk neighborhoods may be associated with increased bystander CPR rates over time.
authors.affiliation: Department of Emergency Medicine, Denver Health Medical Center, 777 Bannock Street, MC 0108, Denver, CO 80204, USA. Electronic address: Cara.bergamo@denverem.org.
authors.forename: Cara
authors.initials: C
authors.lastname: Bergamo
authors.affiliation: University of Colorado School of Medicine, 13001 E. 17th Place, Aurora, CO 80045, USA.
authors.forename: Quan M
authors.initials: QM
authors.lastname: Bui
authors.affiliation: Office of the Medical Director, City of Austin-Travis County EMS System, 517 south Pleasant Valley Road, Austin, TX 78741, USA.
authors.forename: Louis
authors.initials: L
authors.lastname: Gonzales
authors.affiliation: Office of the Medical Director, City of Austin-Travis County EMS System, 517 south Pleasant Valley Road, Austin, TX 78741, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Hinchey
authors.affiliation: American Heart Association, 7272 Greenville Ave, Dallas, TX 75231, USA; University of Colorado Department of Emergency Medicine, 12401 E 17th Avenue, Aurora, CO 80045, USA.
authors.forename: Comilla
authors.initials: C
authors.lastname: Sasson
authors.affiliation: Office of the Medical Director, City of Austin-Travis County EMS System, 517 south Pleasant Valley Road, Austin, TX 78741, USA.
authors.forename: Jose G
authors.initials: JG
authors.lastname: Cabanas
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000193:education*; D004632:Emergency Medical Services; D006266:Health Education / Q000379:methods*; D006801:Humans; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D058996:Quality Improvement; D012042:Registries; D012111:Residence Characteristics; D012189:Retrospective Studies; D014481:United States
keywords: Bystander CPR; Cardiac arrest; Community outreach CPR; Out-of-hospital cardiac arrest