Kidefib can children defibrillate
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KIDEFIB – Can children defibrillate?. Dr Thomas Hughes MRCP FRCS MBA FCEM Consultant Emergency Medicine Dr Peyton Davis MRCS( Eng ) FCEM DICM Specialist Registrar Emergency and Intensive Care Medicine Mrs Lynn Pilgrim , Oxfordshire I.M.P.S. Manager

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Kidefib can children defibrillate

KIDEFIB – Can children defibrillate?

Dr Thomas Hughes MRCP FRCS MBA FCEM

Consultant Emergency Medicine

Dr Peyton Davis MRCS(Eng) FCEM DICM

Specialist Registrar Emergency and Intensive Care Medicine

Mrs Lynn Pilgrim, Oxfordshire I.M.P.S. Manager

Oxford University Hospitals, Oxford, UK


Kidefib can children defibrillate

  • Less than 1% of population can do CPR – aim for 20%

  • ELS – teaching ALL children how to save a life

  • Joint campaign by the Resuscitation Council (UK) and the British Heart Foundation (Launched March 2011)

  • Lobbying UK Parliament to include ELS as a mandatory part of the national school curriculum.

  • European Resuscitation Council

  • ILCOR Advisory statement


Kidefib can children defibrillate

  • “Secondary school students should be taught it from year 7, and their skills should be refreshed every year.

  • ELS is simple, and easy to teach and learn.

  • It takes as little as two hours to teach, 0.2% of school year.

  • Teachers can include ELS in a range of different subjects.

  • Children of 10 years+ can learn the full range of ELS.

  • Teachers at primary school should be encouraged to teach… dialing 999, calling for help and checking for danger.”


Evidence for els bls teaching in childhood
Evidence for ELS/BLS teaching in childhood




How do you educate your population
How do you educate your population?

  • Passive training

  • Active training

  • Simplistic / Cartoons

  • Adults / Children

  • Context


When in england
When in England…

No knowledge


Passive awareness
Passive Awareness

www.bbc.co.uk


Active training

Passive Training

Active training


Kidefib can children defibrillate

http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8


Active training kidefib study
Active training: KIDEFIB Studyhttp://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8

  • RCTs in Educational Research rare

  • Mainly observational / questionnaire-based

  • Cluster Randomised Controlled Trial

  • Control versus

  • Passive CPR versus

  • Active CPR (including AED use)


Teaching programme
Teaching http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8Programme

  • Public health programme

  • School visit to John Radcliffe Hospital

  • 3-hours, including tour of ED and BLS / AED use.

  • Basic Life Support (BLS), and the phased introduction Automatic External Defibrillator (AED).

  • Approved by the ethics committee


Where
Where?http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8


Results can they defibrillate
Results – Can they defibrillate?http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8

  • Control – 42/105 (40%)

  • Passive – 86/102 (84%)

  • Active – 99/106 (93%)


Can they defibrillate effectively
Can they defibrillate http://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8effectively?

  • Mean (SD) time in seconds to defibrillation:

  • Control – 171 (57) seconds

  • Passive – 175 (40) seconds

  • Active – 160 (42) seconds


Conclusions
Conclusionshttp://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8

  • This study demonstrates that children aged 11 years old can use a defibrillator effectively and safely, and retain this knowledge over 4-5 months.

  • Active training involving use of the AED appears to be the most effective method.


Recommendations
Recommendationshttp://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8

  • If you’re from the UK… Online e-petition

    www.bhf.org.uk

  • http://campaigning.bhf.org.uk/ea-campaign/clientcampaign.do?ea.client.id=57&ea.campaign.id=9432&ea.tracking.id=7296e6f9


Questions
Questionshttp://www.youtube.com/watch?feature=player_embedded&v=JR0aZX1_TD8

Thank you:

Dr Tom Hughes, Lynn Pilgrim, Dr Felicity Rowley, Dr Sheena Patel and I.M.P.S. team,

Oxford University Hospitals, Oxford, UK

And all 313 volunteers!