KIDEFIB Can children defibrillate Dr Thomas Hughes MRCP

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

• 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

• “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

How do you educate your population? • • • Passive training Active training Simplistic / Cartoons Adults / Children Context

When in England… No knowledge

Passive Awareness www. bbc. co. uk

Passive Training Active training

http: //www. youtube. com/watch? feature=player_embedded&v=JR 0 a. ZX 1_TD 8

Active training: KIDEFIB Study • • • RCTs in Educational Research rare Mainly observational / questionnaire-based Cluster Randomised Controlled Trial Control versus Passive CPR versus Active CPR (including AED use)

Stage 1 Teaching Stage 2 Selection Stage 3 Testing 106 Active Participation 7 schools 102 Passive Participation 313 Children in Primary Schools in Oxfordshire, UK 2 schools January 2010 March 2010 105 Controls June/July 2010

Teaching Programme 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?

Results – Can they defibrillate? • Control – 42/105 (40%) • Passive – 86/102 (84%) • Active – 99/106 (93%) Successful Defibrillation? 100% 80% Control Passive Active 60% 40% 20% 0% Control Passive Active

Can they defibrillate effectively? • • Mean (SD) time in seconds to defibrillation: Control – 171 (57) seconds Passive – 175 (40) seconds Active – 160 (42) seconds Mean Time to defibrillate (secs) 60 50 40 30 20 10 0 Control Passive Active

Conclusions • 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 • If you’re from the UK… Online e-petition www. bhf. org. uk • http: //campaigning. bhf. org. uk/eacampaign/clientcampaign. do? ea. client. id=57& ea. campaign. id=9432&ea. tracking. id=7296 e 6 f 9

Questions 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!