CPR
CPR Instruction for grades 7-12
Oregon
requires CPR training in schools Starting in the 2015-2023 school year, Oregon students in grades 7 through 12 will receive CPR training and learn how to use an automated external defibrillator in P.E. or health class. The new law will ultimately equip about 35,000 graduates each year with the lifesaving skill. “The potential impact of 35,000 trained graduates every year is incredible and will be felt immediately in communities across the state,” said cardiologist Robert Quintos, M.D., a member of the American Heart Association’s Oregon board of directors. About 326,000 Americans have an emergency medical services-assessed cardiac arrest outside of the hospital each year. Bystander CPR can increase a person’s chances of survival by two- to three-fold, yet fewer than half receive it, according to the AHA. Oregon joins 22 other states that have passed school CPR requirements: Alabama, Arkansas, Delaware, Georgia, Idaho, Indiana, Iowa, Louisiana, Maryland, Minnesota, Mississippi, New Jersey, North Carolina, Oklahoma, Rhode Island, Tennessee, Texas, Utah, Vermont, Virginia, Washington and West Virginia. Source: news.heart.org/oregon-requires-cpr-training-in-schools/
Build confidence.
Get over fear of legal. Saving lives For some the stigma and stress involved with saving a life can be overwhelming. That's why it's so importnt to build confidence. And the purest form is not that complicated. What the complicated piece is to get that person's confidence point so that when someone hits the floor how do you get them over the fear that legal reprocussions, how do you get them over the fear of hurting someone,
Do you know CPR? When do you last
take a class in it? If something happens, would you
give mouth-to-mouth on the victim? The Case Against
Mouth-to-Mouth Resuscitation In order to help the 92% of cardiac arrest patients who die before reaching the hospital, the American Heart Association (AHA) has traditionally recommended a CPR (for cardiopulmonary resuscitation) protocol that includes chest compressions and mouth-to-mouth “rescue breathing.” But it turns out that idea of a lip-lock with a stranger makes people uneasy; plus most people don’t know how to do mouth-to-mouth correctly. The AHA estimates that only one-third of the 300,000 Americans who go into cardiac arrest in public each year are given CPR, and theorizes that part of the problem is the mouth-to-mouth obstacle. In 2008, the AHA began exploring a new protocol in which civilian CPR training consisted of rapid chest compressions only. Now several studies have supported this change, finding that chest-compressions only CPR may not only be more palatable, but more effective at saving patients. The Wall Street Journal reports: Growing evidence has suggested that skipping the mouth-to-mouth breathing in favor of rapid, chest-only compressions is as effective and easier for non-medical personnel to administer. The latest research, published in the Journal of American Medical Association, showed that chest-only compressions can be more effective than traditional CPR. “Anybody can do hands-only CPR by pushing hard and pushing fast in the center of a person’s chest,” said Michael Sayre, an associate professor of emergency medicine at Ohio State University and the lead author of an AHA paper in 2008 supporting the use of “hands-only” CPR. Further, a new study just released by the Arizona Department of Health Services reviewed survival rates and resuscitation care of 4,415 people who collapsed after cardiac arrest from 2005 to 2009. Of these patients, 666 received traditional CPR, including mouth-to-mouth, from a bystander; 849 received chest compressions only; and 2,900 got no aid. The study measured survival by hospital discharge: 13% heart patients who received chest-only compressions were discharged from the hospital, compared with 7.8% of those who received conventional CPR. Of those who received no resuscitation whatsoever, only 5.2% left the hospital, showing that whether you do mouth-to-mouth or not, doing something is better than doing nothing. In July, two studies published in the New England Journal of Medicine also supported the case against bystander mouth-to-mouth, even with a trained professional’s guidance. For one of the studies, telephone dispatchers in Seattle and Olympia, Washington, and London instructed bystanders in either chest-compression only CPR or chest compressions with mouth-to-mouth to help cardiac arrest patients: 12.5% of the hands-only group survived, compared with 11% of the traditional CPR group. A second Swedish study used the same methodology and found that in the hands-only group, 8.7% of patients survived for at least 30 days, compared with 7% in the traditional CPR group. However, hands-only CPR applies only to adults. As the Washington Post noted: Several experts said … that
rescue breathing is essential for children in cardiac
arrest, and for people who have suffocated or drowned.
That’s because in them breathing stops before the
heart, and restoring respiration might be enough to bring
them back to life. To The Oregon State Board of Education Re: Repeal SB79 that requires school districts to provide instruction in cardiopulmonary resuscitation and use of automated external defibrillators. Declares emergency BACKGROUND Summary Requires school districts to provide instruction in cardiopulmonary resuscitation and use of automated external defibrillators. Declares emergency Title Relating to safety instruction provided to students, and declaring an emergency. History On January 12, 2015, the introduction and first reading of SB79 was referred to the President's desk. Following 23 additional steps, in the House and Senate, it was signed on June 15, 2015 to become effective July 1, 2015 CONCERNS What is the current situation? It has been implemented though EBBA First Aid school policy has not been revised by OSBA to include the steps and requirements for the implementation of SB79. How long has it been in place? Since July 1, 2015 What is prompting the change? The unintentional danger it might bring to preteens and teenagers. What process was used? Not known besides this action. Does the board have any areas of discretion? If so, what are they? To ask the legislature to repeal the bill under a declaration of emergency. Has this been before the board before? If so, what action did the board take? Not to my knowledge. Why should the board take action to repeal this bill? BOE and ODE and their legal departments can speak on behalf of a repeal since it is their job to insure a safe education for Oregon's children and implementing and requiring a training program in schools that has a great potential for psychological harm should be of concern. A great difference here is that adults (except those in certain professions) have a choice to take or not take a CPR class. Here, Oregon and the Board of Education is not offering that same choice. It's ostensibly a requirement to graduate. I'm sure a parent can opt their children out of this requirement but without making it clear to parents what the potential is for psychological harm, too many parents will not understand the potential danger and think it's safe. It endangers the psychological well-being of students under 18 which could remain permanently in their psych if there isn't immediate and continual effort to help the student overcome the trauma of losing a victim of a heart attack. It could become the Eleventh Advance Childhood Experience (ACE) 1. In 2015 there were approximately 750,000 heart attacks of which 633,842 were fatal, 80% of which were over 65 while 92% were over 55. Yet only .00177% were under 25. (Attached.) The American Heart Association estimates that only one-third of the 300,000 Americans who go into cardiac arrest in public each year are given CPR. (1) Further, a study released by the Arizona Department of Health Services measured survival by hospital discharge: 13% heart patients who received chest-only compressions were discharged from the hospital, compared with 7.8% of those who received conventional CPR (which includes mouth-to-mouth). Of those who received no resuscitation whatsoever, only 5.2% left the hospital. (1) In July, two studies published in the New England Journal of Medicine supported the case against bystander mouth-to-mouth, even with a trained professional’s guidance. For one of the studies, telephone dispatchers in Seattle and Olympia, Washington, and London instructed bystanders in either chest-compression only CPR or chest compressions with mouth-to-mouth to help cardiac arrest patients: 12.5% of the hands-only group survived, compared with 11% of the traditional CPR group. A second Swedish study used the same methodology and found that in the hands-only group, 8.7% of patients survived for at least 30 days, compared with 7% in the traditional CPR group. (1) However, hands-only CPR applies only to adults. As the Washington Post noted: "Several experts said … that rescue breathing is essential for children in cardiac arrest, and for people who have suffocated or drowned. That’s because in them breathing stops before the heart, and restoring respiration might be enough to bring them back to life." (1) If in 90% of the cases the child will fail, tell me the value of SB79 for any person under 18 to have to deal with not only their parent dying in front of them, but being trained to save their life when the chances are incredibly slim (10%), and being left with the trauma for the rest of their life thinking that they may have done something wrong and killed their parent or sibling? 2. There's no school policy developed to instruct schools on how to implement the law. EBBA - First Aid was last updated 1/15/14, well before SB79 was crafted. This policy includes information that
Where is the protocol to include or exclude a trained student to do CPR on another student or adult. What about a student or adult giving mouth-to-mouth CPR to someone K-3? What protocol is there for the student to deal with the side-effects of losing a fellow student or teacher who they utilized their required training on? 3. SB79 didn't stipulate how to track if a student has completed the hands-on course before graduation so it really doesn't have any teeth. It's more of a feel good bill that may produce little actual action because 92% of the heart attack victims are over 54, and, unfortunately, their action may produce unnecessary trauma to the student who actually feels compelled to step in and help save a life. Sources: (1) http://www.healthland.time.com/2010/10/06/the-case-against-mouth-to-mouth%C2%A0resuscitation/
EBBA - http://policy.osba.org/brookings/E/EBBA%20D1.PDF
SB79 - https://legiscan.com/OR/text/SB79/2015
CPR In Schools
Training Kits Help Create the Next Generation of Lifesavers™ About 90 percent of people who suffer out-of-hospital cardiac arrests die. CPR, especially if performed immediately, can double or triple a person’s chance of survival. Sadly, most of the time it doesn’t happen that way. The American Heart Association wants all students and educators to learn CPR, putting more qualified lifesavers in our communities. The stress-free CPR in Schools Training Kit is designed precisely for educational environments and can be facilitated by anyone. The kit contains everything needed to train 10 to 20 people at once in CPR. Repeat the process to train a class, a grade - or even your entire campus! How it works Developed by the American Heart Association, the trusted leader in heart health and education, this kit incorporates the very latest science. Students practice on a manikin while watching skills performed correctly on the DVD, a research-proven way to learn and retain lifesaving CPR skills. CPR in Schools Training Kit includes
NOTE: DVD has not been updated to reflect 2015 Guidelines; however, guidance for providing necessary science updates to students is provided in the CPR in Schools Lesson Plan CPRiS
Training Kit CPR
training before graduation will create generation of
lifesavers “The potential impact of 35,000 trained graduates every year is incredible and will be felt immediately in communities across the state,” said cardiologist and American Heart Association-Oregon Board Member, Robert Quintos. Every 25 seconds someone has a heart attack and every 39 seconds someone dies of a heart attack. Sadly, most people, almost 90 percent, who experience cardiac arrest outside of a hospital die because they don't receive immediate CPR from someone on the scene. But given right away, Hands-Only CPR can double or even triple a person’s chance for survival, according to the American Heart Association. Starting in the 2015-2023 school year, school districts will be required to include CPR training in curriculum anytime between grades 7 through 12 in physical education or health education class. Hands-on training for simple CPR can be taught by teachers or community volunteers, and can be accomplished in one class period. Survivors of sudden cardiac arrest, like Raoul Meekcoms, advocated in the State Capitol for the bill, sharing his story of unexpected collapse and rescue in his Tualatin home. “I am one of the lucky ones,” said Meekcoms. “I survived because my wife Sandra was with me and she knew how to perform CPR. Thanks to her courage and care, I survived that day, but most Oregonians do not. We can save more lives if more people know CPR.” Advocates from across the state supported the bill, including students, teachers, physicians, hospitals, nurses, and Oregon’s EMS community. Alongside the American Heart Association, were 42 fire departments and EMS organizations, the Oregon Fire Chiefs Association, Legacy Health, the Oregon Chapter of the American College of Emergency Physicians, Oregon Health & Sciences University, and the Oregon Nurses Association. Some local efforts are already at work in Oregon communities—including partnerships with local schools like the Jackson County CPR initiative, led by Medford Fire & Rescue, have trained over 1,205 students, more than half of the seventh graders in the county, in the 2013-14 school year. The local support has been significant and in addition to Medford Fire & Rescue, includes Jackson County EMS, local chapter of the American Association of Critical Care Nurses, Ashland Fire & Rescue, Jackson County Fire District #3, Asante Health System, local educators and the American Heart Association. Fire Chief Mike Duyck of the Oregon Fire Chiefs Association advocated for the bill, testifying in the House and Senate. "The passage of Senate Bill 79 empowers Oregon's youth to save future generations of Oregonians who experience a cardiac arrest and might not otherwise survive," said Chief Duyck. "They worked tirelessly alongside adults to advocate for this bill, they prevailed, and now they stand ready to accept the responsibility they have earned and make a difference in the lives of others through hands-only CPR." Oregon has become the 23rd state to require students learn CPR to graduate high school, joining other states that have passed school CPR requirements, including: Alabama, Arkansas, Delaware, Georgia, Idaho, Indiana, Iowa, Louisiana, Maryland, Minnesota, Mississippi, New Jersey, North Carolina, Oklahoma, Rhode Island, Tennessee, Texas, Utah, Vermont, Virginia, Washington and West Virginia. About 326,000 Americans have an emergency medical services-assessed cardiac arrest outside of the hospital each year, and less than 11% survive, according to the American Heart Association. As Julien Comardelle, a student at West Linn High School, said in his testimony supporting the bill last month: “Anyone can save a life and everyone should know how.” For more information about CPR in
Schools in Oregon, contact: Sarah Higginbotham at the
American Heart Association: sarah.higginbotham@heart.org /
503-820-5308
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