May 18, 2012

Teach them while their young

I just finished reading a great guest post on “Everyday EMS Tips” by Steve Lichtenberg about teaching CPR to kids. He gives some great advice about teaching to a younger audience. But more importantly, he makes it clear that kids can be taught to save lives. This post really hit home, as I am living proof on how teaching kids to perform CPR or First Aid can really make a difference.

When I was 12 years old, I took a health class in school to get out of having to take Spanish. For 2 weeks, we learned CPR and first aid. We were also certified in the skills once we showed our instructor proficiency. To me, it was more of an excuse to goof around and pretend to make out with the CPR dummy and make people laugh. It still didn’t change the fact that I had to learn the skills in order to pass that part of the class. I actually did find the first aid part of training to be interesting. So after I passed the class, I had 2 neat cards to put on the refrigerator and show off to my parents. I never thought I would use any of those skills, especially as a child.

A couple days after I completed that class, I was riding bikes home with a couple of my friends. One of the kids that was riding with us decided to take off across traffic and was hit by a pickup truck. I watched him fly over the handlebars, hit his head on the windshield and fall off the side of the truck to the street. After a couple seconds of watching him lay motionless, I ran over to him to see if he was ok. He wouldn’t respond to me and basically laid there limp.

The lady driving the truck got out and started screaming at me to get out of the road so that she could pull him off to the side. I knew that we shouldn’t move him, although I didn’t exactly know why. I just remembered that we should keep the head still. I held his head and told the lady to call 911. This was before cell phones were popular, so there was really nothing she could do. I yelled at my friend to ride to his house that was only a block away and call instead.

Several people stopped to help, and pretty much everyone wanted to pull him out of the road. I was adamant that we couldn’t move him and I tried my best to convince the adults on scene that I was doing the right thing. It basically came down to the fact that I refused to let go of his head, so they really had no choice. I had one of my friends hold pressure with a towel on a large laceration that he sustained from the accident in attempt to control the bleeding. He too had just taken the same class.

The ambulance (the same one I work for now) arrived on scene first and took over care. I don’t remember much of what they did, but I do remember one of the crew members thanking me and saying that I did the right thing by holding his head. A couple months later, the kid returned to school. He suffered minor brain damage and a spinal fracture. He had no lasting neurological deficits and pretty much made a full recovery. I’m sure his helmet probably did more of the life-saving than anything, but It’s nice to think that I may have actually made a difference in his outcome.

So yes, I do think that kids can and should be taught to perform life saving interventions. Image how many victims of cardiac arrest would survive if we taught all high school students to perform CPR? We make them learn to use a computer and type properly on a keyboard. Why not teach them how to react in a life-threatening emergency? They may never take another CPR class for the rest of their life, but they will always have at least some of the knowledge in the back of their head. Bad CPR is always better than no CPR. I wonder if the American Heart Association has tried to approach programs that would teach young adults CPR before graduating high school?

If anyone knows of such programs, I would love to hear about it.


  • http://twitter.com/slichten01 Steven Lichtenberg

    I’m glad you were inspired to share this story based on my article. It confirms that what I do is valuable and goes a long way towards saving lives.

    I just finished piloting a first aid/CPR program for elementary and middle school students (11-14yo). It was a blast to teach them and the modifications we are now doing to the class will go a long way.
    Just so you know, there are 2 programs that the AHA offers that are perfect for younger people. First is the CPR in Schools program which is Heartsaver AED but written for a younger audience. The primary focus is High School students but younger kids do well with it as well. Wouldn’t it be great if all HS health classes included this as a part of the core curriculum.
    The other program that works well with kids is the CPR Anywhere program. This is a $30 package that includes an inflatable manikin (NOT a blow up doll, lol) and a DVD. We have used that program for kids as they each get their own manikin at a reasonable cost. The other advantage is they then take the kit home and there are opportunities for family members to use the materials as well. On average, another 2 people are trained. There is no certification card with the kit but the more people know what to do, the better off everyone is.

    Again, thanks for the kind words. I love your story. It is proof to me that good things come back to you. Feel free to contact me if you have any ideas, questions or comments.

  • http://twitter.com/slichten01 Steven Lichtenberg

    I'm glad you were inspired to share this story based on my article. It confirms that what I do is valuable and goes a long way towards saving lives.I just finished piloting a first aid/CPR program for elementary and middle school students (11-14yo). It was a blast to teach them and the modifications we are now doing to the class will go a long way. Just so you know, there are 2 programs that the AHA offers that are perfect for younger people. First is the CPR in Schools program which is Heartsaver AED but written for a younger audience. The primary focus is High School students but younger kids do well with it as well. Wouldn't it be great if all HS health classes included this as a part of the core curriculum.The other program that works well with kids is the CPR Anywhere program. This is a $30 package that includes an inflatable manikin (NOT a blow up doll, lol) and a DVD. We have used that program for kids as they each get their own manikin at a reasonable cost. The other advantage is they then take the kit home and there are opportunities for family members to use the materials as well. On average, another 2 people are trained. There is no certification card with the kit but the more people know what to do, the better off everyone is.Again, thanks for the kind words. I love your story. It is proof to me that good things come back to you. Feel free to contact me if you have any ideas, questions or comments.

  • http://emscompare.org/ Timothy Clemans

    “Image how many victims of cardiac arrest would survive if we taught all high school students to perform CPR?”

    Not many. That’s why telephone CPR instructions is so essential.

    “I wonder if the American Heart Association has tried to approach programs that would teach young adults CPR before graduating high school?” It’s taught in public schools in King County where I live. I was taught in the 7th grade.

    Layperson CPR shouldn’t be a class but instead a 30 second PSA call 9-1-1, start pushing up and down hard and fast if unconscious and not breathing normally, and if other people around have them take over at 2 minutes.

    • http://www.medicmadness.com Sean Eddy

      Tim,

      So by your argument, a victim of cardiac arrest is better off having a
      dispatcher try and teach cpr over the phone to a panicing bystander than to
      have a trained bystander immediately start cpr?

      I agree that instructing people to do cpr over the phone is valuable. But I
      certainly wouldn’t prefer that over citizens that are trained and that have
      actually practiced the skill.

      • http://emscompare.org/ Timothy Clemans

        I got too focused on high schoolers not being around for most cardiac arrests. What I did not know is that in King County excluding Seattle from 1983 – 2000 over half of bystander CPR was initiated not by the dispatcher but by the bystander herself. Yes trained layperson CPR is better than CPR being coached over the phone.

  • http://emscontroversies.wordpress.com Timothy Clemans

    “Image how many victims of cardiac arrest would survive if we taught all high school students to perform CPR?”Not many. That's why telephone CPR instructions is so essential. “I wonder if the American Heart Association has tried to approach programs that would teach young adults CPR before graduating high school?” It's taught in public schools in King County where I live. I was taught in the 7th grade.Layperson CPR shouldn't be a class but instead a 30 second PSA call 9-1-1, start pushing up and down hard and fast if unconscious and not breathing normally, and if other people around have them take over at 2 minutes.

  • http://twitter.com/Jeramedic Jeremiah Bush

    I agree with you Sean, Kids absolutely should be taught to perform life saving interventions. And Tim, I would advocate that a BCLS and First Aid cert be required to graduate high school.

  • http://twitter.com/Jeramedic Jeremiah Bush

    I agree with you Sean, Kids absolutely should be taught to perform life saving interventions. And Tim, I would advocate that a BCLS and First Aid cert be required to graduate high school.

  • SeanEddy

    Tim,So by your argument, a victim of cardiac arrest is better off having adispatcher try and teach cpr over the phone to a panicing bystander than tohave a trained bystander immediately start cpr?I agree that instructing people to do cpr over the phone is valuable. But Icertainly wouldn't prefer that over citizens that are trained and that haveactually practiced the skill.

  • http://emscontroversies.wordpress.com Timothy Clemans

    I got too focused on high schoolers not being around for most cardiac arrests. What I did not know is that in King County excluding Seattle from 1983 – 2000 over half of bystander CPR was initiated not by the dispatcher but by the bystander herself. Yes trained layperson CPR is better than CPR being coached over the phone.

  • http://www.njemslaw.com/ Margaret

    We taught CPR at Take your Child to Work Day. It was 2 years ago, but my son, now 8, still remembers it. I agree, every high school student should be taught how to use an AED, call 9-1-1, and do compressions.

  • http://www.njemslaw.com/ Margaret

    We taught CPR at Take your Child to Work Day. It was 2 years ago, but my son, now 8, still remembers it. I agree, every high school student should be taught how to use an AED, call 9-1-1, and do compressions.

  • http://emscompare.org/ Timothy Clemans

    I just wrote a <a href="post saying bystander CPR is the secret to a 50% survival rate. One thing I realized is that even though telephone CPR raised the bystander CPR rate into the 70s the survival rate only jumped two percentage points in a five year period. I can't believe I was so stupid to say the lay public shouldn't be taking CPR classes.

  • http://rethinkingems.com/ Timothy Clemans

    I just wrote a <a href=”post saying bystander CPR is the secret to a 50% survival rate. One thing I realized is that even though telephone CPR raised the bystander CPR rate into the 70s the survival rate only jumped two percentage points in a five year period. I can't believe I was so stupid to say the lay public shouldn't be taking CPR classes.

    • http://medicmadness.com Sean

      Don’t beat yourself up too soon. You made some very good points in your reply. While teaching CPR may be essential, public service announcements that teach “quick” CPR, or hands-free CPR would be great as well. Telephone CPR is certainly an asset as well. I have had many positive outcomes attributed to CPR that was initiated by the dispatcher.

  • Girasol2

    hello, i loved your article. i teach for the red cross and my 8 yr old and my 6 yr old can both do CPR. in fact my 6 yr old loves to explain the steps to others, which he remembers very accurately. I am starting a program in my town this month to teach tweens CPR and first aid. I also teach an ARC babysitting class, and the teens in that really soak up this knowledge.