Abstract P173: For AED Training, the Best Formation is the Shorter
Purpose of the study The non-education of the public is a major reason to refuse programs of public access defibrillation. Since 2002 we educated many people (small formation in 90 min (1)). Fully automatic external defibrillators AED were deployed in the city (public acces) in 2005.
Materials and methods 2 years after small training we want to see the retention of those teenagers (13 year old). An entire school was evaluated (165 children). 69 were trained to do CPR and to use a defibrillator 2 years before (fully automatic AED Medtronic CR+, mouth to mouth, chest compression with 30:2 ratio); 96 didn’t have any training or information about defibrillation or CPR. The scenario was: a man is unconscious, no breathing, you have a defibrillator on the wall, what do you do? We know that the major factor of out of hospital discharge without sequalae is the precocity of first choc after sudden death (2), so we evaluate the time of deliverance of the first choc.
Results The first action in the control group was switch on the defibrillator (98%), doing nothing (2%); in the trained group the first action was call the emergency (32%), practice mouth to mouth (42%), practice chest compression (20%), wait and doing nothing (6%). When mouth to mouth is practiced, the practice is correct in only 18% of cases. When chest compressions are done it is correct in the two groups. The non-trained group listen AED message, call the emergency in 100% of case and practice chest compression in 73% of cases. Electrodes pads were positioned correctly. The deliverance of the first choc occurred in 84.19 +/− 20.23 in the control group versus 93.65 +/− 24.32 in the trained group p=0.007.
Conclusions A classic initial training could be a factor to delay defibrillation, the major retention is the mouth to mouth, and it is practiced often in a bad way. Information and very short training for young people means to be the good way. Fully AED is easy to use for this « Game Boy » generation, the message is clear and simple. Mouth to mouth is now no more part of our training and it is a gain of time for chest compressions. Our message is now: “Take the AED, switch on and do what it says!”