Training frequency for educating schoolchildren in basic life support: very brief 4-month rolling-refreshers versus annual retraining-a 2-year prospective longitudinal trial.

ABSTRACT

OBJECTIVE: To compare the effectiveness of 4-month rolling-refreshers and annual retraining in basic life support (BLS) on a sample of schoolchildren. DESIGN: Prospective longitudinal trial. SETTING AND PARTICIPANTS: Four hundred and seventy-two schoolchildren (8-12 years old). INTERVENTIONS: Schoolchildren were instructed in BLS and then split into the following three groups control group (CG), standard group (SG) and rolling-refresher group (RRG). Their BLS skills were assessed within 1 week (T1) and 2 years later (T2). Moreover, CG did not receive any additional training; SG received one 50 min retraining session 1 year later; RRG participated in very brief (5 min) rolling-refreshers that were carried out every 4 months. PRIMARY AND SECONDARY OUTCOMES: Hands-on skills of BLS sequence and cardiopulmonary resuscitation. RESULTS: BLS sequence performance was similar in all groups at T1, but SG and RRG followed the steps of the protocol in more proportion than CG at T2. When compared at T2, RRG showed higher proficiency than SG in checking safety, checking response, opening the airway and alerting emergency medical services. In addition, although the mean resuscitation quality was low in all groups, RRG participants reached a higher percentage of global quality cardiopulmonary resuscitation (CG 16.4±24.1; SG 25.3±28.8; RRG 29.9%±29.4%), with a higher percentage of correct chest compressions by depth (CG 3.9±11.8; SG 10.8±22.7; RRG 15.5±26.1 mm). CONCLUSIONS: In 8-to-12-year-old schoolchildren, although annual 50 min retraining sessions help to maintain BLS performance, 4-month very brief rolling-refreshers were shown to be even more effective. Thus, we recommend implementing baseline BLS training at schools, with subsequently brief rolling-refreshers.