Poster Presentations / Resuscitation 84S (2013) S8–S98 S41

showed statistically significantly higher performance in final test(p = 0.002) and post-test (p = 0.014) compared with RG candidates(Table 1 and Fig. 1). A few candidates failed in cardiac arrest sce-nario testing during the courses, while during reassessment, allproviders performed well and there were no differences betweenPG and RG, except a statistically significant difference in the recallof the necessity of epinephrine and amiodarone administration inPG.

Conclusions: A targeted group forming method based ontrainees’ pre-test score seems to have a significant effect on knowl-edge retention after 6 months, while it has no effect on skillretention.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.107

AP078

Developing and implementing a blendedprogramme for the Generic Instructor Course(GIC)

Mike Davis 1,∗, Kate Denning 1, Ian Bullock 2,Sarah Mitchell 2, Sue Wieteska 1

1 Advanced Life Support Group, Manchester, UK2 Resuscitation Council (UK), London, UK

Purpose of the study: The GIC developed by the Advanced LifeSupport Group (ALSG) and Resuscitation Council (UK) (RC(UK)) hasbecome a standard for life support instructor training throughoutthe UK and is well received. Until 2013, it has been a single coursemodality (3 days, plus textbook). Among recent challenges is accessto study and/or professional leave and the decision was made in2012 to implement a blended programme, reducing the length ofthe face-to-face (f2f) element of the course.

Design: The decision was made to redesign the course in 4phases: textbook; VLE (1 day of study); 2 days f2f course andpracticum. The textbook is under review acknowledging changesin approach and emphasis; the VLE has been developed betweenJanuary and June 2013 and the redesigned f2f will run from Autumn.The practicum as instructor candidates will continue with morestructure and support via online forums and mentoring. The coursewill be available for credit to Masters level (60 M points) with KeeleUniversity.

Outcomes: The process of representing lecture content hasbeen a challenge. Building on successful experience with providercourses, developers had to capture adult education theory andpractice as represented in the existing course. Content has beenreviewed by educators, senior clinicians and recent GIC graduates.The VLE is intended to represent best practice in online learn-ing: it is interactive and combines images, text and video. Itis supplemented by supporting text where necessary and thereare clear links made to the additional theory and to practi-cal components. The programme is hosted on a dedicated site(http://www.gic-online.org/vle).

Conclusions: The course will be implemented and thoroughlyevaluated and changes will be made to acknowledge feedback fromusers. Progress will be reported at future ERC conferences.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.108

AP080

BLS comparison between differentschoolchildren’s ages

Diana Carmen Cimpoesu ∗, Antoniu Petris, OvidiuPopa

University of Medicine and Pharmacy Gr.T. Popa,Iasi, Romania

Background: During 2012, teachers from the Department ofEmergency Medicine of the “Gr.T. Popa” University of Medicine andPharmacy Iasi conducted a comparative study about the degreeof absorbing practical skill and theoretical knowledge in highschoolchildren from Iasi that were given lectures and practicaltraining for Basic Life Support.

Purpose of the study: To identify the age at which schoolchil-dren show high responsiveness to the concept of first aid and toidentify the most frequent mistakes in the specific BLS maneuvers,in order to be able to improve the effective rate of learning.

Material and methods: We assessed participants’ age, con-sciousness, airway dis-obstruction (in case of trauma or non-trauma), breathing, mouth to mouth ventilation maneuvers,external chest compressions maneuvers and chest compres-sion/ventilation ratio according to 2012 ERC guidelines. Schoolchil-dren were trained through theoretical and practical presentationson resuscitation mannequin, having the opportunity to practice onthem resuscitation maneuvers. Finally, participants completed anevaluation test on the knowledge presented in this session.

Results: The study was conducted on a total of 184 partici-pants, high school students. Distribution of high school studentsis 68 (37%) of fifth grade (10–11 age group), 64 (34.8%) of sixthgrade (age group of 11–12 years), 27 (14.7%) of age group 12–13years and 24 (13%) in age group 13–14 years. We found sig-nificant correlations between the school form (grade) and thefollowing evaluated parameters: accuracy of chest compressions(p = 0.235), ratio of compressions and ventilations (p = −0.187),using the AED (p = −0.212), the management of an unconsciousvictim (p = −0.196), airways dis-obstruction (p = −0.284).

Conclusion: The sixth graders (11–12 years old) proved to bethe most receptive to information and the most sensitive in maneu-vers, airways dis-obstruction being the most difficulty of all for ourgroups.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.109

AP081

Knowledge of CPR in different medicalspecializations

Aleksandar Pavlovic 1, Sladjana Trpkovic 1,∗,Nebojsa Videnovic 1, Ana Jovanovic 2, OliveraMarinkovic 2

1 Medical Faculty Pristina – Kosovska Mitrovica,Kosovska Mitrovica, Serbia2 CHC Bezanijska Kosa, Belgrade, Serbia

The aim of the study was to determine the level of knowledgeof CPR in different medical specializations.

Methodology: The study included 96 physicians from 12 clin-ical specializations of medicine. All physicians completed a formwith data of age, specialization, years of specialist experience anddata on education in CPR (theory + practical skills through a sub-jective assessment: score 1 – not educated to score 5 – successfullyeducated). Also we examined their need for applying CPR in a dailyprofessional working and CPR training in the post specialization

S42 Poster Presentations / Resuscitation 84S (2013) S8–S98

period. The second part of the study was a knowledge test in BLSand ALS measures of CPR.

Results: In the examined groups, during the specialization,CPR training was most present in anesthesiology and emergencymedicine (score 10). Training in CPR during specialization in inter-nal medicine (score 7), general medicine (score 6) and surgery(score 5) is similar. Lack of training in CPR is present in ophthalmol-ogists and dermatologists (score 2). Knowledge of CPR is minimallymonitored in physiatrist and psychiatrist (grade 3) and the lowestresults we get from the ophthalmologists and dermatologists (score2). All examined physicians in their professional practice had toperform CPR. Testing knowledge of BLS and ALS showed that thehigh level of knowledge had anesthesiologists, cardiologists andemergency medicine specialists (89–100% correct answers), thensurgeons and gynaecologists (44–68% correct answers) and thelowest level of CPR knowledge had ophthalmologists, physiatristand psychiatrist (22–38% of correct answers).

Conclusion: Specialists who work with the life-threateningpatients are most familiar with CPR measures. Physicians with oth-ers medical specializations also need to have basic CPR skills whichrequire reorganization of their education.

Keywords: CPR; education, medicine specializations

http://dx.doi.org/10.1016/j.resuscitation.2013.08.110

AP083

Mass CPR training

Javier García del Águila 1,∗, Elia López-Rebollo 1,Patricia Fernández-Valle 1, Itziar Vivar-Díaz 1,Mariluz García-Sánchez 1, Ángel Alba-Resina 1,Javier Fierro-Rosón 2, Francisco Mellado-Vergel 3,Guillermo Plaza-Picón 4, Fernando Rosell-Ortiz 1

1 Empresa Pública de Emergencias sanitarias,Almería, Spain2 Hospital de Poniente, Almería, Spain3 Hospital El Toyo, Almería, Spain4 Delegación de Educación, Almería, Spain

First responder training is key to the survival of cardiac arrestvictims. Our objective was to analyze the effectiveness of methoddesigned to teach basic life support (BLS) to a large number of schoolstudents on a single day.

Methods: Analysis of the pre and post-training knowledgeabout BLS. Two sessions were conducted with 1000 students each,aged between 13 and 18 years old, from urban and rural schools.Each session included four hours of training to 250 students perhour. The ratio of students-to-monitors was 10:1. The test on BLSknowledge was administered before the training session and againat 7 days and 6 months, with 10 questions drawn from the BLSstandardized courses.

Results: Two thousand students participated. The three testswere completed by 1814 (90.7%), mean age 13.3 ± 2.1 years, 53.2%female; 374 students (20.6%) had prior knowledge of BLS. Meantest scores (pre-training, at 7 days and 6 months) were 5.2 ± 1.8,7 ± 1.6 and 6.6 ± 1.6 (p < 0.001) respectively. On analyzing the asso-ciation between improved test score and prior knowledge of BLS,we observed an inverse correlation: students with the lowest initialscores showed the greatest improvement. On comparing groupsof students with and without previous knowledge, the followingscores were found for the 3 tests: 5.95 ± 1.7, 7.3 ± 1.5, 6.7 ± 1.7 vs5 ± 1.7, 7 ± 1.6, 6.6 ± 1.6, (p < 0.000, p = 0.001 and p = 0.67 respec-tively).

Conclusions: Post-training course level of knowledge showedsignificant improvement and was maintained at 6 months.

Improvement was greater in students with lower initial scores.Mass training is a useful method for increasing theoretical firstresponder knowledge about BLS.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.111

AP084

Public knowledge of cardiopulmonaryresuscitation in Republic of Serbia

Aleksandar Pavlovic 1, Sladjana Trpkovic 1,∗,Olivera Marinkovic 2, Ana Sekulic 2, IvanaStoisavljevic 3

1 Medical Faculty Pristina – K. Mitrovica, KosovskaMitrovica, Serbia2 CHC Bezanijska Kosa, Belgrade, Serbia3 Medical Center Kosovska Mitrovica, KosovskaMitrovica, Serbia

The aim was to investigate the degree of knowledge of differentpopulation groups in the field of CPR and point out the faults thatmust be corrected in order for “the chain of survival”.

Methodology: The study included 120 adult, non-medicalrespondents, chosen randomly (18–65 years) from several regionsof Serbia, through an anonymous survey – by filling out a form. Inthe first part of the form we obtained information on age, educa-tion, interest and ways of acquiring knowledge of BLS, and theirdecision to provide BLS measures on the field. The second part ofthe form was used to test basic knowledge of BLS. Study results:knowledge of BLS respondents mostly acquired through primaryand secondary education (68%), during military training (men) 82%,and only 4% of respondents completed specialized training. Thereis a high awareness of respondents for providing BLS in a publicenvironment (86%). 92% of respondents were interested in learn-ing BLS, and 88% believed that better education of citizens in thisfield is needed. The highest level of knowledge of BLS was in theyoungest group of respondents (18–30 years) and those with a col-lege education. There was no difference in the level of knowledgeof respondents between the three studied regions of Serbia. 68.2%of respondents were able to do a proper verification of conscious-ness and call EMS (84.2%). 75.4% of respondents were unfamiliarwith ways of checking the airways and breathing. Correct CPR wasdescribed by 57.2% of respondents, while only 39.1% of respon-dents could correctly perform chest compressions. Lateral comaposition is correctly described by 13.4% of respondents. Just 3.6% ofrespondents have heard of AED, and none were trained in its use.

Conclusion: The public knowledge of BLS is unsatisfactory andrequires higher education and wider participation of society.

Keywords: Basic life support; Cardiac arrest; Public knowledgeof CPR.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.112

AP085

Basic Life Saving Activities can be learnt bykindergarten children

Balint Banfai, Jozsef Betlehem, Jozsef Marton,Emese Pek ∗, Balazs Radnai, Krisztina Deutsch

University of Pécs, Faculty of Health Science, Pécs,Hungary

Purpose: Basic Life Saving Activities should be thought in earlychildhood in order to base helping aptitude for adulthood. Our aimwas to teach children in kindergarten for basic first aid duties with