TY  - JOUR
PY  - 2024//
TI  - Pilot training program on hands-only CPR and choking first aid for frontline police responders in rural Nepal
JO  - Wilderness and environmental medicine
A1  - Thapa, Ghan B.
A1  - Sapkota, Roshan
A1  - Thapa, Anjana
A1  - Sharma, Rajesh
A1  - Lubetkin, Derek
A1  - Lubetkin, Camille
A1  - Nesemann, Samuel
A1  - Kharel, Ramu
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Basic life support (BLS) is an emergency skill that includes performing appropriate cardiopulmonary resuscitation (CPR). Out-of-hospital cardiac arrest (OHCA) is a leading cause of mortality worldwide and is rising in Nepal. After an OHCA event, a bystander starting CPR quickly has been shown to increase the survival rate. While the Nepali police are generally the first responders to emergencies in rural parts, they are not trained in BLS. This program assesses a pilot training of hands-only CPR and choking first aid to the Nepal Police and Nepal Army participants in rural Nepal. <br><br>METHODS: A community-based nonprofit organization, HAPSA-Nepal, coordinated with local government to pilot this program. The program included pre- and post-tests, lectures, videos, and small group hands-on exercises; facilitators included faculty emergency physicians, residents, and medical officers. Structured pre- andp post-test questionnaires, confidence surveys, and skills checklists were conducted. Descriptive analysis examined the respondent's characteristics, and paired t-test was used to compare pretest and post-test scores. <br><br>RESULTS: A total of 126 participants received the training in this pilot phase. Prior to this training, 98.4% of the participants had not received any CPR training, and 100% of the participants had not received training on first aid for choking. The average pretest score was 4.4 with 95% CI ± 1.75, and the average post-test score was 8.06 with 95% CI ± 1.73 (out of a total of 11). All participants passed the skills assessment. <br><br>CONCLUSIONS: Locally adapted BLS training programs that included hands-only CPR and choking first aid showed a significant knowledge gain and skills competence among the frontline participants.<p />  <p>Language: en</p>
LA  - en
SN  - 1080-6032
UR  - http://dx.doi.org/10.1177/10806032241226691
ID  - ref1
ER  -