Related Experiment Video
Updated: Mar 14, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
High School CPR/AED Training in Washington State.
Gail G Salvatierra1,2, Steven J Palazzo2,3, Allison Emery2
1School of Nursing, California State University, San Marcos, San Marcos, California.
Washington high schools show low rates of CPR/AED training post-mandate. Barriers like instructor and equipment shortages hinder implementation, limiting public health benefits.
Area of Science:
- Public Health
- Health Education
- Emergency Medicine
Background:
- Legislation mandating cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) training in high schools aims to improve public safety.
- Understanding the actual rates of CPR/AED training implementation following such mandates is crucial for evaluating their effectiveness.
Purpose of the Study:
- To determine the rates of CPR and AED training in Washington state high schools after a legislative mandate.
- To identify barriers encountered by high schools in implementing mandatory CPR/AED training programs.
Main Methods:
- A web-based survey was distributed to administrators of 660 public and private high schools in Washington state.
- Data were collected from 148 schools, representing a 22% response rate.
- Descriptive statistics were employed to analyze implementation rates and sample characteristics.
Main Results:
- Only 64% of surveyed high schools reported providing CPR training, and 54% reported providing AED training.
- Key barriers to implementation included a lack of available instructors, prohibitive costs, and insufficient equipment.
- The study highlights a significant gap between legislative mandate and actual training implementation.
Conclusions:
- Legislative mandates for CPR/AED training in high schools are insufficient without adequate resources and support.
- Addressing barriers such as instructor availability, cost, and equipment is essential for successful implementation.
- Overcoming these barriers is necessary to achieve the full public health benefits of CPR training mandates.
Related Concept Videos
Cardiopulmonary Resuscitation III: AED Use
Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

