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Life After the Event: A Review of Basic Life Support Training for Parents Following Apparent Life-Threatening Events
W L Macken1, N Clarke1, M Nadeem1
1Department of General Paediatrics, National Children's Hospital, Tallaght, Dublin.
Insights
Caregiver training in Basic Life Support (BLS) after an Apparent Life-Threatening Event (ALTE) significantly reduces parental anxiety. This training is crucial for managing future emergencies and improving caregiver confidence.
Area of Science:
- Pediatrics
- Emergency Medicine
- Cardiology
Background:
- Apparent Life-Threatening Events (ALTEs) are a frequent reason for pediatric hospital admissions.
- ALTEs cause considerable parental anxiety and distress.
- Basic Life Support (BLS) training is recommended for caregivers of infants experiencing ALTEs.
Purpose of the Study:
- To determine the rate of BLS training among caregivers of children with ALTEs.
- To evaluate parental experiences and anxiety levels post-discharge.
- To assess the impact of BLS training on caregiver confidence and emergency preparedness.
Main Methods:
- Phone interviews were conducted with parents following their child's discharge from the Emergency Department.
- Data collected included caregiver BLS training status, parental anxiety levels, and subsequent need for resuscitation.
- Caregiver use of non-medical grade monitors was also documented.
Main Results:
- 68% of caregivers received BLS training.
- 15% of children required BLS resuscitation post-discharge.
- All interviewed parents reported decreased anxiety and a desire for retraining.
- 77% of caregivers used non-medical grade monitors at home.
Conclusions:
- Caregiver engagement in BLS training is high and effectively reduces anxiety.
- Increased BLS instructor availability and group retraining sessions are recommended.
- BLS training is vital for managing ALTEs and supporting families.
Abstract:
Apparent Life-Threatening Events (ALTEs) are a common presentation to paediatric hospitals and represent a significant cause of parental anxiety. Basic Life Support (BLS) training is recommended for all caregivers following ALTEs. This study aimed to assess the rate of caregiver BLS training and reviewed parents experience following discharge. Parents were interviewed by phone following discharge. Over the study period 25 children attended the Emergency Department with ALTE, 17/25 (68%) were trained and 13/17 (76%) were contactable for interview. All parents found training decreased their anxiety level and were interested in attending for re-training. BLS resuscitation was subsequently required by 2/13 (15%) of children. Non-medical grade monitors were in use by 10/13 (77%) of caregivers following discharge. Caregivers are eager to engage in BLS training and it effectively reduces their caregiver anxiety. We recommend an increase in instructor staff and use of group re-training post discharge.
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