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Updated: Jan 27, 2026

Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Teaching Cardiopulmonary Resuscitation to Young Children (<12 Years Old)
Bethlehem G Zeleke1, Eashan S Biswas2, Mimi Biswas1
1Department of Internal Medicine, Riverside Community Hospital/UCR SOM, Riverside, California.
Insights
Children as young as sixth grade can learn high-quality cardiopulmonary resuscitation (CPR) chest compressions. Supplementing CPR videos with music or a video game improved compression rates and quality in student training.
Area of Science:
- Public Health
- Emergency Medicine
- Pediatric Education
Background:
- Out-of-hospital cardiac arrest presents a significant public health challenge.
- Lay bystander cardiopulmonary resuscitation (CPR) initiation is critical for improving survival rates.
- CPR training is effective across various age groups, including children.
Purpose of the Study:
- To evaluate the ability of 12-year-old children to perform high-quality chest compressions.
- To assess if supplementing CPR instructional videos with music or a video game enhances compression timing and quality.
Main Methods:
- 160 sixth-grade students were divided into three groups: control (video only), music-timed compressions, and video game-timed compressions.
- Participants practiced chest compressions on manikins.
- Compression rate (compressions per minute) and quality (audible clicks) were measured.
Main Results:
- The video game group achieved 102 compressions per minute with 78 clicks, while the music group achieved 104 compressions per minute with 74 clicks.
- The control group performed 88 compressions per minute with 72 clicks.
- All groups demonstrated the capability to learn and perform CPR chest compressions.
Conclusions:
- Sixth graders can effectively learn and perform hands-only bystander CPR.
- Educational interventions, such as music or video games, can enhance CPR training for children.
- CPR training should be integrated into school curricula at the elementary level.
Abstract:
Out-of-hospital cardiac arrest is a major public health concern. Research has shown that initiation of cardiopulmonary resuscitation (CPR) by lay bystanders increases survival rates. Evidence also shows that CPR training, delivered in various ways, is successful in a wide age range of children. This study was conducted to assess if children (average age of 12) were able to perform high quality chest compressions and whether this can be achieved by supplementing CPR instructional video with other methods to time delivery of compressions. A total of 160 study subjects were divided into 3 groups. The CPR instructional video was played for all 3 groups. One group (n = 53) was instructed to time their compressions with a popular music. Another group (n = 56) was assigned to a specially designed video game whereby they practiced how to time chest compressions. The control group (n = 51) consisted of those who only watched the video. Each group was divided in teams of 3 and observed for successful delivery of chest compressions on the little Anne Adult CPR training manikins. The control group performed a mean of 88 compressions per minute (CPM) out of which a mean of 72 clicks were appreciated. The music group performed 104 CPM with 74 clicks. Meanwhile, the video game group performed 102 CPM with 78 clicks. This study demonstrated sixth graders are capable of learning and performing effective hands only bystander CPR and this can and should be taught in schools even as young as the sixth grade level.
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