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The DIVERSE Study: Determining the Importance of Various gEnders, Races, and Body Shapes for CPR Education Using
Kiera Liblik1, Jin Byun2, Andrew Lloyd-Kuzik1
1Department of Medicine, Kingston Health Science Center, Queen's University, Kingston, Ontario, Canada.
Diverse representation is lacking in CPR manikins used for training in North and Latin America. The DIVERSE Study found that manikins poorly reflect diverse populations, potentially impacting equitable resuscitation training.
Area of Science:
- Medical Education
- Resuscitation Science
- Public Health
Background:
- Cardiopulmonary resuscitation (CPR) is a critical life-saving skill.
- Inequitable access to efficient CPR is a recognized concern for certain demographic groups.
- Manikin diversity in simulation training may influence the quality and equity of CPR delivery.
Purpose of the Study:
- To assess the demographic characteristics of manikins used in CPR simulation training.
- To identify potential disparities in manikin representation across different regions.
Main Methods:
- The DIVERSE Study surveyed CPR-certifying organizations in North and Latin America.
- Data on manikin demographics (race, sex, body habitus, pregnancy) were collected.
- A total of 2,383 manikins from 56 institutions were analyzed.
Main Results:
- Only 12% of manikins were non-white, and 6% represented women.
- Less than 1% represented individuals with non-lean body habitus.
- Representation of pregnant individuals was only 1%.
Conclusions:
- CPR simulation manikins in North and Latin America exhibit significant underrepresentation of diverse populations.
- This lack of diversity may hinder equitable training and impact the effectiveness of CPR delivery to all demographic groups.
- Future training initiatives should prioritize the use of diverse manikins to ensure inclusive and effective resuscitation education.
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