Availability of basic life support courses for the general populations in India, Nigeria and the United Kingdom: An internet-based analysis
10.5847/wjem.j.1920-8642.2020.03.001
- Author:
Alexei Birkun
- Publication Type:Journal Article
- Keywords:
Basic life support;
Cardiopulmonary resuscitation;
Courses;
Training;
India;
Nigeria;
United Kingdom
- From:
World Journal of Emergency Medicine
2020;11(3):133-139
- CountryChina
- Language:English
-
Abstract:
BACKGROUND: The number of lay people willing to attempt cardiopulmonary resuscitation (CPR)
in real life is increased by effective education in basic life support (BLS). However, little is known about
access of general public to BLS training across the globe. This study aimed to investigate availability and
key features of BLS courses proposed for lay people in India, Nigeria and the United Kingdom (UK).
METHODS: A Google search was done in December 2018, using English keywords relevant
for community resuscitation training. Ongoing courses addressing BLS and suitable for any adult
layperson were included in the analysis. On-site training courses were limited to those provided
within the country’s territory.
RESULTS: A total of 53, 29 and 208 eligible courses were found for India, Nigeria and the UK,
respectively. In the UK, the number of courses per 10 million population (31.5) is 79 and 21 times
higher than that in India (0.4) and Nigeria (1.5). Course geography is limited to 28% states and
one union territory in India, 30% states and the Federal Capital Territory in Nigeria. In the UK, the
training is offered in all constituent countries, with the highest prevalence in England. Courses are
predominantly classroom-based, highly variable in duration, group size and instructors’ qualifi cations.
For India and Nigeria, mean cost of participation is exceeding the monthly minimum wage.
CONCLUSION: In contrast to the UK, the availability and accessibility of BLS courses are
critically limited in India and Nigeria, necessitating immediate interventions to optimize community
CPR training and improve bystander CPR rates.