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## Complete Summary

#### GUIDELINE TITLE

Role of pediatricians in advocating life support training courses for
parents and the public.

#### BIBLIOGRAPHIC SOURCE(S)

Knapp JF, Pyles LA. Role of pediatricians in advocating life support
training courses for parents and the public. Pediatrics 2004
Dec;114(6):1676. \[50 references\]
[PubMed](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15574634)

#### GUIDELINE STATUS

This is the current release of the guideline.

American Academy of Pediatrics (AAP) Policies are reviewed every 3 years
by the authoring body, at which time a recommendation is made that the
policy be retired, revised, or reaffirmed without change. Until the
Board of Directors approves a revision or reaffirmation, or retires a
statement, the current policy remains in effect.

### COMPLETE SUMMARY CONTENT

 SCOPE\
 METHODOLOGY - including Rating Scheme and Cost Analysis\
 RECOMMENDATIONS\
 EVIDENCE SUPPORTING THE RECOMMENDATIONS\
 BENEFITS/HARMS OF IMPLEMENTING THE GUIDELINE RECOMMENDATIONS\
 IMPLEMENTATION OF THE GUIDELINE\
 INSTITUTE OF MEDICINE (IOM) NATIONAL HEALTHCARE QUALITY REPORT
CATEGORIES\
 IDENTIFYING INFORMATION AND AVAILABILITY\
 DISCLAIMER

### SCOPE

#### DISEASE/CONDITION(S)

Conditions requiring life support

#### GUIDELINE CATEGORY

Prevention

#### CLINICAL SPECIALTY

Emergency Medicine\
Family Practice\
Pediatrics\
Preventive Medicine

#### INTENDED USERS

Advanced Practice Nurses\
Health Care Providers\
Nurses\
Physician Assistants\
Physicians

#### GUIDELINE OBJECTIVE(S)

To provide recommendations for pediatricians in advocating life support
training courses for patients and the public

#### TARGET POPULATION

Parents, the public, and health care professionals, especially those
caring for children

#### INTERVENTIONS AND PRACTICES CONSIDERED

Patient/parent education regarding life support training

#### MAJOR OUTCOMES CONSIDERED

Survival

### METHODOLOGY

#### METHODS USED TO COLLECT/SELECT EVIDENCE

Searches of Electronic Databases

#### DESCRIPTION OF METHODS USED TO COLLECT/SELECT THE EVIDENCE

Not stated

#### NUMBER OF SOURCE DOCUMENTS

Not stated

#### METHODS USED TO ASSESS THE QUALITY AND STRENGTH OF THE EVIDENCE

Expert Consensus (Committee)

#### RATING SCHEME FOR THE STRENGTH OF THE EVIDENCE

Not applicable

#### METHODS USED TO ANALYZE THE EVIDENCE

Systematic Review

#### DESCRIPTION OF THE METHODS USED TO ANALYZE THE EVIDENCE

Not stated

#### METHODS USED TO FORMULATE THE RECOMMENDATIONS

Not stated

#### RATING SCHEME FOR THE STRENGTH OF THE RECOMMENDATIONS

Not applicable

#### COST ANALYSIS

A formal cost analysis was not performed and published cost analyses
were not reviewed.

#### METHOD OF GUIDELINE VALIDATION

Peer Review

#### DESCRIPTION OF METHOD OF GUIDELINE VALIDATION

Not stated

### RECOMMENDATIONS

#### MAJOR RECOMMENDATIONS

1.  Pediatricians should promote parental education in pediatric basic
    life support. Families of children with special health care needs,
    neonatal intensive care unit graduates, children who have ready
    access to water, or children who are active in water sports should
    be especially encouraged to undergo training and should be assisted
    in obtaining access to the training.

2.  Pediatricians should encourage and collaborate with parents to
    promote basic life support training for adolescents, parents,
    caregivers, school personnel, youth leaders, and coaches to build
    the \"chain of survival\" in the community.

3.  Basic life support training for the aforementioned groups should be
    advocated in policy advisory discussions at all governmental levels
    with a goal of making the training readily available and affordable.

4.  Pediatricians and pediatric subspecialty providers should lead by
    example by taking and teaching basic life support training courses.

#### CLINICAL ALGORITHM(S)

None provided

### EVIDENCE SUPPORTING THE RECOMMENDATIONS

#### TYPE OF EVIDENCE SUPPORTING THE RECOMMENDATIONS

The type of supporting evidence is not specifically stated for each
recommendation.

### BENEFITS/HARMS OF IMPLEMENTING THE GUIDELINE RECOMMENDATIONS

#### POTENTIAL BENEFITS

Immediate bystander cardiopulmonary resuscitation for victims of cardiac
arrest improves survival for out-of-hospital cardiac arrest.
Pediatricians will improve the chance of survival of children and adults
who experience cardiac arrest by advocating for cardiopulmonary
resuscitation training and participating in basic life support training
courses as participants and instructors.

#### POTENTIAL HARMS

Not stated

### IMPLEMENTATION OF THE GUIDELINE

#### DESCRIPTION OF IMPLEMENTATION STRATEGY

An implementation strategy was not provided.

### INSTITUTE OF MEDICINE (IOM) NATIONAL HEALTHCARE QUALITY REPORT CATEGORIES

#### IOM CARE NEED

Staying Healthy

#### IOM DOMAIN

Effectiveness\
Patient-centeredness

### IDENTIFYING INFORMATION AND AVAILABILITY

#### BIBLIOGRAPHIC SOURCE(S)

Knapp JF, Pyles LA. Role of pediatricians in advocating life support
training courses for parents and the public. Pediatrics 2004
Dec;114(6):1676. \[50 references\]
[PubMed](http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15574634)

#### ADAPTATION

Not applicable: The guideline was not adapted from another source.

#### DATE RELEASED

2004 Dec

#### GUIDELINE DEVELOPER(S)

American Academy of Pediatrics - Medical Specialty Society

#### SOURCE(S) OF FUNDING

American Academy of Pediatrics

#### GUIDELINE COMMITTEE

Committee on Pediatric Emergency Medicine

#### COMPOSITION OF GROUP THAT AUTHORED THE GUIDELINE

*Committee on Pediatric Emergency Medicine, 2002-2003*: \*Jane F. Knapp,
MD, *Chairperson*; Thomas Bojko, MD; Margaret A. Dolan, MD; Ronald A.
Furnival, MD; Steven E. Krug, MD; Deborah Mulligan-Smith, MD; Richard M.
Ruddy, MD; Kathy N. Shaw, MD, MSCE

\*Lee A. Pyles, MD, Past Committee Member

*Liaisons*: Jane Ball, RN, DrPH, EMSC National Resource Center; Kathleen
Brown, MD, National Association of EMS Physicians; Dan Kavanaugh, MSW,
Maternal and Child Health Bureau; Sharon E. Mace, MD, American College
of Emergency Physicians; David W. Tuggle, MD, American College of
Surgeons

*Staff*: Susan Tellez

\* Lead authors

#### FINANCIAL DISCLOSURES/CONFLICTS OF INTEREST

Not stated

#### GUIDELINE STATUS

This is the current release of the guideline.

American Academy of Pediatrics (AAP) Policies are reviewed every 3 years
by the authoring body, at which time a recommendation is made that the
policy be retired, revised, or reaffirmed without change. Until the
Board of Directors approves a revision or reaffirmation, or retires a
statement, the current policy remains in effect.

#### GUIDELINE AVAILABILITY

Electronic copies: Available from the [American Academy of Pediatrics
(AAP) Policy Web
site](http://pediatrics.aappublications.org/cgi/content/full/114/6/1676).

Print copies: Available from American Academy of Pediatrics, 141
Northwest Point Blvd., P.O. Box 927, Elk Grove Village, IL 60009-0927.

#### AVAILABILITY OF COMPANION DOCUMENTS

The following is available:

-   Role of pediatricians in advocating life support training courses
    for parents and the public. Pediatrics. 2004 Dec;114(6):e761-5.

Electronic copies: Available from the [American Academy of Pediatrics
(AAP) Policy Web
site](http://pediatrics.aappublications.org/cgi/content/full/114/6/e761).

#### PATIENT RESOURCES

None available

#### NGC STATUS

This NGC summary was completed by ECRI on February 4, 2005. The
information was verified by the guideline developer on March 15, 2005.

#### COPYRIGHT STATEMENT

This NGC summary is based on the original guideline, which is subject to
the guideline developer\'s copyright restrictions. Please contact the
Permissions Editor, American Academy of Pediatrics (AAP), 141 Northwest
Point Blvd, Elk Grove Village, IL 60007.

### DISCLAIMER

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© 1998-2008 National Guideline Clearinghouse

Date Modified: 11/3/2008