IT TAKES JUST 4 MINUTES for the brain
to begin to deteriorate when someone stops breathing.
During cardiac arrest, a persons chances of recovery
decline by 10 percent every minute that emergency care is delayed. Cardiopulmonary
resuscitation saves lives. With proper training, CPR is easy to learn
and use, and it can mean the difference between life and death in an emergency
situation. In a new community outreach program, students at the School
of Medicine have joined forces with the American Red Cross to learn CPR
and then pass that knowledge on.
First-year students banded together in 1999 to form Community
CPR, a student-run program that offers CPR training to medical students
and staff of the Medical Center and to residents of the neighboring community.
Such an endeavor calls for cooperation from many sourcesthe
university, students, community organizations and the American Red Cross.
But it wasnt difficult to convince these partners to combine their
efforts. All agreeyou cant say no to Adit Ginde,
second-year student and founder of Community CPR.
Second-year student Adit Ginde, right, founder of the
Community CPR program, and Yoon Kang, MD, faculty adviser for the group.
If you met Adit and saw the enthusiasm that radiates
from him, you would know why I had not a moments hesitation about
backing the program, recalls Leslie E. Kahl, MD, associate dean
of student affairs and associate professor of medicine.
Ginde, a well-trained veteran of CPR instruction from his
undergraduate years at Rice University and his experience as an ambulance
volunteer in Houston, impressed everyone with his plan.
In fact, when Ginde sent out a feeler e-mail
to his new classmates, he was dubious that any would be willing to relinquish
some of their scarce free time. To his surprise, 25 students volunteered
to make a two-year commitment to the program. Ginde reluctantly surrendered
to the limits of his training budget, selecting just 10 of the volunteers
to form the core group.
Less than a month after walking into Kahls office,
Ginde and his chosen 10 purchased their own equipment, received instructor
training from the American Red Cross, and were on their way to teaching
others in both the St. Louis and Washington University communities.
The American Red Cross in St. Louis certifies about 39,000
people each year in CPR and/or first aid. And yet, according to Ginde,
less than 5 percent of people in large cities who suffer cardiac arrest
outside the hospital survive. This low survival rate is partly attributable
to a lack of available and accessible training for those who would like
to learn these life-saving skills, but cannot afford the cost of standard
training.
Though the Red Cross strives to reach all community sectors,
Ed Carty, community education specialist for the groups St. Louis
area chapter, admits that some populations are simply difficult to target.
When Washington University medical students approached him with their
plan, he quickly realized that a partnership would be an ideal chance
to further the American Red Cross mission.
When Adit came along with his program that focused
on underserved parts of the community, we thought it was an excellent
opportunity to fulfill our national goals and obligations and to help
support his endeavors, says Carty.
The American Red Cross has been dedicated to teaching CPR
and first aid for 83 years. Through the Community CPR program, it has
gained some highly qualified and committed volunteer instructors.
Though already convinced of the impressive caliber of students
here, Yoon Kang, MD, instructor of medicine and the faculty adviser for
the group, says she has been amazed at the efforts of these aspiring young
clinicians.
Among the many rewards that students receive from
participating in this program, two in particular stand out in my mind,
says Kang. First, there is the sense of community spirit and giving
directly to the community which is inherent in the field of medicine but
is difficult to convey as part of formal course work. Second, through
the instructor training, the students learn teaching skills. Many are
naturally gifted teachers, and I am curious to see if this will be borne
out later in their careers.
Assuming a leadership rolein the Washington University
community and outside the medical settingis a huge confidence boost
for students just starting out in what can be an intimidating medical
environment.
Physicians have a responsibility to both promote health
and cure diseases, explains first-year student Ian Hagemann, part
of this years newly trained group of volunteer CPR instructors.
When youre in your first year, you cant cure diseases
yet. So its nice to know that we can begin to fulfill our duty to
promote health. Its empowering to feel that you could save someone,
and even more so to help someone else feel that way.
John Pachak, director of Midtown Catholic Community Services,
thinks the students provide just that feeling for the people he serves.
The CPR training not only helps improve skills for both our staff
and our participantsit also improves their self esteem, he
says.
Most importantly, working with neighborhood residents and
institutions promotes a connection between them and the medical presence
in their backyard.
These are the people who will be part of our patient
population at Barnes-Jewish Hospital, Ginde says. It makes
a big difference to them to see us out there caring in the community right
next door to us. And it is a way for students to get our feet wet and
relate to different populations of people that we might not have had contact
with before.
The students are now in high demand. Beyond their work in
the community, they taught at the Mini Medical School held
last year, and have held several classes in-house to train School of Medicine
administrative staff. Eventually, the group hopes to offer classes to
the entire medical community. Already, the program has inspired similar
effortsCarty and his colleagues are now developing a program on
the Hilltop Campus.
For more information about the Community CPR program
or to arrange a course, contact Adit Ginde at gindea@msnotes.wustl.edu.
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