Awareness, practices, and factors of pediatric cardiopulmonary resuscitation among elementary school teachers in Saudi Arabia: A cross-sectional survey

Cardiopulmonary resuscitation (CPR) is a life-saving technique that is crucial in cases of sudden cardiac arrest. As first responders in many emergencies, elementary school teachers play a critical role in child safety. However, their awareness and preparedness to perform CPR remain underexplored, especially in Saudi Arabia. This study aimed to assess the awareness, practices, and factors influencing CPR preparedness among elementary school teachers in Saudi Arabia. A descriptive cross-sectional study was conducted between May 1, 2024, and October 31, 2024, among 271 elementary school teachers from various regions in Saudi Arabia. The sample was interviewed through a questionnaire-based survey, which included questions on CPR awareness, past training experiences, and attitudes toward CPR. Data were analyzed using SPSS, with a significance level set at P < .05. A teacher's awareness was categorized as "poor" or "good" based on a 60% threshold. The study revealed that a significant proportion of teachers (91.9%) had not studied CPR content, and 83.0% had never received CPR training. While 62.7% of teachers believed that every school should have an automated external defibrillator, only 14.0% reported CPR training as part of the current educational curriculum. Awareness levels regarding CPR were poor among the majority, with 52.0% of teachers unaware of the proper depth and speed of chest compressions. Significant factors influencing awareness included whether teachers were actively studying CPR content (P = .030) and their prior training experiences (P = .001). Teachers who had received CPR training were more likely to demonstrate better preparedness. The study showed a shortage in CPR training and awareness among elementary school teachers in Saudi Arabia. Despite the majority expressing the need for CPR training, the lack of formal training and consistent educational curricula in CPR poses a challenge. Recommendations include incorporating CPR training into the educational system and ensuring that teachers receive mandatory, accessible, and ongoing CPR education. This will enhance teachers' readiness to act during emergencies, ensuring better safety for children in schools.