Evaluation of Japanese instructor experiences in the first overseas BLS course certified by the Japanese association for acute medicine in Cambodia: a mixed-methods analysis using text mining

While language barriers and equipment shortages affected instructional clarity in cross-cultural BLS education, instructors demonstrated adaptive expertise and professional growth through reflective learning. Findings suggest that visual communication enhancement, simplified terminology, culturally adapted materials, and effective interpreter collaboration are essential for sustainable international BLS programs in LMICs.