Adam E. Klein, MD - West Virginia State Medical Association

Scientific Article |Table 1. WV School-based AED Survey DataHIGH SCHOOLSMIDDLESCHOOLSPRIVATESCHOOLSTOTALS# % # % # % # %Schools with AEDs 65 76% 71 62% 16 67% 152 68%Schools without AEDs 21 24% 44 38% 8 33% 73 32%Schools with emergency response plan 81 94% 107 93% 18 75% 206 92%Schools with AEDs, how many?One 38 58% 54 76% 12 75% 104 68%Two 15 23% 15 21% 3 19% 33 22%Three or more 12 18% 2 3% 1 6% 15 10%Length of time AED in school< 1 year 8 12% 11 15% 1 6% 20 13%1 - 2 years 15 23% 22 31% 2 12% 39 26%2 - 5 years 26 40% 28 39% 10 63% 64 42%> 5 years 12 18% 7 10% 3 19% 22 14%How was device obtained?Grants/donation/county provided 47 72% 43 61% 15 94% 105 69%Used school funds 19 29% 26 37% 3 19% 48 32%Why was device obtained?Donation 25 38% 14 20% 13 81% 52 34%Nurse Recommended 20 31% 24 34% 2 12% 46 30%Staff/Faculty Recommended 17 26% 15 21% 4 25% 36 24%Doctor Recommended 4 6% 2 3% 1 6% 7 5%Parental Recommendation 3 5% 3 4% 2 12% 8 5%Previous Incident at School or another school 5 8% 1 1% 1 6% 7 5%Is device registered with local EMS?Yes 37 57% 36 51% 10 62% 83 55%No 4 6% 6 8% 1 6% 11 7%Unsure 18 28% 24 34% 4 25% 46 30%Who is trained to use AED?Schools that have school nurses trained 58 89% 65 92% 6 37% 129 85%Schools that have teachers trained 49 75% 54 76% 15 94% 118 78%Schools that have administrators trained 45 69% 52 73% 15 94% 112 74%Schools that have coaches trained 44 68% 41 58% 11 69% 96 63%Schools without AEDs, what are barriers?Cost 15 71% 37 84% 8 100% 60 82%Lack of trained personnel 10 48% 18 41% 5 62% 33 45%Unfamiliar with AED 5 24% 10 23% 1 12% 16 22%Liability issues 4 19% 9 20% 1 12% 14 19%School Board Policy 0 0% 1 2% 0 0% 1 1%were in the process of obtainingan AED. Four schools were notinterested in obtaining an AED.Death DataTwenty schools (9%) reported adeath on school premises of whichthe person completing the surveywas aware. Twenty-three deathswere reported. The authors havepersonal knowledge of 2 additionaldeaths on school grounds that werenot reported in the surveys. Ofthe 25 total deaths, further detailswere attainable for 22 of the cases(Table 2). One death was from ashooting and one death was dueto head trauma. Of the remaining20 cases, 6 were students and 14were non-student adults. Deathswere reported as occurring as20 West Virginia Medical Journal