Thanks to their actions, their teacher survived, and is one of approximately 350,000 Americans who experience an out-of-hospital cardiac arrest each year. Roughly nine out of ten will not survive.
Schools occupy a special role in public health. As a location most Americans pass through and one of the only places they may ever encounter CPR training, a high school classroom may be the best opportunity to prepare the next generation of lifesavers.
In Europe, Belgium, Denmark, France, Italy, Norway, Portugal, and England implemented school CPR education through national requirements or curriculum standards. Denmark offers a clear example of the positive impact. From 2001 to 2010, as Denmark introduced nationwide resuscitation initiatives including mandatory school CPR education, bystander CPR rates more than doubled, while 30-day survival after out-of-hospital cardiac arrest more than tripled.
Some may hesitate to perform CPR because of legal concerns over causing injury—like rib fractures—while administering CPR, but every state has Good Samaritan laws providing protections to people who render emergency aid in good faith. A 30-year review of U.S. litigation across all 50 states from 1989 to 2019 found no cases in which a layperson who provided CPR was held liable for causing harm.
Today, 43 states require some form of CPR education before high school graduation. California, Colorado, Hawaii, Massachusetts, Nebraska, New Hampshire, and Wyoming are the seven that remain. Several are already taking steps to expand CPR education. Massachusetts invested $425,000 to expand CPR education in public schools, while Colorado includes hands-on CPR and AED instruction in its statewide health education guidelines but stops short of requiring schools to provide it. California Gov. Gavin Newsom recently signed a resolution directing the Instructional Quality Commission to include high school CPR in the state’s next health curriculum framework. San Francisco is taking an even broader approach, with paramedics and firefighters working to train 100,000 community members in CPR.
Other lifesaving education efforts can also offer a roadmap. In Georgia, Wesley’s Law, championed by Laura and Larry Gay after their son’s death, required public schools to stock overdose-reversal medication such as naloxone. In 2025, the state launched an opioid-settlement-funded initiative to provide overdose-reversal kits to public schools statewide, along with training resources for staff. In Indiana, emergency-response professionals helped expand Stop the Bleed training in schools, and the state’s Secured School Safety Grant program now offers funding for school bleeding-control programs and kits.
After Buffalo Bills safety Damar Hamlin suffered cardiac arrest on the field in 2023, he became a leading advocate for the bipartisan HEARTS Act, which Congress passed unanimously in 2024. President Biden signed it into law later that year, supporting schools in expanding access to AEDs, CPR and AED education, and cardiac emergency response planning.
Cardiac arrest does not wait for emergency responders. The students who stepped forward when their teacher collapsed playing basketball in Michigan illustrate what becomes possible when CPR skills are taught before they are needed. Someday, every high school student in the U.S. could graduate prepared to step up and become a lifesaver.
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