In middle school, students practice the Call.Push.Shock.™  response while focusing on the  skills leadership and teamwork as they learn how interaction, working together and clear communication can save a life.  They see the structure and function of the heart, and the importance of good exercise, food choices, and safe activities.  Students continue to practice hands-on chest compressions and the use of a defibrillator trainer in combination with recognizing the signs and symptoms of sudden cardiac arrest.