Background: Few investigations concerns about why the local health-care providers participate in mass Cardiopulmonary Resuscitation (CPR) training in developing countries. This study aimed to survey knowledge and attitudes of local health-care providers who candidate to be mass CPR instructors in China. Method: This was a retrospective survey study. Data were obtained from candidates being mass CPR instructors (n=496) between March 2018 and December 2018. Whether they belonged to the emergency group or non-emergency group was based on their service department. The outcome was passed in the final examination. Binary logistic regression was performed to analysis. Result: Passed rate in emergency group is higher than non-emergency groups (90.7%, 175/194 vs. 83.8%, 253/302, P=0.042).Consisting with higher frequency on receiving CPR training, emergency staffers were richer in dealing emergency situation such as out-of-hospital cardiac arrest (58.2%), In-of-hospital cardiac arrest (95.4%), use of an automatic external defibrillator (AED) (96.4%), traumatic hemorrhage (83.5%), suffocation(74.2%), syncope (53.1%) and epilepsy (79.4%). In despite, younger group (OR: 0.957, 95% CI [0.925-0.990]), previous training on AED (OR: 2.698, 95% CI [1.441-5.050]) and pecuniary motivation (OR: 3.176, 95%CI [1.231-8.191])independently affects being mass CPR instructors among health-care provider. Conclusion:Because of better knowledge and skill, emergency staffers have ability to lead local health-care providers to build a team of mass CPR instructors. Our findings can be used to conduct public emergency education for health policy design in China.

Background Public Cardiopulmonary resuscitation (CPR) education is important to increase the survival rate of out-of-hospital cardiac arrest (OHCA). In this study, we survey local healthcare personnel in China who met the requirements of becoming public CPR instructors to assess their level of knowledge and attitudes toward teaching CPR. Materials and Methods To find qualified public CPR instructors among the local healthcare personnel, we ran three training sessions between March 2018 and December 2018. We held three courses on selecting public CPR instructors from the local healthcare personnel (n = 496). We also surveyed candidates for public CPR instructors before making our final choice. The selected instructors were retrained for a single day in December 2021. The necessary information was exchanged with the members of the passing group, and the maintained valuables were investigated. Results Public CPR instructors certified 428 cases (86.49%) after the final exam. The results showed that the emergency group had a higher success rate than the non-emergency group (control group) (175, 90.7% vs. 253, 83.8%; P = 0.042). Here, we conducted a binary logistic regression analysis to determine the relationship between 15 survey variables and the passing rate. The variables, such as financial incentives, prior automatic external defibrillator (AED) training, and younger age were independently affected by being public CPR instructors. Despite this, 246 instructors (57.9%) still attended the retraining courses in 2021, with significantly more instructors in the emergency group than those in the non-emergency group (111, 64.5% vs. 135, 53.4%; P = 0.022). Furthermore, the instructors who were not incentivized financially were less likely to switch between the emergency and non-emergency groups (96, 79.33% vs. 116, 86.56%; P = 0.990). Conclusion The Chinese emergency team can serve as a model for the local healthcare personnel by training and leading a group of volunteer CPR instructors. Our research has practical implications for China's national CPR education policy by informing the scheduling of regional public CPR education programs.