A scoping review to determine the barriers and facilitators to initiation and performance of bystander cardiopulmonary resuscitation during emergency calls

Aldridge, Emogene; Perera, Nirukshi; Ball, Stephen; Finn, Judith; Bray, Janet

doi:10.1016/j.resplu.2022.100290

Cited by 11 publications

(10 citation statements)

References 63 publications

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“…Los resultados de traslado con RCE tras RCP por testigos legos con asistencia telefónica publicados por otros autores la sitúan en torno al 19% 1,14 . Este descenso en los porcentajes de traslado puede relacionarse con los peores resultados de supervivencia ante las PCE atendidas en estas circunstancias [14][15][16] .…”

Section: Discussionunclassified

“…Aspectos como la evaluación de la calidad de la RCP o las barreras y facilitadores encontrados por los reguladores sanitarios en la ejecución de la asistencia telefónica al testigo lego son de especial relevancia, aunque no eran objetivo de nuestro estudio. Esfuerzos futuros orientados a la mejora de la RCP telefónica deberán tener en cuenta estos aspectos en el diseño de sus estrategias 14,23 .…”

Section: Discussionunclassified

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Evaluation of an emergency coordination center training intervention for staff providing telephone assistance for lay persons applying cardiopulmonary resuscitation in out-of-hospital emergencies

Fraile Martínez,

Gómez-Escolar Pérez,

Morán Díaz

et al. 2024

Rev Esp Urg Emerg

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INTRODUCCIÓN. La asistencia telefónica durante la reanimación cardiopulmonar (RCP) extrahospitalaria por testigos legos está avalada en recomendaciones ILCOR 2015-2021 por sus buenos resultados. Se evalúa una intervención formativa para mejorar su impacto en un centro coordinador de urgencias y emergencias (CCUE). MATERIAL Y MÉTODOS. Estudio pre-post sobre las intervenciones desde CCUE de Castilla y León en los incidentes sanitarios RCP o parada respiratoria (PR) donde el CCUE realizó una asistencia telefónica de RCP ante reanimación por testigos legos. Se diseñó un checklist con 11 puntos de seguimiento. Tras un análisis pre-intervención de 4 meses –Grupo control (GC)–, se realizó una intervención formativa a Reguladores Sanitarios (RS) médicos y enfermeros, sobre Asistencia Telefónica en RCP por testigos no profesionales. Posteriormente se hizo un análisis post-intervención (Grupo Intervención –GI–) durante 4 meses. Fue ron evaluadas 18 variables en ambos grupos. RESULTADOS. Se incluyeron 174 casos en cada grupo. No se obtuvieron diferencias significativas en el cumplimiento de las guías de ayuda entre Médicos y Enfermeros Reguladores, tampoco en las horas acumuladas en el turno de trabajo, ni el perfil del reanimador mostraron diferencias. El GI mostró mejoras con diferencias significativas (p < 0,01) en 5 de los 11 pasos de la guía, número total de ítems cumplimentados y cumplimiento > 80% pasando del 4% a 22%. El cumplimiento de las instrucciones no mostró diferencias en los resultados de traslado de las víctimas. CONCLUSIONES. La intervención formativa sobre Médicos y Enfermeras Reguladores Sanitarios y el uso de check-list mejora el cumplimiento de protocolos de asistencia telefónica ante RCP extrahospitalaria por reanimadores legos, aunque sin mejoras en la supervivencia

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Section: Discussionunclassified

Evaluation of an emergency coordination center training intervention for staff providing telephone assistance for lay persons applying cardiopulmonary resuscitation in out-of-hospital emergencies

Fraile Martínez,

Gómez-Escolar Pérez,

Morán Díaz

et al. 2024

Rev Esp Urg Emerg

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“…Evidence, predominantly from cardiac and medical causes of cardiac arrest, suggested that a compression-only approach to CPR can result in similar outcomes to standard CPR (which includes ventilation) 55 , 56 , 57 , and is simpler to teach and may reduce barriers to starting resuscitation. 58 , 59 This has led to campaigns promoting “hands only” CPR for lay persons. 60 , 61 The added value of ventilation in prolonged cardiac arrests 62 or in those with higher likelihood of having a respiratory cause, such as children, is recognised, and guidelines recommend the addition of ventilations when possible.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of interventions for resuscitation following drowning

Bierens,

Bray,

Abelairas-Gomez

et al. 2023

Resuscitation Plus

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“…The key to achieving this effect is to increase the readiness of witnesses (bystanders) to initiate CPR. For this reason, the factors affecting this readiness have now become the subject of many studies [8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic—Single-Center Study

Jaskiewicz,

Timler,

Panasiuk

et al. 2024

JCM

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Most of the studies in the field of willingness and barriers to resuscitation (CPR) were conducted before the SARS-CoV-2 pandemic. The aim of the study was to assess the number and types of barriers to CPR among medical students after the pandemic ended. This study was based on a survey. The data was collected from 12 April 2022 to 25 May 2022. A total of 509 complete questionnaires were obtained. The number of barriers depending on the time elapsed from the last CPR course did not differ significantly (Me = 4 [IQR 2–6] vs. Me = 5 [IQR 3–7]; p = 0.054, respectively). The number of all barriers reported by respondents differed significantly and was higher in those reporting fear of coronavirus (Me = 4 [IQR 2–6] vs. Me = 7 [IQR 4–9]; p < 0.001, respectively). A total of 12 out of all 23 barriers were significantly more frequent in this group of respondents. Barriers to CPR are still common among medical students, even despite a high rate of CPR training. The pandemic significantly affected both the number and frequency of barriers. The group of strangers and children, as potential cardiac arrest victims, deserve special attention. Efforts should be made to minimize the potentially modifiable barriers.

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A scoping review to determine the barriers and facilitators to initiation and performance of bystander cardiopulmonary resuscitation during emergency calls

Cited by 11 publications

References 63 publications

Evaluation of an emergency coordination center training intervention for staff providing telephone assistance for lay persons applying cardiopulmonary resuscitation in out-of-hospital emergencies

Evaluation of an emergency coordination center training intervention for staff providing telephone assistance for lay persons applying cardiopulmonary resuscitation in out-of-hospital emergencies

A systematic review of interventions for resuscitation following drowning

Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic—Single-Center Study

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