Community attitudes towards performing cardiopulmonary resuscitation in Western Australia

Jelinek, George A; Gennat, Hanni C; Celenza, Tony; O’Brien, Debra; Jacobs, Ian; Lynch, D. M.

doi:10.1016/s0300-9572(01)00411-7

Cited by 103 publications

(95 citation statements)

References 10 publications

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“…43,226,227 CPR certification is associated with greater confidence in one's ability to provide care, which in turn is associated with an increase in helping behaviour. 17,57,142,[228][229][230][231] But CPR training is still not an assurance of action. 187,[232][233][234][235] People are often unable to make a decision, rather than choosing not to help (the concept of ambiguity).…”

Section: Where Should Cpr Instructions Be Given?mentioning

confidence: 99%

Understanding and improving low bystander CPR rates: a systematic review of the literature

Vaillancourt

Stiell

Wells

2008

CJEM

144

110

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Objectives: Cardiopulmonary resuscitation (CPR) is a crucial yet weak link in the chain of survival for out-of-hospital cardiac arrest. We sought to understand the determinants of bystander CPR and the factors associated with successful training. Methods: For this systematic review, we searched 11 electronic databases, 1 trial registry and 9 scientific websites. We performed hand searches and contacted 6 content experts. We reviewed without restriction all communications pertaining to who should learn CPR, what should be taught, when to repeat training, where to give CPR instructions and why people lack the motivation to learn and perform CPR. We used standardized forms to review papers for inclusion, quality and data extraction. We grouped publications by category and classified recommendations using a standardized classification system that was based on level of evidence. Results: We reviewed 2409 articles and selected 411 for complete evaluation. We included 252 of the 411 papers in this systematic review. Differences in their study design precluded a meta-analysis. We classified 22 recommendations; those with the highest scores were 1) 9-1-1 dispatchassisted CPR instructions, 2) teaching CPR to family members of cardiac patients, 3) Braslow's selftraining video, 4) maximizing time spent using manikins and 5) teaching the concepts of ambiguity and diffusion of responsibility. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by laymen and CPR using chest compressions alone. Conclusion:We evaluated and classified the potential impact of interventions that have been proposed to improve bystander CPR rates. Our results may help communities design interventions to improve their bystander CPR rates. RÉSUMÉ Objectifs : La réanimation cardio-respiratoire (RCR) est un maillon essentiel, quoique faible, de la chaîne de survie lors de la survenue d'un arrêt cardiaque hors de l'hôpital. Nous avons cherché à comprendre les déterminants du taux de passants pouvant administrer la RCR et les facteurs liés à une formation efficace. Méthodes : Dans le cadre de cette revue systématique, nous avons analysé 11 bases de données électroniques, un registre d'essais cliniques et neuf sites Web scientifiques. Nous avons réalisé des recherches manuelles et communiqué avec six experts du contenu. Nous avons examiné sans restriction toutes les communications portant sur les questions suivantes : qui devrait apprendre la RCR, ce qu'on devrait enseigner, QUAND la formation devrait être renouvelée, où les cours de

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Section: Where Should Cpr Instructions Be Given?mentioning

confidence: 99%

Understanding and improving low bystander CPR rates: a systematic review of the literature

Vaillancourt

Stiell

Wells

2008

CJEM

144

110

View full text Add to dashboard Cite

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“…Although previous questionnaire surveys showed that a bystander closely related to an OHCA patient is more willing to provide bystander cardiopulmonary resuscitation (BCPR) [4,5], at-home OHCAs were reported to be associated with poorer BCPR rates and lower survival rates compared with OHCAs occurring at other locations [2,6,7].…”

Section: Introductionmentioning

confidence: 99%

Potential association of bystander–patient relationship with bystander response and patient survival in daytime out-of-hospital cardiac arrest

et al. 2015

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Aims -To investigate whether the bystander-patient relationship affects bystander response to out-of-hospital cardiac arrest (OHCA) and patient outcomes depending on the time of day. Results-The rates of dispatcher-assisted CPR during daytime (7:00-18:59) and nighttime (19:00-6:59) were highest in family members (45.6% and 46.1%, respectively, for family members; 28.7% and 29.2%, respectively, for friends/colleagues; and 28.1% and 25.3%, respectively, for others). However, the BCPR rates were lowest in family members (35.5% and 37.8%, respectively, for family members; 43.7% and 37.8%, respectively, for friends/colleagues; and 59.3% and 50.0%, respectively, for others). Large delays (≥5 min) in placing emergency calls and initiating BCPR were most frequent in family members. The overall survival rate was lowest (2.7%) for family members and highest (9.1%) for friends/colleagues during daytime. Logistic regression analysis revealed that the effect of bystander relationship on survival 3 was significant only during daytime [adjusted odds ratios (95% CI) for survival from daytime OHCAs with family as reference were 1.51 (1.36-1.68) for friends/colleagues and 1.23 (1.13-1.34) for others]. Methods-ThisConclusions-Family members are least likely to perform BCPR and OHCAs witnessed by family members are least likely to survive during daytime. Different strategies are required for family-witnessed OHCAs.

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“…However, this has not translated well into action at the point of care; bystander CPR rates in Canada remain low, rarely exceeding 30%. 9 While other international studies from the United States, 3,8 Europe, 7 Asia, 28 Australia, 29,45 and New Zealand 46 have evaluated attitudes, perceptions, and understanding of CPR, our results provide important insights into Canadian perspectives on cardiac arrest and resuscitation. It is also the first study to examine the influence of the new 2010 CCO guidelines on bystander willingness to do CPR.…”

Section: Discussionmentioning

confidence: 86%

“…8 Our results are consistent with and provide further support to the existing body of international literature, indicating an increased willingness to perform CPR if MTM ventilations are not required. 3,27,29,33,53,54 Community-wide CPR education initiatives should be promoting the CCO-CPR technique more effectively. Previous research has found that 67%-80% of respondents indicate a lack of knowledge and/or confidence in skills as a significant barrier.…”

Section: Discussionmentioning

confidence: 99%

“…[24][25][26] This technique is currently being promoted internationally, with the goal of increasing bystander CPR rates. 25 While several authors have published research describing perspectives from other countries, 3,[27][28][29] no known studies to date have examined the Canadian public perspective on cardiac arrest and bystander CPR. In particular, no published research exists on the influence of the new resuscitation guidelines on public perspectives toward resuscitation.…”

Section: Introductionmentioning

confidence: 99%

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Are Canadians more willing to provide chest-compression-only cardiopulmonary resuscitation (CPR)?—a nation-wide public survey

Cheskes

Morrison

Beaton

et al. 2015

CJEM

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BackgroundBystander cardiopulmonary resuscitation (CPR) improves the likelihood of survival from out-of-hospital cardiac arrest (OHCA), yet it is performed in only 30% of cases. The 2010 guidelines promote chest-compression-only bystander CPR—a change intended to increase willingness to provide CPR.Objectives1) To determine whether the Canadian general public is more willing to perform chest-compression-only CPR compared to traditional CPR; 2) to characterize public knowledge of OHCA; and 3) to identify barriers and facilitators to bystander CPR.MethodsA 32-item survey assessing resuscitation knowledge, and willingness to provide CPR were disseminated in five Canadian regions. Descriptive statistics were used to characterize response distribution. Logistic regression analysis was applied to assess shifts in intention to provide CPR.ResultsA total of 428 completed surveys were analysed. When presented with a scenario of being a bystander in an OHCA, a greater proportion of respondents were willing to provide chest-compression-only CPR compared to traditional CPR for all victims (61.5% v. 39.7%, p<0.001), when the victim was a stranger (55.1% v. 38.8%, p<0.001), or when the victim was an unkempt individual (47.9% v. 28.5%, p<0.001). When asked to describe an OHCA, 41.4% said the heart stopped beating, and 20.8% said it was a heart attack. Identified barriers and facilitators included fear of litigation and lack of skill confidence.ConclusionsThis study identified gaps in knowledge, which may impair the ability of bystanders to act in OHCA. Most respondents expressed greater willingness to provide chest-compression-only CPR, but this was mediated by victim characteristics, skill confidence, and recognition of a cardiac arrest.

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Community attitudes towards performing cardiopulmonary resuscitation in Western Australia

Cited by 103 publications

References 10 publications

Understanding and improving low bystander CPR rates: a systematic review of the literature

Understanding and improving low bystander CPR rates: a systematic review of the literature

Potential association of bystander–patient relationship with bystander response and patient survival in daytime out-of-hospital cardiac arrest

Are Canadians more willing to provide chest-compression-only cardiopulmonary resuscitation (CPR)?—a nation-wide public survey

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