Debriefing bystanders of out-of-hospital cardiac arrest is valuable

Møller, Thea Palsgaard; Hansen, Carolina Malta; Fjordholt, Martin; Pedersen, Beth Lilja; Østergaard, Doris; Lippert, Freddy

doi:10.1016/j.resuscitation.2014.08.006

Cited by 51 publications

(66 citation statements)

References 24 publications

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“…Others mainly studied PTSD in family members of OHCA patients [16][17][18][19], or reported on bystanders' psychological reactions [7,8] and the importance of debriefing bystanders [20]. Axelsson et al [8] found two independent factors positively associated with bystanders' psychological reactions, namely victim outcome and debriefing.…”

Section: Discussionmentioning

confidence: 99%

“…Axelsson et al [8] found two independent factors positively associated with bystanders' psychological reactions, namely victim outcome and debriefing. Additionally, Møller et al [20] reported that formally debriefing bystanders positively influences the ability to cope with emotional reactions. In our study, almost all lay rescuers talked to at least one person about their experience; only 19 (10%) also spoke to a professional.…”

Section: Discussionmentioning

confidence: 99%

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Psychological impact on dispatched local lay rescuers performing bystander cardiopulmonary resuscitation

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychological impact on dispatched local lay rescuers performing bystander cardiopulmonary resuscitation

et al. 2015

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“…Some of the research links knowledge of first-aid techniques to an increased confidence in skills and reduced fears of hurting the person being assisted (Axelsson, Herlitz, and Fridlund, 2000;Mathiesen et al, 2017). Other studies suggest that teamwork-either with other bystanders or an emergency dispatcherand the support provided by others are keys to boosting public confidence in their first-aid skills (Moller et al, 2014;Hansen et al, 2017).…”

Section: Competence and Confidencementioning

confidence: 99%

“…The reviewed literature identifies several barriers relating to the disparity between the sensory environment of the training classroom setting and a real emergency (Moller et al, 2014;Mathiesen et al, 2017). For example, seeing a dying victim can lead to feelings of helplessness or powerlessness with respect to whether the provision of first aid will help (Axelsson, Herlitz, and Fridlund, 2000;Axelsson, 2001;Hansen et al, 2017;Mathiesen et al, 2017).…”

Section: Situational Features Of Emergenciesmentioning

confidence: 99%

Mapping the public first‐aid training landscape: a scoping review

2019

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While the public can play a vital role in saving lives during emergencies, intervention is only effective if people have the skills, confidence, and willingness to help. This review employs a five-stage framework to systematically analyse first aid and emergency helping literature from 22 countries (predominately in Asia, Australia, Europe, and the United States). The review covers 54 articles that investigate public first-aid knowledge and uptake of first-aid training (40); public confidence in first-aid skills and willingness to help during an emergency (21); and barriers to or enablers of learning first aid and delivering first aid in an emergency (25). The findings identify high levels of perceived knowledge, confidence, and willingness to help, supporting the contention that the public can play a vital role during an emergency. However, the findings also point to low uptake levels, low tested skill-specific knowledge, and barriers to learning first aid and helping, indicating that the first-aid training landscape is in need of improvement.

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“…The success of methods used to train the general public in CPR and AED use have been assessed through simulation, and with surveys used to examine the likelihood with which an individual would attempt CPR, or use an AED . However, little is known as to how laypeople perceive OHCAs (including CPR and using an AED), given that these data are extremely scarce . Impediments to initiating CPR include panic, and a fear of causing harm or not performing CPR adequately, even for those who have received CPR training or have performed CPR .…”

Section: Introductionmentioning

confidence: 99%

Lay Bystanders' Perspectives on What Facilitates Cardiopulmonary Resuscitation and Use of Automated External Defibrillators in Real Cardiac Arrests

Hansen

Rosenkranz

Folke

et al. 2017

JAHA

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BackgroundMany patients who suffer an out‐of‐hospital cardiac arrest will fail to receive bystander intervention (cardiopulmonary resuscitation [CPR] or defibrillation) despite widespread CPR training and the dissemination of automated external defibrillators (AEDs). We sought to investigate what factors encourage lay bystanders to initiate CPR and AED use in a cohort of bystanders previously trained in CPR techniques who were present at an out‐of‐hospital cardiac arrest.Methods and ResultsOne‐hundred and twenty‐eight semistructured qualitative interviews with CPR‐trained lay bystanders to consecutive out‐of‐hospital cardiac arrest, where an AED was present were conducted (from January 2012 to April 2015, in Denmark). Purposive maximum variation sampling was used to establish the breadth of the bystander perspective. Twenty‐six of the 128 interviews were chosen for further in‐depth analyses, until data saturation. We used cross‐sectional indexing (using software), and inductive in‐depth thematic analyses, to identify those factors that facilitated CPR and AED use. In addition to prior hands‐on CPR training, the following were described as facilitators: prior knowledge that intervention is crucial in improving survival, cannot cause substantial harm, and that the AED will provide guidance through CPR; prior hands‐on training in AED use; during CPR performance, teamwork (ie, support), using the AED voice prompt and a ventilation mask, as well as demonstrating leadership and feeling a moral obligation to act.ConclusionsSeveral factors other than previous hands‐on CPR training facilitate lay bystander instigation of CPR and AED use. The recognition and modification of these factors may increase lay bystander CPR rates and patient survival following an out‐of‐hospital cardiac arrest.

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Debriefing bystanders of out-of-hospital cardiac arrest is valuable

Cited by 51 publications

References 24 publications

Psychological impact on dispatched local lay rescuers performing bystander cardiopulmonary resuscitation

Psychological impact on dispatched local lay rescuers performing bystander cardiopulmonary resuscitation

Mapping the public first‐aid training landscape: a scoping review

Lay Bystanders' Perspectives on What Facilitates Cardiopulmonary Resuscitation and Use of Automated External Defibrillators in Real Cardiac Arrests

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