Feedback to bystanders after performing CPR in out of hospital cardiac arrest (OHCA)

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

doi:10.1016/j.resuscitation.2013.08.067

Cited by 1 publication

(4 citation statements)

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“…Experiences, impact and needs of bystanders There was a paucity of evidence around experiences and perspectives of bystanders. Papers which discussed bystander experiences, described difficulties associated with cardiac events, [85][86][87][88] including identifying OHCAs. 79 Bystanders reported a lack of knowledge around emergency services, confusion over patient symptoms requiring ambulance response at the time of cardiac events and differing opinions on actions needed and when to call for an ambulance.…”

Section: Support Needsmentioning

confidence: 99%

“…These included social and psychological disturbance (eg, guilt, self-criticism) following witnessing deaths or giving cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED) at cardiac events. [85][86][87] Møller et al described this as 'the perceptual OHCA experience' whereby bystanders ruminate 'on what more could have been done' (p S22). 86 Being health educated was considered to offer some mitigation against these concerns.…”

Section: Support Needsmentioning

confidence: 99%

“…[85][86][87] Møller et al described this as 'the perceptual OHCA experience' whereby bystanders ruminate 'on what more could have been done' (p S22). 86 Being health educated was considered to offer some mitigation against these concerns. 85 In the UK, those working in public places and trained to use AEDs for OHCA also reported negative consequences including flashbacks.…”

Section: Support Needsmentioning

confidence: 99%

“…85 In the UK, those working in public places and trained to use AEDs for OHCA also reported negative consequences including flashbacks. 87 There was an identifiable need on the part of bystanders to witness visible resuscitation efforts on the part of emergency services, for feedback following sudden deaths 86 and information on patient outcomes. 85…”

Section: Support Needsmentioning

confidence: 99%

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Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review

et al. 2020

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ObjectiveTo identify the factors that shape and characterise experiences of prehospital practitioners (PHPs), families and bystanders in the context of death and dying outside of the hospital environment where PHPs respond.DesignA scoping review using Arksey and O’Malley’s five-stage framework. Papers were analysed using thematic analysis.Data sourcesMEDLINE; Embase; CINAHL; Scopus; Social Sciences Citation Index (Web of Science), ProQuest Dissertations & Theses A&I (Proquest), Health Technology Assessment database; PsycINFO; Grey Literature Report and PapersFirst were searched from January 2000 to May 2019.Eligibility criteria for selecting studiesQualitative and mixed methods studies reporting the experiences of PHPs, families and bystanders of death and dying in prehospital settings as a result of natural causes, trauma, suicide and homicide, >18 years of age, in Europe, USA, Canada, Australia and New Zealand.ResultsSearches identified 15 352 papers of which 51 met the inclusion criteria. The review found substantial evidence of PHP experiences, except call handlers, and papers reporting family and bystander experiences were limited. PHP work was varied and complex, while confident in clinical work, they felt less equipped to deal with the emotion work, especially with an increasing role in palliative and end-of-life care. Families and bystanders reported generally positive experiences but their support needs were rarely explored.ConclusionsTo the best of our knowledge this is the first review that explores the experiences of PHPs, families and bystanders. An important outcome is identifying current gaps in knowledge where further empirical research is needed. The paucity of evidence suggested by this review on call handlers, families and bystanders presents opportunities to investigate their experiences in greater depth. Further research to address the current knowledge gaps will be important to inform future policy and practice.

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