Guidelines for Bystander First Aid 2016

Background:Injury is an important cause of mortality and morbidity. It is the second most common cause of death in the United Arab Emirates (UAE) for the last 15 years, claiming more than 1200 lives annually. Those numbers can be significantly reduced through first aid (FA) education and training. The aim of this study was to investigate the knowledge and attitude toward FA in the UAE.Methods:Self-administered questionnaires were distributed through nonprobability sampling method to more than 500 residents across the UAE, aged at least 30 years. Data collection was conducted between July 20, 2017, and September 20, 2017. The number of participants from each city was proportionate to the population size according to the latest available census.Results:More than half of the population (54.2%) were not sufficiently knowledgeable about basic FA. Only 33.8% took an FA course. Age of the participants, higher education, and taking FA courses significantly increased the knowledge about basic FA information. Most of the population showed positive attitude toward FA and were willing to take an FA course in the future.Conclusion:The knowledge about FA in the UAE population is limited. FA courses must be made more accessible for the population and updated at frequent intervals. More emphasis should be given to basic FA information.

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“…[2] The sole purpose of FA is to preserve life, alleviate suffering, prevent further injury, and/or promote recovery. [23]…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitude toward first aid: A cross-sectional study in the United Arab Emirates

et al. 2019

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“…Accelerated testing of suspected cases is encouraged (1) in order to facilitate clinical decision-making and improve overall patient outcomes. Adequate personal protective equipment should be made available to all who handle suspected cases at designated areas to ensure that they receive the deserved care and attention (14). All local health facilities, regardless of size, must have access to updated national guidelines and contact numbers to facilitate prompt referral to the appropriate quarters when they contact a suspected case (4).…”

Section: Discussionmentioning

confidence: 99%

Acute Pulmonary Embolism in the COVID-19 Era: The Experience of a Ghanaian Patient

Asamoah

2021

Journal of Patient Experience

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The coronavirus pandemic has resulted in profound changes in healthcare delivery, some based on official reforms and others driven by healthcare professionals’ fear of exposure to coronavirus disease (COVID-19). Many patients require screening tests of one form or the other before being attended to in hospitals. The protean clinical manifestations of this highly transmissible infection require that a high index of suspicion be maintained. Pulmonary embolism is a potentially fatal emergency whose presentation is mimicked by COVID-19. Delays in ruling out COVID-19 may result in undue delays in initiating treatment for pulmonary embolism, potentially resulting in significant morbidity and mortality. This article presents a patient whose treatment for acute pulmonary embolism was forestalled by delays in getting the polymerase chain reaction test for COVID-19 done. It reiterates the need for physicians to test promptly in order to allow early focus on differential diagnoses which were routinely being investigated promptly prior to the COVID-19 pandemic.

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“…Survival outcomes for OHCA in Asia differ considerably and these variations may be related to differences in the patients and the EMS system [ 4 ]. These differences suggest that survival outcomes in many countries can also be improved with interventions to enhance EMS, such as increasing bystander first-aid in trauma through community-based first-aid training programs, [ 15 , 16 ] building a trauma system, [ 17 ] and improving post-resuscitation care.…”

Section: Introductionmentioning

confidence: 99%

Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

et al. 2021

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Background Pre-hospital services are not well developed in Vietnam, especially the lack of a trauma system of care. Thus, the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) might differ from that of other countries. Although the outcome in cardiac arrest following trauma is dismal, pre-hospital resuscitation efforts are not futile and seem worthwhile. Understanding the country-specific causes, risk, and prognosis of traumatic OHCA is important to reduce mortality in Vietnam. Therefore, this study aimed to investigate the survival rate from traumatic OHCA and to measure the critical components of the chain of survival following a traumatic OHCA in the country. Methods We performed a multicenter prospective observational study of patients (> 16 years) presenting with traumatic OHCA to three central hospitals throughout Vietnam from February 2014 to December 2018. We collected data on characteristics, management, and outcomes of patients, and compared these data between patients who died before hospital discharge and patients who survived to discharge from the hospital. Results Of 111 eligible patients with traumatic OHCA, 92 (82.9%) were male and the mean age was 39.27 years (standard deviation: 16.38). Only 5.4% (6/111) survived to discharge from the hospital. Most cardiac arrests (62.2%; 69/111) occurred on the street or highway, 31.2% (29/93) were witnessed by bystanders, and 33.7% (32/95) were given cardiopulmonary resuscitation (CPR) by a bystander. Only 29 of 111 patients (26.1%) were taken by the emergency medical services (EMS), 27 of 30 patients (90%) received pre-hospital advanced airway management, and 29 of 53 patients (54.7%) were given resuscitation attempts by EMS or private ambulance. No significant difference between patients who died before hospital discharge and patients who survived to discharge from the hospital was found for bystander CPR (33.7%, 30/89 and 33.3%, 2/6, P > 0.999; respectively) and resuscitation attempts (56.3%, 27/48, and 40.0%, 2/5, P = 0.649; respectively). Conclusion In this study, patients with traumatic OHCA presented to the ED with a low rate of EMS utilization and low survival rates. The poor outcomes emphasize the need for increasing bystander first-aid, developing an organized trauma system of care, and developing a standard emergency first-aid program for both healthcare personnel and the community.

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Guidelines for Bystander First Aid 2016

Cited by 22 publications

References 112 publications

Knowledge and attitude toward first aid: A cross-sectional study in the United Arab Emirates

Knowledge and attitude toward first aid: A cross-sectional study in the United Arab Emirates

Acute Pulmonary Embolism in the COVID-19 Era: The Experience of a Ghanaian Patient

Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

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