Psychological impact on dispatched local lay rescuers performing bystander cardiopulmonary resuscitation

Zijlstra, Jolande A.; Beesems, Stefanie G.; Haan, Rob J. de; Koster, Rudolph W.

doi:10.1016/j.resuscitation.2015.04.028

Cited by 56 publications

(57 citation statements)

References 20 publications

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“…A further study by Zijlstra also considered the psychological impact and found no long‐term negative impacts in his cohort . This supports the findings of the present study, in which all respondents reported no negative impacts from the incident; importantly, all had training and some form of experience, which may have been beneficial in minimising the risk of psychological impact post‐incident.…”

Section: Discussionsupporting

confidence: 87%

Human factors influencing out‐of‐hospital cardiac arrest survival

Morgan

Muscatello

Hayen

et al. 2019

Emerg Medicine Australasia

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Objective: Programmes that reduce the time to defibrillation are likely to improve overall survival rates from out-of-hospital cardiac arrests (OHCAs). This research sought to identify human factors common among community responders taking an automated external defibrillator (AED) to a victim of an OHCA that are either barriers or enablers of desired behaviour. Methods: A qualitative methodology was used. Community members who had access to an AED and who had been notified of an incident of OHCA near them were approached to participate in the research. Participants completed a written survey and undertook a semi-structured interview. A thematic analysis was undertaken using NVivo software and triangulated against findings from an automated data-mining package, Leximancer. Results: The study found that 100% of people who were notified of the need for an AED responded. Twelve participants subsequently identified during interviews that they held some form of leadership role in their community. First aid training and previous experience of, and competency in managing emergencies were the strongest motivations for their response. Personal risk was not a concern when responding to victims in immediately life-threatening situations.Conclusion: Prospective programmes may be able to be designed to increase the likelihood that community members with AEDs will respond in advance of emergency medical services by targeting common human factors, such as leadership behaviour, training, competency and experience in managing emergencies, leading to better overall survival rates from OHCA.

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Section: Discussionsupporting

confidence: 87%

Human factors influencing out‐of‐hospital cardiac arrest survival

Morgan

Muscatello

Hayen

et al. 2019

Emerg Medicine Australasia

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“…That system also located mobile phone users and dispatched lay volunteers who were trained in CPR to a patient nearby with OHCA [16]. Zijlstra et al and Pijls et al had similar findings in their studies of SMS text message (short message service, SMS) alert systems in Sweden and the Netherlands, respectively [17,18]. However, there are challenges with such systems, including low response rates, misidentification of cardiac arrest victims, and technical difficulties, such as excessive activation radii, and insufficient user density in the community [18].…”

Section: Discussionmentioning

confidence: 99%

North American Public Opinion Survey on the Acceptability of Crowdsourcing Basic Life Support for Out-of-Hospital Cardiac Arrest With the PulsePoint Mobile Phone App

Dainty¹,

Vaid²,

Brooks³

2017

JMIR Mhealth Uhealth

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BackgroundThe PulsePoint Respond app is a novel system that can be implemented in emergency dispatch centers to crowdsource basic life support (BLS) for patients with cardiac arrest and facilitate bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator use while first responders are en route.ObjectiveThe aim of this study was to conduct a North American survey to evaluate the public perception of the above-mentioned strategy, including acceptability and willingness to respond to alerts.MethodsWe designed a Web-based survey administered by IPSOS Reid, an established external polling vendor. Sampling was designed to ensure broad representation using recent census statistics.ResultsA total of 2415 survey responses were analyzed (1106 from Canada and 1309 from the United States). It was found that 98.37% (1088/1106) of Canadians and 96% (1259/1309) of Americans had no objections to PulsePoint being implemented in their community; 84.27% (932/1106) of Canadians and 55.61% (728/1309) of Americans said they would download the app to become a potential responder to cardiac arrest, respectively. Among Canadians, those who said they were likely to download PulsePoint were also more likely to have ever had CPR training (OR 1.7, 95% CI 1.2-2.4; P=.002); however, this was not true of American respondents (OR 1.0, 95% CI 0.79-1.3; P=.88). When asked to imagine themselves as a cardiac arrest victim, 95.39% (1055/1106) of Canadians and 92.44% (1210/1309) of Americans had no objections to receiving crowdsourced help in a public setting; 88.79% (982/1106) of Canadians and 84.87% (1111/1309) of Americans also had no objections to receiving help in a private setting, respectively. The most common concern identified with respect to PulsePoint implementation was a responder’s lack of ability, training, or access to proper equipment in a public setting.ConclusionsThe North American public finds the concept of crowdsourcing BLS for out-of-hospital cardiac arrest to be acceptable. It demonstrates willingness to respond to PulsePoint CPR notifications and to accept help from others alerted by the app if they themselves suffered a cardiac arrest.

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“…Focused training for CFR could help alleviate the psychological burden. A Dutch study showed, that even if lay rescuers experience severe stress and short-term psychological impact, no symptoms of post-traumatic stress disorder could be detected 4 to 6 weeks afterwards (45).…”

Section: Discussionmentioning

confidence: 99%

Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

Metelmann

Kohnen³

et al. 2020

Preprint

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Background: Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This consensus paper reviews the current state in Europe, reveals similarities and controversies, and aims to help aligning future strategies for SBA of CFR in Europe.Methods: In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA methodology to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.Results: While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies. Conclusions: Smartphone-based alert of CFR to OHCA saves lives. The statement generated by the consensus conference help to advise the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.

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Psychological impact on dispatched local lay rescuers performing bystander cardiopulmonary resuscitation

Cited by 56 publications

References 20 publications

Human factors influencing out‐of‐hospital cardiac arrest survival

Human factors influencing out‐of‐hospital cardiac arrest survival

North American Public Opinion Survey on the Acceptability of Crowdsourcing Basic Life Support for Out-of-Hospital Cardiac Arrest With the PulsePoint Mobile Phone App

Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

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