Quality of bystander cardiopulmonary resuscitation influences outcome after prehospital cardiac arrest

Wik, Lars; Steen, Petter Andreas; Bircher, Nicholas G.

doi:10.1016/0300-9572(94)90064-7

Cited by 335 publications

(133 citation statements)

References 35 publications

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“…Previous studies have confirmed the association between good-quality BCPR and better OHCA outcomes [7,8]. In this study, poor-quality BCPR produced no survivors with neurologically favourable outcomes after a year, although no significant differences in survival rates were identified between both groups.…”

Section: Discussionsupporting

confidence: 71%

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Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

et al. 2014

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Aims:To identify the factors associated with good-quality bystander cardiopulmonary resuscitation (BCPR). Multiple logistic regression analysis indicated that multiple rescuers (odds ratio=2.8, 95% CI: 1.5-5.6), bystander-initiated BCPR (2.7, 1.1-7.3), non-elderly bystanders (1.9, 1.1-3.2), occurrence in the central region (2.1, 1.3-3.3) and duration of BCPR (1.1, 1.0-1.1) were associated with good-quality BCPR. Moreover, good-quality BCPR was initiated earlier after recognition/witness of cardiac arrest compared with poor-quality BCPR (3 vs. 4 min, p=0.0052). MethodsThe rate of neurologically favourable survival at one year was 2.7% and 0% in the good-quality and poor-quality groups, respectively (p=0.1357). Conclusions:The presence of multiple rescuers and bystander-initiated CPR are predominantly associated with good-quality BCPR.

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Section: Discussionsupporting

confidence: 71%

“…However, the benefits of BCPR for survival rates after OHCA may be diminished by the poor quality of BCPR or chest compressions [7,8].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

et al. 2014

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“…105 Good quality CPR involves chest rising with each ventilation and a palpable pulse with each chest compression. 114 But even health care professionals cannot rapidly and accurately determine if a victim is breathing or if a pulse is present. [115][116][117][118] Laymen have even more difficulty in verifying whether there is a pulse.…”

Section: Ii-3 Inform Trainees About What To Expect During Resuscitatimentioning

confidence: 99%

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

Vaillancourt

Stiell

Wells

2008

CJEM

143

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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“…Some authors reported improved survival of patients undergoing early prehospital cardiopulmonary resuscitation performed by laypersons [3][4][5] . the check-list of practical tests of AHA immersion courses (Advanced Cardiac Life Support -ACLS), which included CPR assessment and the use of an automated external defibrillator (AED).…”

Section: Introductionmentioning

confidence: 99%

Efeito na Ressuscitação Cardiopulmonar utilizando treinamento teórico versus treinamento teórico-prático

Hc¹,

Fr²,

Cv³

et al. 2010

Arq. Bras. Cardiol.

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Quality of bystander cardiopulmonary resuscitation influences outcome after prehospital cardiac arrest

Cited by 335 publications

References 35 publications

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

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

Efeito na Ressuscitação Cardiopulmonar utilizando treinamento teórico versus treinamento teórico-prático

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