Timely bystander CPR improves outcomes despite longer EMS times

Park, Gwan Jin; Song, Kyoung Jun; Shin, Sang Do; Lee, Kyungwon; Ahn, Ki Ok; Lee, Eui Jung; Hong, Ki Jeong; Ro, Young Sun

doi:10.1016/j.ajem.2017.02.033

Cited by 48 publications

(29 citation statements)

References 34 publications

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“…One of the mechanisms behind the decreased proportion of patients presenting with an initial shockable rhythm may have been the increased response time by the EMS. 12,13 Our findings are in line with other reports in regards to lower incidence of patients in shockable rhythm. 14,15,16 A higher proportion of patients in the lay-byCPR group were found with a shockable rhythm and, despite this, the survival rate for this group was lower than that of the med-byCPR group.…”

Section: Discussionsupporting

confidence: 92%

“…4,8 To improve survival after OHCA, bystanders' interventions are crucial. 1,13,20 New techniques as using smartphones apps and mobile-phone text-messages increase the rate of bystanderinitiated CPR and contribute to earlier defibrillation at OHCA. 34,35 In most cases of OHCA witnessed by a bystander, CPR was administered by lay persons (83%), thus it is important to train the public in CPR.…”

Section: Discussionmentioning

confidence: 99%

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Increased survival from out-of-hospital cardiac arrest when off duty medically educated personnel perform CPR compared with laymen

et al. 2017

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Increased survival from out-of-hospital cardiac arrest when off duty medically educated personnel perform CPR compared with laymen

et al. 2017

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“…In a rural environment where distances and access to ambulance resources in people's immediate area are limited, other responders like firefighters, police and home healthcare nurses are available to reduce suffering and save lives when a life-threatening condition occurs (1)(2)(3)(4). Important for survival is response time, that is the interval between an emergency call to the emergency medical communication centre (EMCC) and the arrival of help at the site (5)(6)(7)(8). When emergency medical dispatchers (EMDs) have access to send other responders to perform first aid before the ambulance staff arrives, an opportunity to influence the course of the situation of the affected person arises.…”

Section: Introductionmentioning

confidence: 99%

Lone and lonely in a double ambivalence situation as experienced by callers while waiting for the ambulance in a rural environment

Nord-Ljungquist

Engström

Fridlund

et al. 2019

Scandinavian Caring Sciences

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Background In a rural environment where distances and access to ambulance resources in people’s immediate area are limited, other responders like firefighters dispatched to perform a first aid before ambulance arrives in areas where a longer response time exists; an assignment called ‘While Waiting for the Ambulance’ (WWFA). Knowledge is limited about the experience from a caller’s perspective when a person has a life‐threatening condition needing emergency help and both firefighters in a WWFA assignment and ambulance staff are involved. Aim The aim of the study is to describe the emergency situation involving a WWFA assignment in a rural environment from the caller's perspective. Method A descriptive design using qualitative methodology with a reflective lifeworld research (RLR) approach was used for this study, including in‐depth interviews with eight callers. Results An emergency situation involving WWFA assignment in a rural environment mean a sense of being lone and lonely with a vulnerability in while waiting to hand over responsibility for the affected person. Ambivalence in several dimensions arises with simultaneous and conflicting emotions. A tension between powerlessness and power of action where the throw between doubt and hope are abrupt with a simultaneous pendulum between being in a chaos and in a calm. Conclusion A double ambivalence emerges between, on one hand feeling alone in the situation and having full control, on the other hand, with trust handing over the responsibility, thereby losing control. Contact with the emergency medical dispatcher becomes a saving lifeline to hold onto, and access to emergency help in the immediate area of WWFA is valuable and important. Trust and confidence are experienced when callers are met with empathy, regardless of personal acquaintance with arriving responders.

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“…Out‐of‐hospital cardiac arrests (OHCA) pose a significant public health problem, with an estimated 24,373 cases throughout Australia in 2017 and a survival rate of 12% 1 . Cardiopulmonary resuscitation (CPR) is the prescribed intervention for cardiac arrest; survival rates from OHCA rely heavily on early CPR intervention 2,3 . Bystanders who witness an OHCA are in the best position to initiate early CPR, 4 and research shows that spontaneously administered bystander CPR provides the best survival rate in cases of witnessed OHCA 5 .…”

mentioning

confidence: 99%

Recent high school graduates support mandatory cardiopulmonary resuscitation education in Australian high schools

Rankin

Holmes

Vance

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective:To evaluate recent high school graduates' opinions on mandatory cardiopulmonary resuscitation (CPR) training in the high school curriculum as a solution to improving bystander CPR rates. Methods:Participants completed questionnaires assessing their CPR training history during their high school education, their willingness to learn CPR during their high school years and their opinion on making CPR training mandatory for high school curricula. Results:Of the 178 participants in this study, 60% had undertaken CPR training during their high school education. Of those who had not undertaken CPR training, 75% reported that they would have been willing to learn CPR had they been provided with the opportunity. A total of 97% of participants were in support of mandatory CPR training in high school education.Conclusion: Implementing mandatory CPR training in high school education would be embraced by students. Implications for public health:Findings of this study support our recommendation to implement mandatory CPR training in the high school curriculum. This will likely increase the number of bystanders in the community who would spontaneously administer CPR, thereby improving outcomes for patients experiencing out-of-hospital cardiac arrest.

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Timely bystander CPR improves outcomes despite longer EMS times

Cited by 48 publications

References 34 publications

Increased survival from out-of-hospital cardiac arrest when off duty medically educated personnel perform CPR compared with laymen

Increased survival from out-of-hospital cardiac arrest when off duty medically educated personnel perform CPR compared with laymen

Lone and lonely in a double ambivalence situation as experienced by callers while waiting for the ambulance in a rural environment

Recent high school graduates support mandatory cardiopulmonary resuscitation education in Australian high schools

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