Abstract
Security personnel are the first ones who attend the scene in the case of out-of-hospital cardiac arrest (OHCA) at malls. Cardiopulmonary resuscitation (CPR) is not enough for those patients; they need an automated external defibrillator (AED) to bring the heart to function normally. This study aimed to assess the current status of CPR and AED knowledge and availability in Saudi malls by security personnel. Using a descriptive design, a study was conducted at seven malls located in the Eastern Province of Saudi Arabia. Two hundred and fifty participants were surveyed using the American Heart Association (AHA) 2015 guidelines to assess CPR and AED knowledge and availability in Saudi malls. The sample mean age was 32.60 years (SD = 10.02), and 87% of participants were working as security personnel. The majority of the participants had not received training about CPR and AED (75.8% and 95.2%, respectively). Common misconceptions are fallen into all categories of CPR and AED knowledge. Correctly answered statements ranged from 7.2% in the compression rate to 24.2% in hand placement. The study results indicated a poor training knowledge of CPR and AED in public settings. Integrating high-quality CPR and AED knowledge within the school and college curricula is a vital need. However, in order to maximize the survival rate, it is important to set laws and legislation adopted by stakeholders and decision makers to advocate the people who try to help, mandate AED installation in crowded places, and mandate teaching hands-only CPR and AED together as a package.
Highlights
Cardiovascular disease is a leading cause of worldwide mortality, accounting for approximately 17 million deaths yearly [1]
A study conducted in Riyadh city in Saudi Arabia reported a high mortality rate of 95.8% among adult ofhospital cardiac arrest (OHCA) patients; this study reported that poor training of cardiopulmonary pulmonary resuscitation (CPR) and nonutilization of an automated external defibrillator (AED) might be the major factors that stand behind the OHCA high mortality rate [5]
E study was conducted over a period of six months in seven major malls located in Dammam and AL Khobar, Eastern Province of Saudi Arabia. e inclusion criteria for this study were all employees in the selected malls, namely, the security guards and administrators who were able to understand written Arabic
Summary
Cardiovascular disease is a leading cause of worldwide mortality, accounting for approximately 17 million deaths yearly [1]. 50 to 110 per 100,000 out-ofhospital cardiac arrest (OHCA) annual incidence occurs in the United States and Europe populations [2, 3]. In the United States, only 10.4% of OHCA who had received resuscitation from Emergency Medical Services (EMS). In Saudi Arabia, the cardiovascular disease mortality rate is 37% according to the World Health Organization (WHO) statistics [4]. A study conducted in Riyadh city in Saudi Arabia reported a high mortality rate of 95.8% among adult OHCA patients; this study reported that poor training of cardiopulmonary pulmonary resuscitation (CPR) and nonutilization of an automated external defibrillator (AED) might be the major factors that stand behind the OHCA high mortality rate [5].
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