Awareness Of Cardiopulmonary Resuscitation Research Articles

Cardiopulmonary resuscitation level of knowledge among allied health university students in Jordan: a cross-sectional study

ObjectiveTo explore the level of cardiopulmonary resuscitation (CPR) knowledge among allied health professions (AHPs) students and its associated factors.MethodsThis is a cross-sectional study assessing CPR knowledge among AHP students. A...

Awareness of Cardiopulmonary Resuscitation (CPR) Among General Public

Awareness of Cardiopulmonary Resuscitation (CPR) Among General Public

A Service-Learning Initiative to Teach Hands-Only CPR to High School Students: PumpStart

Out-of-hospital cardiac arrest (OHCA) survival rates have been shown to be lower than cardiac arrest survival rates occurring in the hospital setting. Bystander cardiopulmonary resuscitation (CPR) can significantly improve survival. PumpStart, a community service-learning program developed by medical students, was formed to increase education on compression-only CPR to local high school students and foster leadership and mentorship skills in participating medical students. 1-hr sessions were administered at local high schools throughout the metro—Boston area. A single semester “pilot” phase and “first-year” implementation phase were reviewed. Anonymous pre-/postassessment surveys were completed by participants. Medical students also completed surveys assessing their comfort in teaching CPR. Surveys over both pilot semester and first year phases were reviewed. Participants reported significant improvements in CPR technique and confidence in acquired skills for both the pilot semester (31% vs. 82%, p < .05) and first year implementation (33% vs. 86%, p < .05). Medical students reported significantly higher confidence levels regarding abilities to answer questions about CPR, serving as mentors, and facilitating training sessions for new medical students after participating in PumpStart ( p < .05). PumpStart was successful in providing CPR awareness to high school students, as well as the opportunity to learn about teaching and mentoring for medical students. Such a program can be easily reproduced by other health care organizations with the goal to increase opportunities for bystander CPR and improving OHCA survival rates nationally.

Awareness of cardiopulmonary resuscitation among parents of 3-year-old children.

Out-of-hospital cardiac arrest (OHCA) in infants or toddlers mainly occurs at home. Therefore, parents should be able to perform immediate cardiopulmonary resuscitation (CPR) when they witness OHCA. The status of knowledge regarding CPR among parents, however, remains unclear. The aim of the present study was therefore to determine the factors associated with awareness of CPR in parents of 3-year-old children. We analyzed a subset of data from a population-based, cross-sectional survey that served as an evaluation of a national campaign for maternal and child health in Japan. The questionnaire was distributed to 32897 parents who visited public health centers for medical check-ups for their children in 2013. Multivariate logistic regression analysis was carried out using the obtained demographic data. Overall, 26971 parents (82.0%) responded to the questionnaire. On multivariate logistic regression analysis, birth order of the child, age of the mother at delivery, awareness of medical facilities for emergency services at night or during the weekend, current occupation status of the mother, and current economic status were independently associated with CPR awareness. When the mother was employed but the parents felt economically insufficient, the probability of having CPR knowledge decreased by 19%. Regardless of the parents' economic stability, the probability of having CPR knowledge declined by >35% when the mother was unemployed. The current occupation status of mothers and the current parent economic status should be considered when planning educational strategies regarding CPR training for parents.

Current Status of Knowledge about Cardiopulmonary Resuscitation among the University Students in the Northern Region of Saudi Arabia.

Background Sudden cardiac arrest is a major public health problem in the world. Immediate initiation of high-quality cardiopulmonary resuscitation (CPR) significantly increased patient survival rate. Therefore, it is very important to train young people and increase public awareness of CPR for the long-term benefit of the community. Objective We aimed at estimating the level of knowledge and attitude towards cardiopulmonary resuscitation (CPR) among the university students in the northern region of Saudi Arabia. Methodology A cross-sectional, prospective study was conducted among the students of four northern region universities of Saudi Arabia (Jouf, Hail, Northern Borders, and Tabuk) between March and November 2017. A self-administered questionnaire was prepared in both Arabic and English languages and distributed to all the participants. All the data were collected and analyzed by using SPSS version 21. Results A total of 947 students from four universities completed the questionnaire: Jouf (57%), Hail (15%), Northern Borders (13%), and Tabuk (15%). Although 72% of students have previous knowledge about CPR, 49% of them lack knowledge about a medical emergency. Moreover, 59% failed to answer regarding CPR where only 41% wrote the ABC steps in the correct sequence. However, 67% of the participants had very poor knowledge, 89% of participants desired to receive additional CPR training course, and 49% of the students thought that CPR training should be a mandatory graduation requirement for all universities. There were no significant differences between male and female students. Students from medicine-related colleges have significantly (p < 0.001) more knowledge and scored better compared with non-medicine-related colleges. Tabuk University scored better compared to the others, but the overall knowledge and attitude scored were low. Conclusions Overall knowledge about CPR among the university students was not satisfactory; however, attitude towards CRP training was very positive. Our results suggested that there is a need for improvement of CPR education among Saudi university students, which will help to reduce the cardiac arrest mortality rate among the community.

Recognition of out-of-hospital cardiac arrest during emergency calls and public awareness of cardiopulmonary resuscitation in communities: A multilevel analysis

BackgroundFor an effective dispatcher-assisted cardiopulmonary resuscitation (CPR) program, recognition of out-of-hospital cardiac arrest (OHCA) by a dispatcher is the first step in initiating bystander CPR. This study evaluated whether CPR awareness in the community is associated with recognition of arrest, dispatcher-provided CPR instructions, and bystander CPR. MethodsAll emergency medical services (EMS)-treated adult OHCAs with cardiac etiology were enrolled between 2013 and 2015, excluding cases witnessed by EMS providers. Exposure was CPR awareness in the community where the OHCA occurred. Endpoints were recognition of arrest, dispatcher-provided CPR instructions, and bystander CPR. Multilevel logistic regression analysis was performed to calculate adjusted odds ratios (AORs) per 10% increment in community CPR awareness adjusting for potential confounders. ResultsOf 44,185 eligible OHCAs, 20,255 (45.8%) cases were recognized by a dispatcher, 17,858 (40.4%) received dispatcher-provided CPR instructions, and 22,255 (50.4%) received bystander CPR (39.8% with dispatcher assistance and 10.6% without dispatcher assistance). Compared with OHCAs that occurred in the communities with low awareness, dispatchers were more likely to provide CPR instructions to the caller, and bystanders were more likely to perform CPR for OHCAs that occurred in the communities with high CPR awareness. AORs (95% CIs) per 10% increment in public awareness of CPR in the community were 1.05 (1.01–1.10) for recognition of arrest, 1.11 (1.06–1.16) for dispatcher-provided CPR instructions, and 1.07 (1.03–1.11) for bystander CPR. ConclusionsPublic CPR awareness of the communities where OHCAs occurred was associated with recognition of arrest during an emergency call, dispatcher-provided CPR instructions, and bystander CPR.

Caregivers' awareness and perception of cardiopulmonary resuscitation: Our experience

Introduction: Adverse health-related events such as cardiac arrest can occur at any location: it is broadly classified as out-of-hospital or in-hospital cardiac arrest. The location of cardiac arrest however affects outcome; the actions of caregivers and bystanders may influence the outcome of witnessed out-of-hospital cardiac arrest; therefore, their knowledge of cardiopulmonary resuscitation (CPR) is relevant. Materials and Methods: This was a questionnaire-based cross-sectional study conducted at the Paediatric Outpatient Clinic and Paediatric Specialty Clinic of Aminu Kano Teaching Hospital. Results: There were 120 (33.3%) males and 240 (66.7%) females, with a male-to-female ratio of 1:2. Only 57 (15.8%) respondents were aware of CPR. However, 69 (19.2%) respondents were aware of chest compression. One hundred and twenty-nine (35.8%) respondents reported that they could perform mouth-to-mouth resuscitation on their own children; however, 66 (18.3%) respondents reported willingness to perform mouth-to-mouth resuscitation on another person's child if the need arose. Only 15 (4.2%) respondents had training on CPR. Six (40%) respondents were trained at school. However, caregivers in the chronic illness subgroup were more willing to perform mouth-to-mouth resuscitation. Caregivers of children with acute illnesses would use palm kernel oil to treat convulsion; however, those of the chronic illness group would mostly use herbs to treat convulsion; this observation was statistically significant (Fisher's exact test = 32.457, P = 0.00). Conclusion: There was poor awareness of CPR among respondents; furthermore, there was lack of willingness to perform CPR by most respondents on children.

Assessment of the levels of awareness toward cardiopulmonary resuscitation: A community-based study in Northern Saudi Arabia.

BACKGROUND:Cardiopulmonary resuscitation (CPR) is a procedure performed in an emergency when the heart stops. Early initiation of CPR can save many lives. Thus, the aim of the present study was to assess the level of awareness toward CPR in a community-based study in Northern Saudi Arabia.MATERIALS AND METHODS:This is a cross-sectional survey conducted in the city of Hail, Northern Saudi Arabia. Data about CPR were obtained from 442 Saudi volunteers living in the city of Hail.RESULTS:A family history of ischemic heart disease was indicated in 148/442 (33.5%) of the participants. On asking the participants whether they have previous information about CPR, about 258/442 (58.4%) persons indicated “Yes,” 118/442 (26.6%) replied “May be,” and the remaining 66/442 (15%) replied “No.”CONCLUSION:The study showed a high level of awareness about CPR, which might be attributed to the majority of highly educated participants. Effective and sustainable public CPR training programs are needed to be implemented to preserve better knowledge and awareness of CPR in the general population.

Australian's Awareness of Cardiac Arrest and Rates of Cardiopulmonary Resuscitation Training: Results From the Heart Foundation's Heart Watch Survey

Introduction: Current data suggest that 41% of out-of-hospital cardiac arrests in Australia receive bystander cardiopulmonary resuscitation (CPR). This survey provides the first Australian-wide data on CPR awareness and rates of training.

Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: A multi-level analysis

BackgroundThis study aims to test the association between capacity of cardiopulmonary resuscitation (CPR) at community level and survival after out-of-hospital cardiac arrest (OHCA). MethodsEmergency medical service (EMS)-treated OHCAs with cardiac etiology in Korea between 2012 and 2013 were analyzed, excluding cases witnessed by EMS providers. Exposure variables were five indexes of community CPR capacity: awareness of CPR (CPR-Awareness), any training experience of CPR (CPR-Any-Training), recent CPR training within the last 2 years (CPR-Recent-Training), CPR training with a manikin (CPR-Manikin-Training), and CPR self-efficacy (CPR-Self-Efficacy). All measures of capacity were calculated as aggregated values for each county level using the national Korean Community Health Survey database of 228,921 responders sampled representatively from 253 counties in 2012. Endpoints were bystander CPR (BCPR) and survival to discharge. We calculated adjusted odds ratios (AORs) per 10% increment in community CPR capacity using multi-level logistic regression models, adjusting for potential confounders at individual levels. ResultsOf 29,052 eligible OHCAs, 11,079 (38.1%) received BCPR. Patients were more likely to receive BCPR in communities with higher proportions of residents with CPR-Awareness, CPR-Any-Training, CPR-Recent-Training, CPR-Manikin-Training, and CPR-Self-Efficacy (all p<0.01). AORs for BCPR were 1.06 (1.03–1.10) per 10% increment in CPR-Awareness, 1.10 (1.04–1.15) for CPR-Any-Training, and 1.08 (1.03–1.13) for CPR-Self-Efficacy. For survival to discharge, AORs (95% CIs) were 1.34 (1.23–1.47) per 10% increment in CPR-Awareness, 1.36 (1.20–1.54) for CPR-Any-Training, and 1.29 (1.15–1.45) for CPR-Self-Efficacy. ConclusionHigher CPR capacity at community level was associated with higher bystander CPR and survival to discharge rates after OHCA.

The Relation of Bystander Pre-existing Awareness of Cardiopulmonary Resuscitation (CPR) and The Effect of Dispatcher-assisted Telephone Cardiopulmonary Resuscitation (DA-TCPR)

The Relation of Bystander Pre-existing Awareness of Cardiopulmonary Resuscitation (CPR) and The Effect of Dispatcher-assisted Telephone Cardiopulmonary Resuscitation (DA-TCPR)

Does location matter? A proposed methodology to evaluate neighbourhood effects on cardiac arrest survival and bystander CPR.

Traditional variables used to explain survival following out-of-hospital cardiac arrest (OHCA) account for only 72% of survival, suggesting that other unknown factors may influence outcomes. Research on other diseases suggests that neighbourhood factors may partly determine health outcomes. Yet, this approach has rarely been used for OHCA. This work outlines a methodology to investigate multiple neighbourhood factors as determinants of OHCA outcomes. A retrospective, observational cohort study design will be used. All adult non-emergency medical service witnessed OHCAs of cardiac etiology within the city of Toronto between 2006 and 2010 will be included. Event details will be extracted from the Toronto site of the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest, an existing population-based dataset of consecutive OHCA patients. Geographic information systems technology will be used to assign patients to census tracts. Neighbourhood variables to be explored include the Ontario Marginalization Index (deprivation, dependency, ethnicity, and instability), crime rate, and density of family physicians. Hierarchical logistic regression analysis will be used to explore the association between neighbourhood characteristics and 1) survival-to-hospital discharge, 2) return-of-spontaneous circulation at hospital arrival, and 3) provision of bystander cardiopulmonary resuscitation (CPR). Receiver operating characteristics curves will evaluate each model's ability to discriminate between those with and without each outcome. Discussion This study will determine the role of neighbourhood characteristics in OHCA and their association with clinical outcomes. The results can be used as the basis to focus on specific neighbourhoods for facilitating educational interventions, CPR awareness programs, and higher utilization of automatic defibrillation devices.

Most Important Outcomes Research Papers on Cardiac Arrest and Cardiopulmonary Resuscitation

Cardiac arrest is a common and treatable cause of death and disability. Each year ≈424 000 people experience emergency medical services (EMS)-assessed out-of-hospital cardiac arrest (OHCA) in the United States.1 The actual burden of OHCA is likely significantly higher because a substantial number go unassessed. In a prospective analysis of deaths in a US county, 5.6% of annual mortality was attributable to cardiac arrest.2 Many patients who suffer OHCA do not receive prompt cardiopulmonary resuscitation (CPR). Among those who receive CPR, a large number do not survive because of an inability to restore spontaneous circulation, or anoxic cerebral injury even after restoration of circulation. Nevertheless, when timely interventions are provided, a small proportion of patients (10.4% of all EMS-treated OHCA) recover to resume normal lives. The key therapeutic interventions that make the difference between life and death, metaphorically characterized as the 5 links in a chain of survival by the American Heart Association, include: (1) immediate recognition of cardiac arrest and activation of the EMS, (2) early CPR with emphasis on chest compression, (3) rapid defibrillation, (4) effective advanced life support, and (5) integrated postcardiac arrest care.3 Resuscitation science has undergone major advances since the origins of modern CPR >50 years ago.4 The field continues to be dynamic with emergence of new therapies such as therapeutic hypothermia5 and improvements in systems of care. However, many questions remain on issues such as optimum compression rate, efficacy of chest compression only CPR (CCCPR), dispatcher-assisted CPR, and benefits of postresuscitation measures such as hypothermia. A critical challenge also lies in the translation of resuscitation science into practice. To improve outcomes, each of the links in the chain of survival needs to be executed promptly and effectively. There remain several lacunae, which need to be overcome to develop an …

Clinical Awareness of Do's and Don'ts of Cardiopulmonary Resuscitation (CPR) Among University Medical Students-A Questionnaire Study.

Medical students today are tomorrow's future doctors. One of the key skills that students should develop during their graduation training is to be prepared for emergency life saving measures like cardiopulmonary resuscitation (CPR) anytime, anywhere. The students play integral role in learning, mastering and inculcating the most pragmatic clinical skill of CPR. a) To evaluate the CPR awareness among undergraduate medical students. b) To screen the knowledge regarding accurate, effective CPR procedural techniques and various barriers of CPR failure in clinical practice from student perspective. c) To ascertain interest in CPR training programs and also inculcating CPR as an active part of clinical practice in future. The questionnaire comprised of three parts, first one dealing with general questions to know the importance of CPR in clinical practice, second one comprised of the main goal and accuracy of CPR intervention and the last segment consisted of questions targeting the indications, methods and effectiveness of CPR. Descriptive statistics and multiple response analyses were done by using SPSS 17. The students had good knowledge about the importance of CPR in clinical practice and stand average in knowing its indications and effectiveness. Whereas, only 1.2% of them were completely aware about the universal compression ventilation ratio, and 20.4% were aware of the current order of CPR being compression, airway and breathing. Though, CPR awareness is good among the students but skills of CPR have to be mastered by proper certified training programs at regular intervals and knowledge has to be updated with the changing trends in CPR.

Influence of nationwide policy on citizens’ awareness and willingness to perform bystander cardiopulmonary resuscitation

AimsPublic awareness to cardiopulmonary resuscitation (CPR) and cardiac arrest is influenced by systemic factors including related policies and legislations in the community. Here, we describe and compare the results of the two nationwide CPR surveys in 2007 and 2011 examining public awareness and attitudes to bystander CPR in South Korea along with changes in nationwide CPR policies and systemic factors. MethodsThis population-based study used specially designed questionnaires via telephone surveys. We conducted bi-temporal surveys by stratified cluster sampling to assess the impact of age, gender, and geographic regions in 2007 (n=1029) and in 2011 (n=1000). Logistic regression analysis was performed to identify factors associated with willingness to perform bystander CPR. ResultsPublic awareness of automated external defibrillators increased from 3.0% in 2007 to 32.6% in 2011. The proportion of the population that underwent CPR training within the previous 2 years increased significantly from 26.9% to 49.0%. The factors most related with intention of bystander CPR were male gender, younger age, CPR awareness, recent CPR training, and qualified CPR learning. In 2011, 75.8% of respondents were more willing to perform bystander CPR for stranger vs. 68.3% in 2007 (p=0.002). Additional dispatcher hands-only CPR increased this proportion (85.8%, p<0.001). However, bystander CPR experience rates remained unchanged (3.6–3.9%). ConclusionChanges in nationwide CPR policies and systemic factors affected citizens’ awareness and willingness to perform bystander CPR. Additionally, applied dispatcher hands-only CPR and publicity increased public willingness to perform bystander CPR.

Preparedness for Cardiac Emergencies Among Cambodians with Limited English Proficiency

In the United Sates, populations with limited English proficiency (LEP) report barriers to seeking emergency care and experience significant health disparities, including being less likely to survive cardiac arrest than whites. Rapid utilization of 9-1-1 to access emergency services and early bystander cardiopulmonary resuscitation (CPR) is crucial for successful resuscitation of out-of-hospital cardiac arrest patients. Little is understood about Asian LEP communities' preparedness for emergencies. In this exploratory survey, we sought to assess intentions to call 9-1-1 in an emergency and knowledge of CPR in the Cambodian LEP community. We conducted an in-person interview with 667 Cambodian adults to assess their intentions to call 9-1-1 and their awareness of and training in bystander CPR. While the majority of participants stated that they would call 9-1-1 in an emergency, almost one-third of the sample would call a friend or family member. Awareness of CPR was very high but training in CPR was lower, especially for women. A higher level of English proficiency and greater proportion of time in the US was a strong predictor of CPR training and intention to call 9-1-1 in an emergency. This suggests that greater efforts need to be made to reach the most linguistically-isolated communities (those with little or no English) with emergency information in Khmer.

The Level of Awareness of Cardio-Pulmonary Resuscitation (CPR) Amongst Radiographers in Nigeria

Resuscitation is one of the most evolving areas of modern medicine. For the past forty years newer techniques are developed in order to improve the outcome of resuscitation. The study is aimed at finding the level of knowledge amongst radiographers practising in Nigeria because radiographers use materials that commonly cause reactions requiring resuscitation. In an Annual conference of the Nigerian Radiographers held in Benin City, questionnaires were administered to eighty participants. Data extracted included age, gender, years of experience in practice and questions relating to resuscitation Forty-five participants completed the questionnaires. 69% (31) had witnessed cardiac arrest. 80% (36) of them mentioned the causes of cardiac arrest, while 87% (39) mentioned different types of resuscitation drugs. All the respondents mentioned the adverse reactions associated with the use of intravascular contrast media (ICM). Awareness of CPR amongst the observed Nigerian radiographers is rated high as evidenced by this study. Keywords : Awareness, Cardiopulmonary Resuscitation, Nigerian Radiographers Journal of Medicine and Biomedical Research Vol. 5 (1) 2006: pp. 29-35

Cardiopulmonary resuscitation knowledge among urban and rural residents in Tiaocheng area of Hebei Province

A total of 11 200 subjects from urban and rural areas of Taocheng of Hebei Province were surveyed for cardiopulmonary resuscitation (CPR) knowledge with self-made questionnaire. Our results showed that of the 11200 participants, there were 3708 subjects (33.11%) knew CPR; 6105 subjects (54.51%) knew but couldnt put it into practice; and 1387 subjects (12.38%) didn't know CPR. There was a significant difference in CPR awareness rate among people with different education level and profession (P <0.01). Awareness of emergency treatment and therapeutic technique was proved to be low among urban and rural residents, especially those living at poor-educated small towns. We suggest that more attention should be paid to increased awareness of CPR and its technique to improve to outcome of the treatment. Key words: Cardiopulmonary resuscitation; Questionnaires

An Additional Letter on CPR in Nursing Homes

An Additional Letter on CPR in Nursing Homes