First aid: issues of preparedness and training of the population in cardiopulmonary resuscitation
https://doi.org/10.24884/2072-6716-2024-25-4-59-65
Abstract
One of the reasons for the low survival rate of victims with out-of-hospital cardiac arrest (OHCA) is the low readiness of bystanders to provide first aid (cardiopulmonary resuscitation (CPR) and the use of an automatic external defibrillator (AED).
The purpose of the study: to study the degree of readiness of the population for CPR, its determining factors and determine ways to improve the provision of first aid to victims with OHCA.
Materials and methods. In January — June 2023, an anonymous survey of workers in the fuel and energy complex of the Republic of Belarus was conducted using the developed questionnaire «Readiness to provide first aid». The study involved 894 respondents without medical education. Nonparametric statistics methods were used to analyze the results.
Results. 10.7% of respondents defined their readiness to perform CPR as extremely low; 12.2% — as low; 38.6% — as average; 22.3% — above average; 16.2% — as high. Significant predictors of high readiness of respondents to perform CPR (p <0.001) were: male gender, previous training in CPR skills and participation in performing CPR on a victim in real conditions. The main barriers to performing CPR were fear of causing irreparable harm to the injured person and lack of knowledge and skills in CPR. Conclusion. Reducing mortality in OHCA requires maximum involvement of the population in the process of first aid by means of broad information, formation of proper motivation and emotional-volitional readiness, and increasing the coverage of practical training in first aid skills.
About the Author
A. L. Stanishevsky
Belarusian State Medical University
Belarus
Belarus
Aleksander L. Stanishevsky.
Minsk
References
1. Benjamin E.J., Virani S. S., Callaway C. W. et al. Heart disease and stroke statistics — 2018 update: a report from the American Heart Association // Circulation. 2018. Vol. 137, No. 12. P. e357. https://doi.org/10.1161/CIR.0000000000000558.
2. Yan S., Gan Y., Jiang N. et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis // Critical care. 2020. Vol. 24, No. 1. P. 1–13. https://doi.org/10.1186/s13054–020–2773–2.
3. Tsao C.W., Aday A.W., Almarzooq Z.I. et al. Heart disease and stroke statistics — 2022 update: a report from the American Heart Association // Circulation. 2022. Vol. 14, No. 8. P. e504.
4. Stanishevsky A.L., Soltan O.V., Evtukh A.V. Relevance and problems of first aid for out-of-hospital cardiac arrest: collection of scientific articles of the International scientific and methodological conference dedicated to the 30th anniversary of the founding of the military department. Gomel: GSMU, 2023. P. 78–84. (In Russ.).
5. Girotra S., van Diepen S., Nallamothu B.K. et al. Regional variation in out-of-hospital cardiac arrest survival in the United States // Circulation. 2016. Vol. 133, No. 22. P. 2159–2168. https://doi.org/10.1161/CIRCULATIONAHA.115.018175.
6. Larribau R., Deham H., Niquille M., Sarasin F.P. Improvement of out-of-hospital cardiac arrest survival rate after implementation of the 2010 resuscitation guidelines // PloS One. 2018. Vol. 13, No. 9. P. e0204169. https://doi.org/10.1371/journal.pone.0204169.
7. Bujak K., Nadolny K., Ladny J.R. et al. Epidemiology, management, and survival rate of out-of-hospital cardiac arrest in Upper Silesia, Poland: an Utstein-style report // Advances in Interventional Cardiology. 2021. Vol. 17, No. 4. P. 366–375. https://doi.org/10.5114/aic.2021.111926.
8. Birkun A. Understanding the epidemiology and outcomes of out-of-hospital cardiac arrest in the former Union of Soviet Socialist Republics: observations from the Crimean Peninsula // World J. Emerg. Med. 2022. Vol. 13, No. 1. P. 67. https://doi.org/10.5847/wjem.j.1920–8642.2022.009.
9. Scquizzato T., Gamberini L., D›Arrigo S. et al. Incidence, characteristics, and outcome of out-of-hospital cardiac arrest in Italy: a systematic review and meta-analysis // Resuscitation Plus. 2022. Vol. 12. P. 100329. https://doi.org/10.1016/j.resplu.2022.100329.
10. Smith C.M., Lim Choi Keung S.N., Khan M.O. et al. Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: a systematic review // Eur Heart J. 2017. Vol. 3, No. 4. P. 264–273. https://doi.org/10.1093/eurheartj/ehz822.
11. Birkun A. A., Frolova L. P., Buglak G. N. Out-of-hospital cardiac arrest: assessing the problem status and identifying priority areas for improving the care provision. Data from the 2020–2022 Crimean registry. Russian Journal of Cardiology, 2024, Vol. 29, No. 1. P. 20–28 (In Russ.). https://doi.org/10.15829/1560–4071–2024–5530.
12. Stanishevsky A.L. First aid training: problems and solutions. Fundamental science and educational practice: materials of the III Republican scientific-methodical conference with international participation «Actual problems of modern natural science». Minsk: NIHE, 2023. P. 307–311 (In Russ.).
13. Birkun A.A., Samarin S.A., Tupotilova A.A. News as a means of popularization of first aid knowledge: content analysis of news articles related to cases of pediatric cardiac arrest in schools and kindergartens of Russia. Russian Sklifosovsky Journal «Emergency Medical Care». 2022. Vol. 11, No. 4. P. 668–675 (In Russ.). https://doi.org/10.23934/2223–9022–2022–11–4–668–675.
14. Birkun A.A., Gautam А. Dr. Google›s advice on first aid: evaluation of the search engine›s question-answering system responses to queries seeking help in health emergencies // Prehospital and disaster medicine. 2023. Vol. 38, No. 8. P. 345–351. https://doi.org/10.1017/S1049023X23000511.
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For citations:
Stanishevsky A.L. First aid: issues of preparedness and training of the population in cardiopulmonary resuscitation. EMERGENCY MEDICAL CARE. 2024;25(4):59-65. (In Russ.) https://doi.org/10.24884/2072-6716-2024-25-4-59-65
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