Abstract
Background
Basic life support (BLS) is one of the most efficient ways to improve out-of-hospital cardiac arrest (OHCA) victims’ outcomes. Resuscitation initiated by a random witness of OHCA is essential to increase the chances of survival.
Aim
To assess the impact of BLS training in cardiac patients on knowledge about first aid for OHCA.
Materials and methods
The study group consisted of 68 participants who completed a questionnaire prior to BLS training. Forty-three of them then filled out the same questionnaire again after the BLS course. Participants’ knowledge was assessed with a self-designed questionnaire, which comprised 41 questions divided into six domains, namely legal aspects, resuscitation technique, resuscitation algorithm, knowledge about using an automated external defibrillator (AED), “calling for help” knowledge and identifying sudden cardiac arrest.
Results
The average score before the BLS course was lower compared with final results (43.8% ± 15.6% vs. 68.6% ± 22.7% [% of max. score], p = 0.001). The best scores, both before and after the BLS course, were gained in the “calling for help” knowledge (79.5% ± 33.5% vs. 80.4% ± 17.4% [% of max. score], p = 0.5) and “knowledge about using AEDs” domains (62.4% ± 35.2% vs. 74.7% ± 29.3% [% of max. score], p = 0.1). Patients who completed first aid courses gained better scores in the “knowledge about using an AED” domain (93.3% ± 14.9% vs. 58.6% ± 35.4% [% of max. score], p = 0.02). No differences between the other domains and overall scores were reported (total score: 48% ± 12% vs. 42% ± 17.5% [% of max. score], p = 0.5).
Conclusion
General knowledge about BLS is poor. BLS training in cardiac patients improves knowledge about first aid for OHCA. Education and hands-on training are crucial to improve outcomes.
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Data availability
The datasets generated during and analyzed during the current study are available from the corresponding author on reasonable request.
References
Atkins DL (2012) Bystander CPR: how to best increase the numbers. Resuscitation 83(9):1049–1050. https://doi.org/10.1016/j.resuscitation.2012.06.005
Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67(1):75–80. https://doi.org/10.1016/j.resuscitation.2005.03.021
Berdowski J, Berg RA, Tijssen JGP, Koster RW (2010) Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. Resuscitation 81(11):1479–1487. https://doi.org/10.1016/j.resuscitation.2010.08.006
Bobrow BJ, Spaite DW, Berg RA, Stolz U, Sanders AB, Kern KB, Vadeboncoeur TF, Clark LL, Gallagher JV, Stapczynski JS, LoVecchio F, Mullins TJ, Humble WO, Ewy GA (2010) Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. JAMA 304(13):1447–1454. https://doi.org/10.1001/jama.2010.1392
Bouland AJ, Halliday MH, Comer AC, Levy MJ, Seaman KG, Lawner BJ (2017) Evaluating barriers to bystander CPR among laypersons before and after compression-only CPR training. Prehosp Emerg Care 21(5):662–669. https://doi.org/10.1080/10903127.2017.1308605
Cerezo Espinosa C, Segura Melgarejo F, Melendreras Ruiz R, Garcia-Collado AJ, Nieto Caballero S, Juguera Rodriguez L, Pardo Rios S, Garcia Torrano S, Linares Stutz E, Pardo Rios M (2019) Virtual reality in cardiopulmonary resuscitation training: a randomized trial. Emergencias 31(1):43–46
Davies MJ, Thomas A (1984) Thrombosis and acute coronary-artery lesions in sudden cardiac ischemic death. N Engl J Med 310(18):1137–1140. https://doi.org/10.1056/NEJM198405033101801
Engdahl J, Holmberg M, Karlson BW, Luepker R, Herlitz J (2002) The epidemiology of out-of-hospital “sudden” cardiac arrest. Resuscitation 52(3):235–245. https://doi.org/10.1016/S0300-9572(01)00464-6
Goniewicz M, Chemperek E, Mikuła A (2002) Attitude of students of high schools in Lublin towards the problem of first aid. Wiad Lek 1(55 Suppl):679–685
Han SK, Lee WS, Lee JE, Kim JS (2019) Prognostic value of the conversion to a Shockable rhythm in out-of-hospital cardiac arrest patients with initial non-Shockable rhythm. J Clin Med 8(5):644. https://doi.org/10.3390/jcm8050644
Hawkes C, Booth S, Ji C, Brace-McDonnell SJ, Whittington A, Mapstone J, Cooke MW, Deakin CD, Gale CP, Fothergill R, Nolan JP, Rees N, Soar J, Siriwardena AN, Brown TP, Perkins GD (2017) Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation 110:133–140. https://doi.org/10.1016/j.resuscitation.2016.10.030
Iwami T, Nichol G, Hiraide A, Hayashi Y, Nishiuchi T, Kajino K, Morita H, Yukioka H, Ikeuchi H, Sugimoto H, Nonogi H, Kawamura T (2009) Continuous improvements in “chain of survival” increased survival after out-of-hospital cardiac arrests: a large-scale population-based study. Circulation 119(5):728–734. https://doi.org/10.1161/CIRCULATIONAHA.108.802058
Iwami T, Kitamura T, Kawamura T, Mitamura H, Nagao K, Takayama M, Seino Y, Tanaka H, Nonogi H, Yonemoto N, Kimura T (2012) Chest compression-only cardiopulmonary resuscitation for out-of-hospital cardiac arrest with public-access defibrillation: a nationwide cohort study. Circulation 126(24):2844–2851. https://doi.org/10.1161/CIRCULATIONAHA.112.109504
Krammel M, Schnaubelt S, Weidenauer D, Winnisch M, Steininger M, Eichelter J, Hamp T, van Tulder R, Sulzgruber P (2018) Gender and age-specific aspects of awareness and knowledge in basic life support. PLoS One 13(6):e0198918. https://doi.org/10.1371/journal.pone.0198918
Luc G, Baert V, Escutnaire J, Genin M, Vilhelm C, Di Pompéo C, CEL K, Segal N, Wiel E, Adnet F, Tazarourte K, Gueugniaud PY, Hubert H (2019) Epidemiology of out-of-hospital cardiac arrest: a French national incidence and mid-term survival rate study. Anaesth Crit Care Pain Med 38(2):131–135. https://doi.org/10.1016/j.accpm.2018.04.006
Lund-Kordahl I, Mathiassen M, Melau J, Olasveengen TM, Sunde K, Fredriksen K (2019) Relationship between level of CPR training, self-reported skills, and actual manikin test performance-an observational study. Int J Emerg Med 12(1):2. https://doi.org/10.1186/s12245-018-0220-9
Mędrzycka-Dąbrowska WA, Czyż-Szybenbejl K, Kwiecień-Jaguś K, Lewandowska K (2018) Prediction of cognitive dysfunction after resuscitation – a systematic review. Adv Interv Cardiol 14(3):225–232. https://doi.org/10.5114/aic.2018.78324
Mohamed E (2017) Effect of cardiopulmonary resuscitation (CPR) training program on knowledge and practices of internship technical institute of nursing students. J Nurs Health Sci 06:73–81. https://doi.org/10.9790/1959-0603037381
Nurnberger A, Sterz F, Malzer R, Warenits A, Girsa M, Stockl M, Hlavin G, Magnet IAM, Weiser C, Zajicek A, Gluck H, Grave MS, Muller V, Benold N, Hubner P, Kaff A (2013) Out of hospital cardiac arrest in Vienna: incidence and outcome. Resuscitation 84(1):42–47. https://doi.org/10.1016/j.resuscitation.2012.07.002
Özbilgin Ş, Akan M, Hancı V, Aygün C, Kuvaki B (2015) Evaluation of public awareness, knowledge and attitudes about cardiopulmonary resuscitation: report of İzmir. Turkish J Anaesthesiol Reanim 43(6):396–405. https://doi.org/10.5152/TJAR.2015.61587
Pehlivan M, Mercan NC, Çinar İ, Elmali F, Soyöz M (2019) The evaluation of laypersons awareness of basic life support at the university in Izmir. Turk J Emerg Med 19(1):26–29. https://doi.org/10.1016/j.tjem.2018.11.002
Perkins GD, Olasveengen TM, Maconochie I, Soar J, Wyllie J, Greif R, Lockey A, Semeraro F, Van de Voorde P, Lott C, Monsieurs KG, Nolan JP (2018) European resuscitation council guidelines for resuscitation: 2017 update. Resuscitation 123:43–50. https://doi.org/10.1016/j.resuscitation.2017.12.007
Rajapakse R, Noc M, Kersnik J (2010) Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wien Klin Wochenschr 122(23–24):667–672. https://doi.org/10.1007/s00508-010-1489-8
Rasmus A, Czekajlo MS (2000) A national survey of the polish population’s cardiopulmonary resuscitation knowledge. Eur J Emerg Med 7(1):39–43. https://doi.org/10.1097/00063110-200003000-00008
Tanigawa K, Iwami T, Nishiyama C, Nonogi H, Kawamura T (2011) Are trained individuals more likely to perform bystander CPR? An observational study. Resuscitation 82(5):523–528. https://doi.org/10.1016/j.resuscitation.2011.01.027
Valenzuela TD, Roe DJ, Nichol G, Clark LL, Spaite DW, Hardman RG (2000) Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med 343(17):1206–1209. https://doi.org/10.1056/NEJM200010263431701
Vancini LR, Nikolaidis TP, de Lira AC, Vancini-Campanharo RC, Viana BR, Andrade DM, Rosemann T, Knechtle B (2019) Prevention of sudden death related to sport: the science of basic life support—from theory to practice. J Clin Med 8(4):556. https://doi.org/10.3390/jcm8040556
Villalobos F, Del Pozo A, Rey-Reñones C, Granado-Font E, Sabaté-Lissner D, Poblet-Calaf C, Basora J, Castro A, Flores-Mateo G (2019) Lay people training in CPR and in the use of an automated external defibrillator, and its social impact: a community health study. Int J Environ Res Public Health 16(16):2870. https://doi.org/10.3390/ijerph16162870
Wingen S, Schroeder DC, Ecker H, Steinhauser S, Altin S, Stock S, Lechleuthner A, Hohn A, Bottiger BW (2018) Self-confidence and level of knowledge after cardiopulmonary resuscitation training in 14 to 18-year-old schoolchildren: a randomised-interventional controlled study in secondary schools in Germany. Eur J Anaesthesiol 35(7):519–526. https://doi.org/10.1097/EJA.0000000000000766
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All authors contributed to the study conception, design, material preparation, data collection and analysis. The first draft of the manuscript was written by Bartosz Partyński and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Partyński, B., Tokarek, T., Dziewierz, A. et al. Impact of basic life support training on knowledge of cardiac patients about first aid for out-of-hospital cardiac arrest. J Public Health (Berl.) 31, 21–26 (2023). https://doi.org/10.1007/s10389-020-01442-5
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DOI: https://doi.org/10.1007/s10389-020-01442-5