Abstract:Background
Most sudden cardiac arrests occur at home, with low rates of bystander cardiopulmonary resuscitation being performed. We aimed to assess knowledge of cardiopulmonary resuscitation among individuals in Riyadh City, Saudi Arabia, who are not involved in health care.
Methods
A community-based cross-sectional study was conducted between January and February 2020 in 4 different areas in Riyadh City: North, South, East, and West. The participa… Show more
“…On the contrary, the other studies included all participants without exclusion of health care providers.Most participants with formal BLS training (38.8%) have received their training at universities and only 19.2% of participants with formal BLS training have received their training from television, the internet, and media.The participants showed some basic awareness of the signs of SCA, as the five most chosen signs were loss of consciousness (62.6%), chest pain (62.4%), loss of breathing (53.8%), difficulty breathing (52.2%), and pulselessness (44.1%). Those findings were similar to the findings of studies conducted in Riyadh and Turkey, in which they found the most chosen signs to be pulselessness (51.8% and 60.7% respectively), absence of breathing (48.1% and 49.3% respectively), and loss of consciousness (44.9% and 40.7%Alhussein et al, 2021;Özbilgin et al, 2015). Overall, participants in our study showed adequate knowledge in the assessment of the level of consciousness, breathing, and pulselessness, which was similar to a study conducted in Jeddah which showed that participants who had undergone CPR training can properly assess the consciousness level, breathing, and circulation(Qara et al, 2019).…”
supporting
confidence: 89%
“…Furthermore, a study done in Riyadh found that 48.2% of participants expressed that they had underwent BLS training (Alhussein et al, 2021), in comparison to 25.6% in China, 40.3% in Turkey, and 56% in Australia (Chen et al, 2017; Aldhakhri and Can, 2020; Özbilgin et al, 2015;Cartledge et al, 2020). OHCA is also a significant problem in North America and in Europe (Gräsner et al, 2016).…”
Section: Medical Science L Analysis Articlementioning
confidence: 99%
“…Unfortunately, formal BLS training is only mandatory for health care providers in Saudi Arabia, while in certain countries like turkey, BLS training is mandatory for employment in some jobs or before obtaining a driver's license. This study excluded healthcare providers, which is also the case in the previously mentioned study byAlhussein et al, (2021) conducted in Riyadh. On the contrary, the other studies included all participants without exclusion of health care providers.Most participants with formal BLS training (38.8%) have received their training at universities and only 19.2% of participants with formal BLS training have received their training from television, the internet, and media.The participants showed some basic awareness of the signs of SCA, as the five most chosen signs were loss of consciousness (62.6%), chest pain (62.4%), loss of breathing (53.8%), difficulty breathing (52.2%), and pulselessness (44.1%).…”
Early cardiopulmonary resuscitation (CPR) in sudden cardiac arrest by bystanders prior to the arrival of emergency medical services can profoundly improve victim's chances of survival if done correctly. Our study sought to evaluate the knowledge around cardiopulmonary resuscitation seen in nonhealthcare providers in the Eastern Region, Saudi Arabia. This is a crosssectional, online-questioner based study conducted between Aug and Sept 2021. The questions explored overall BLS knowledge and previous experiences with cardiac arrests. Our study included 487 participants, 51.3% of the participants had received BLS training, but only 43.1% had adequate BLS knowledge. Regarding the attitude, 11.9% of participants previously witnessed a sudden death, 15% of them performed CPR, and 39.7% told someone to get help. The most common concern preventing percipients from performing CPR was fear of making mistakes (74.7%). Our participants had a better overall BLS knowledge than people in other regions. Notably, 40.9% of our participants incorrectly thought that the compression-to-rescue breath ratio was 5:2, which underlines the need to implement mandatory BLS courses for the general population to maximize survival in out-of-hospital cardiac arrest.
“…On the contrary, the other studies included all participants without exclusion of health care providers.Most participants with formal BLS training (38.8%) have received their training at universities and only 19.2% of participants with formal BLS training have received their training from television, the internet, and media.The participants showed some basic awareness of the signs of SCA, as the five most chosen signs were loss of consciousness (62.6%), chest pain (62.4%), loss of breathing (53.8%), difficulty breathing (52.2%), and pulselessness (44.1%). Those findings were similar to the findings of studies conducted in Riyadh and Turkey, in which they found the most chosen signs to be pulselessness (51.8% and 60.7% respectively), absence of breathing (48.1% and 49.3% respectively), and loss of consciousness (44.9% and 40.7%Alhussein et al, 2021;Özbilgin et al, 2015). Overall, participants in our study showed adequate knowledge in the assessment of the level of consciousness, breathing, and pulselessness, which was similar to a study conducted in Jeddah which showed that participants who had undergone CPR training can properly assess the consciousness level, breathing, and circulation(Qara et al, 2019).…”
supporting
confidence: 89%
“…Furthermore, a study done in Riyadh found that 48.2% of participants expressed that they had underwent BLS training (Alhussein et al, 2021), in comparison to 25.6% in China, 40.3% in Turkey, and 56% in Australia (Chen et al, 2017; Aldhakhri and Can, 2020; Özbilgin et al, 2015;Cartledge et al, 2020). OHCA is also a significant problem in North America and in Europe (Gräsner et al, 2016).…”
Section: Medical Science L Analysis Articlementioning
confidence: 99%
“…Unfortunately, formal BLS training is only mandatory for health care providers in Saudi Arabia, while in certain countries like turkey, BLS training is mandatory for employment in some jobs or before obtaining a driver's license. This study excluded healthcare providers, which is also the case in the previously mentioned study byAlhussein et al, (2021) conducted in Riyadh. On the contrary, the other studies included all participants without exclusion of health care providers.Most participants with formal BLS training (38.8%) have received their training at universities and only 19.2% of participants with formal BLS training have received their training from television, the internet, and media.The participants showed some basic awareness of the signs of SCA, as the five most chosen signs were loss of consciousness (62.6%), chest pain (62.4%), loss of breathing (53.8%), difficulty breathing (52.2%), and pulselessness (44.1%).…”
Early cardiopulmonary resuscitation (CPR) in sudden cardiac arrest by bystanders prior to the arrival of emergency medical services can profoundly improve victim's chances of survival if done correctly. Our study sought to evaluate the knowledge around cardiopulmonary resuscitation seen in nonhealthcare providers in the Eastern Region, Saudi Arabia. This is a crosssectional, online-questioner based study conducted between Aug and Sept 2021. The questions explored overall BLS knowledge and previous experiences with cardiac arrests. Our study included 487 participants, 51.3% of the participants had received BLS training, but only 43.1% had adequate BLS knowledge. Regarding the attitude, 11.9% of participants previously witnessed a sudden death, 15% of them performed CPR, and 39.7% told someone to get help. The most common concern preventing percipients from performing CPR was fear of making mistakes (74.7%). Our participants had a better overall BLS knowledge than people in other regions. Notably, 40.9% of our participants incorrectly thought that the compression-to-rescue breath ratio was 5:2, which underlines the need to implement mandatory BLS courses for the general population to maximize survival in out-of-hospital cardiac arrest.
“…concerns for woman 2% 291 resp. concerns for child 1% Cu 2009 [ 50 ] Caregivers of children presenting to the Emergency Department (≥18 years) 348 125 (unwilling to perform CPR on adult) 3% Hubble 2003 [ 61 ] High school students 683 NR 7% (MMV) 10% (AED) 6% (CC) Jelinek 2001 [ 64 ] General public (age not reported) 803 84 unwilling to perform MMV 56% Johnston 2003 [ 65 ] Adults (≥18 years) 4490 4490 4.50% Lester, Donnelly & Weston 1997 [ 84 ] First year high school pupils 233 233 11% Liaw et al 2020 [ 87 ] University employees (non-medical) 184 NR Fear and concern identified as significantly reduced by training in 34% Mathiesen et al 2017 [ 93 ] Witnesses of OHCA 10 10 NR (qualitative barrier identified) Sasson et al 2013 [ 114 ] Lay-people (min age not stated) 42 42 NR (1 of 10 qualitative barriers) Sasson et al 2015 [ 115 ] Lay-people (≥13) 64 64 NR (qualitative barrier identified) Concerns about risk of infection Alhussein 2021 [ 33 ] Adults (≥18) 856 Those whose source of k...…”
Background
Prompt, effective CPR greatly increases the chances of survival in out-of-hospital c ardiac arrest. However, it is often not provided, even by people who have previously undertaken training. Psychological and behavioural factors are likely to be important in relation to CPR initiation by lay-people but have not yet been systematically identified.
Methods
Aim: to identify the psychological and behavioural factors associated with CPR initiation amongst lay-people.
Design: Systematic review
Data sources: Cochrane Library, MEDLINE, EMBASE, CINAHL, PsycInfo and Google Scholar.
Study eligibility criteria: Primary studies reporting psychological or behavioural factors and data on CPR initiation involving lay-people published (inception to 31 Dec 2021).
Study appraisal and synthesis methods: Potential studies were screened independently by two reviewers. Study characteristics, psychological and behavioural factors associated with CPR initiation were extracted from included studies, categorised by study type and synthesised narratively.
Results
One hundred and five studies (150,820 participants) comprising various designs, populations and of mostly weak quality were identified. The strongest and most ecologically valid studies identified factors associated with CPR initiation: the overwhelming emotion of the situation, perceptions of capability, uncertainty about when CPR is appropriate, feeling unprepared and fear of doing harm. Current evidence comprises mainly atheoretical cross-sectional surveys using unvalidated measures with relatively little formal testing of relationships between proposed variables and CPR initiation.
Conclusions
Preparing people to manage strong emotions and increasing their perceptions of capability are likely important foci for interventions aiming to increase CPR initiation. The literature in this area would benefit from more robust study designs.
Systematic review registration
PROSPERO: CRD42018117438.
“…[10,11] Tenaga kesehatan maupun mahasiswa fakultas di bidang kesehatan telah mendapatkan pengetahuan dan ketrampilan semenjak duduk di bangku kuliah sehingga kemampuan mereka di atas rata-rata dalam pengenalan dan tatalaksana korban. [12,13] Bahkan di beberapa negara, murid sekolah lanjutan atas dan mahasiswa non bidang kesehatan juga telah diberikan pengetahuan dan ketrampilan dasar dalam pelaksanaan Bantuan Hidup Dasar. [14,15] Sedangkan para mahasiswa bidang kesehatan pasti memperoleh pengetahuan dan ketrampilan dasar dalam pelaksanaan Bantuan Hidup Dasar karena telah masuk dalam kurikulum.…”
Today, cardiovascular disease is the second biggest cause of mortality worldwide, after cancer. In urban communities, bicycle communities are also activated by an awareness of the significance of staying fit through exercise, particularly cycling. Nonetheless, sports can also trigger health issues, such as heart attacks or cardiac arrest due to fatigue or exhaustion. Numerous common individuals are unfamiliar with the terms basic life support and cardiopulmonary resuscitation, and hence lack the confidence to assist victims. Method. On 19 June 2021, 30 members of the Bikelah community attended a presentation and video screening regarding Basic Life Support. Result: Following an explanation of the Basic Life Support material, the respondents' perception and knowledge of the adoption of BHD increased from 60% to 93%, and their willingness to assist an unconscious victim similarly increased from 53% to 90%. Respondents also had a better understanding of the significance of assisting an unconscious victim prior to the arrival of medical personnel. Conclusion. Because the period of chance to avoid brain cell damage is brief, victims might benefit from basic knowledge and abilities in Basic Life Support. The goal for the future is to deliver mannequin-based training to the broader population.
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