Stress reactions and perceived difficulties of lay responders to a medical emergency

Riegel, Bárbara; Mosesso, Vincent N.; Birnbaum, Alice; Bosken, Lois A.; Evans, Lisa; Feeny, David; Holohan, Jennifer; Jones, Constance D.; Peberdy, Mary Ann; Powell, Judy

doi:10.1016/j.resuscitation.2005.10.029

Cited by 38 publications

(33 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous simulation studies reported that the time passed since the most recent BLS training affects CPR quality [19,20]; However, the present analyses revealed no association between BCPR quality and the duration of BLS training of bystanders within the last three years. In reality, bystander initiative may be more predictive of CPR quality than the time passed since BLS training because even trained bystanders suffer physical and emotional stress during OHCAs [21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

et al. 2014

View full text Add to dashboard Cite

Aims:To identify the factors associated with good-quality bystander cardiopulmonary resuscitation (BCPR). Multiple logistic regression analysis indicated that multiple rescuers (odds ratio=2.8, 95% CI: 1.5-5.6), bystander-initiated BCPR (2.7, 1.1-7.3), non-elderly bystanders (1.9, 1.1-3.2), occurrence in the central region (2.1, 1.3-3.3) and duration of BCPR (1.1, 1.0-1.1) were associated with good-quality BCPR. Moreover, good-quality BCPR was initiated earlier after recognition/witness of cardiac arrest compared with poor-quality BCPR (3 vs. 4 min, p=0.0052). MethodsThe rate of neurologically favourable survival at one year was 2.7% and 0% in the good-quality and poor-quality groups, respectively (p=0.1357). Conclusions:The presence of multiple rescuers and bystander-initiated CPR are predominantly associated with good-quality BCPR.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

et al. 2014

View full text Add to dashboard Cite

show abstract

“…One prospective analysis of stress reactions associated with a trial of public access defibrillation (LOE 4) 246 reported low levels of stress in those responding to an emergency in this setting. One prospective observational study of 1265 MET calls (LOE 4) 198 described "psychological injury" related to CPR performance in one rescuer.…”

Section: Consensus On Sciencementioning

confidence: 99%

“…Sixteen LOE 4 studies 5,246,[272][273][274][275][276][277][278][279][280][281][282][283][284][285] have suggested that many factors decrease the willingness of bystanders to start CPR, including bystander characteristics (panic, fear of disease or harming the victim or performing CPR incorrectly) and victim characteristics (stranger, being unkempt, evidence of drug use, blood, or vomit).…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

View full text Add to dashboard Cite

“…6 In 2 studies reviewing actual emergencies, bystanders encountered practical and understandable barriers to performance (eg, physical limitations, inability to listen to instructions and perform skills at the same time, and system delays) more often than panic or stress, although both were important factors. 17,18 Because panic can significantly impair a bystander's ability to perform in an emergency, it may be reasonable for CPR training to address the possibility of panic and encourage learners to consider how they will overcome it (Class IIb LOE C). Actual bystanders 6 and surveys of the general public report that people more recently trained in CPR techniques expressed greater willingness to attempt resuscitation than those without recent training.…”

mentioning

confidence: 99%

“…69 However, firsthand observation of an actual cardiac arrest and attempting resuscitation can be stressful. 17,55,56,70 Rescuers who suffer postevent adverse psychological effects may benefit from support or psychological counseling. …”

mentioning

confidence: 99%

Part 16: Education, Implementation, and Teams

Bhanji¹,

Mancini²,

et al. 2010

View full text Add to dashboard Cite

C ardiac arrest occurs in a wide variety of settings, from the unanticipated event in the out-of-hospital setting to anticipated arrests in the intensive care unit. Outcome from cardiac arrest is a function of many factors including the willingness of bystanders to perform cardiopulmonary resuscitation (CPR), the ability of rescuers to integrate knowledge and psychomotor skills, the quality of performance delivered by individual rescuers and teams, and the efficiency and effectiveness of post-cardiac arrest care.The Chain of Survival is a metaphor used to organize and describe the integrated set of time-sensitive, coordinated actions necessary to maximize survival from cardiac arrest. The use of evidence-based education and implementation strategies can optimize the links of that chain.Strengthening the Chain of Survival in the prehospital setting requires focus on prevention and immediate recognition of cardiac arrest, increasing the likelihood of high-quality bystander CPR and early defibrillation, and improving regional systems of care. In the hospital setting, organized efforts targeting early identification and prevention of deterioration in patients at risk can decrease the incidence of cardiac arrest. The challenge for resuscitation programs is twofold: to ensure that providers acquire and maintain the necessary knowledge, skills, and team behavior to maximize resuscitation outcome; and to assist response systems in developing, implementing, and sustaining an evidence-based Chain of Survival.Maximizing survival from cardiac arrest requires improvement in resuscitation education and the implementation of systems that support the delivery of high-quality resuscitation and postarrest care, including mechanisms to systematically evaluate resuscitation performance. Well-designed resuscitation education can encourage the delivery of high-quality CPR. In addition continuous quality improvement processes should close the feedback loop and narrow the gap between ideal and actual performance. Community-and hospitalbased resuscitation programs should systematically monitor cardiac arrests, the level of resuscitation care provided, and outcomes. The cycle of measurement, benchmarking, feedback, and change provides fundamental information necessary to optimize resuscitation care and maximize survival.This chapter reviews key educational issues that affect the quality of resuscitation performance and describes major implementation and team-related issues shown to improve outcomes. The information is organized into four major categories: willingness to perform CPR, educational design, improving resuscitation quality, and issues related to implementation and outcomes.While Willingness to PerformWithout immediate initiation of CPR, most victims of cardiac arrest will die. Bystander CPR can significantly improve survival rates from cardiac arrest, 3 but recent evidence indicates that only 15% to 30% of victims of out-of-hospital arrest receive CPR before EMS arrival. 4 Strategies to increase the incidence of bystander-ini...

show abstract

Stress reactions and perceived difficulties of lay responders to a medical emergency

Cited by 38 publications

References 11 publications

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

Part 12: Education, Implementation, and Teams

Part 16: Education, Implementation, and Teams

Contact Info

Product

Resources

About