Abstract P62: The Main Fears of Qualified First Aiders Required to Perform Cardio-pulmonary Reanimation in Real Life
CARDIOPULMONARY RESUSCITATION IN REAL LIFE: FROM THE COURSE TO THE CARDIAC ARREST VICTIM; THE MOST FREQUENT FEARS
Materials and methods: after each BLS course run between January 2008 to February 2009 we distributed a rigorously anonymous questionnaire formulated in Italian and English asking participants whether they would actually perform CPR in a real case of cardiac arrest on an adult or on a child. In the case of a negative response we asked them why. Medics and nurses were excluded.
Results: 1000 questionnaires were analyzed. The sample group was predominantly made up of males (77.7%), Italians (82.2%), those between 26 and 35 (41.2%) and those possessing a high school qualification (61.8%). The percentage of participants that would perform CPR on an adult stranger or on a child patient are significantly different (86.2% vs 73.9% p<0.005). The prevalent fears differ significantly between cases of adult and pediatric patients: fear of infection (14.3% vs 3,4% p<0.005), fear of being incapable (15,9% vs 36,8% p<0.005), fear of causing damage (30,2% vs 41,2% p<0.005), fear of legal implications (12,7% vs 2% p<0.005). We didn’t document the significant differences between the percentage of males and females who would perform CPR on an adult or a child (86,6% vs 84,7% e 74,2% vs 72,6 p=n.s). Subdividing the population according to age did not demonstrate significant differences regarding the performance of CPR on an adult patient, whereas in the case of a pediatric patient the percentage of participants who would perform CPR is less among those under 35 (70% vs 80,4% p<0.005).
Conclusions: at the end of the course the percentage of participants who would be willing to perform CPR on a real patient is too low, particularly in a pediatric case, considering that over time the percentage will drop. The most common fears are the fear of being incapable, of contracting an infectious disease of causing damage and running into legal implications. It would therefore be auspicious to dedicate a part of the course to discussing these arguments in order that all those capable of performing good CPR would not hesitate to do so when confronted with a cardiac arrest victim.
This research has received full or partial funding support from the American Heart Association, National Center.