Abstract P177: Fire Department-Led Community CPR Education Impacts Bystander CPR Performance
Background: Bystander Cardiopulmonary Resuscitation (CPR) is critical to survival from out-of-hospital cardiac arrest (OHCA). However, most communities have suboptimal rates of bystander response. Due to their high community profile and prominent public safety role, municipal fire departments (MFDs) may be optimally positioned to lead efforts to train the citizens in their communities to perform bystander CPR.
Goal: To measure the impact of CPR education efforts led by several MFDs in a large metropolitan area.
Methods: An observational study of 4 of the largest MFDs in metropolitan Phoenix caring for a combined population of over 2.5 million people. Data for 2,827 OHCAs reported between the dates of 1/1/05 and 4/6/09 were analyzed from an Utstein-compliant OHCA database. The incidence and type (standard vs. compression-only) of bystander CPR was documented upon EMS arrival. Each MFD led a “Hands-Only” CPR public education effort in their community that included live trainings, public service announcements on television and radio, and home mailings starting in November, 2007. Bystander CPR rates were measured before, during and after the MFD CPR educational interventions.
Statistical analysis: Bystander CPR rates along with 95% confidence intervals (CI) were calculated for each year and were compared using Chi-square, α =0.05.
Conclusion: While the rate of bystander CPR in our study increased, it did not reach statistical significance. However, the percentage of compression-only CPR was significantly impacted by the overall educational efforts. MFDs are well-positioned to conduct on-going bystander CPR education in their communities. This educational model is an effective strategy for fire departments to train their communities to perform CPR.