Abstract 146: Public Cardiopulmonary Resuscitation (CPR) Training - Are All Lay Providers the Same?
Background: Discordance exists in the prevalence of life-saving skills and bystander CPR rates. Public CPR training, while increasing the number of people trained, may not be training those most likely to witness cardiac arrests. Majority of cardiac arrests occur at home where first responders are likely family members. We aimed to assess attitudes towards CPR training and performance amongst lay CPR providers.
Methods: We surveyed participants of a public CPR training program offered by the Singapore Heart Foundation from September 2009 to December 2011. Information on demographics, and attitudes towards CPR training and performance were collected.
Results: 445 participants (mean age 40±12 years, 50.8% males) were surveyed. The majority of respondents (69.6%) learnt CPR to fulfill work requirements; only 6.9% were motivated to learn CPR because of family members with cardiac disease. Despite forming the majority at CPR classes, those who attended for work-related reasons were less willing to perform CPR on both strangers (37.9% vs 52.9%, p=0.003) and family members (84.8% vs 96.3%, p<0.001), even after adjusting for demographics (Figure). Age, gender, education level and income were not associated with willingness to be trained. Following the course, only 33% were confident in performing bystander CPR. Males were more confident than females (p<0.001). The main obstacles to CPR performance were competency-related issues (wrong technique, failing to save and causing harm) and reluctance to perform CPR on strangers. Only 7.7% had ever performed bystander CPR.
Conclusions: We found that the reason for attendance at CPR courses is associated with different attitudes towards performing CPR. Overall confidence was poor. Further research is needed to determine how better to tailor public CPR training, and improve confidence in CPR performance.
- © 2013 by American Heart Association, Inc.