Abstract 295: After 2010 Guidelines Less Fear and More CPR
Introduction: Prompt and good quality cardio-pulmonary resuscitation (CPR) is fundamental for cardiac arrest victims survival. The percentage of bystander CPR is generally low and one of the reasons are the fears of the rescuers. With 2010 guidelines, CAB replaced the ABC sequence and hands only CPR was recommended for untrained lay rescuers. The aim of our study was to evaluate the effects of these changes on lay rescuers’ willingness to perform CPR on an unknown adult or child, and on their fears.
Materials and methods: At the end of each CPR course for lay rescuers we distributed a rigorously anonymous questionnaire written either in Italian or in English exploring the willingness to perform CPR on an adult or on a child and the related main fears (infectious disease, competency, causing damage, legal complications, and general fear). Each person received only one questionnaire and attended only one course.
Results: 1374 questionnaires have been collected (82.1% males, 86.4% Italians, high school 63.2%, higher education degree 23.8%; 1000 before 2010: group A and 374 after 2011: group B). In the general population a significant difference between the percentage of subjects who would perform CPR on an adult or on a child has been demonstrated (88.4% vs 75.3% respectively p<0.001). Moreover the willingness to perform adult CPR was significantly higher in group B than group A (94.4% vs 86,2% p<0.001). A nearly significant trend has been demonstrated between group B and A (79% vs 74% p=0.05) for pediatric CPR. Comparing groups A and B on the fears of performing adult CPR we observed a significant reduction in the fear of legal complications (1.8% vs 0.3% p=0.03) and of general fear (6.8% vs 3.2% p=0.02). In the pediatric case the only significant reduction observed was of the competency fear (7.8% vs 2.1% p<0.001). The expected reduction in the fear of infectious diseases has not been demonstrated neither for adult CPR (1.4% vs 0.5% p=0.26) nor for pediatric CPR (0.9% vs 0.3% p=0.31)
Conclusions: After 2010, the willingness of lay rescuers to perform adult CPR has significantly increased due to a significant reduction of rescuers’ fears. On the basis of these results the new guidelines are thought to increase survival also by increasing incidences of bystanders CPR.
- © 2013 by American Heart Association, Inc.