Abstract 119: Bystanders Need Follow-up After Performing Cardiopulmonary Resuscitation
Introduction: Bystanders’ intervention causes a 2-3 times increased chance of survival to out-of-hospital cardiac arrest (OHCA) victims by alerting the Emergency Medical Services (EMS) and performing cardiopulmonary resuscitation (CPR). To improve community based survival in OHCA victims, health care systems are dependent on the appropriate actions of citizens. Performing CPR is, however, shown to be emotionally challenging for bystanders. We know very little about their need for formal follow-up.
Aim: To clarify bystanders’ need for follow-up after performing CPR.
Methods: Fifteen bystanders, who performed CPR to OHCA victims, took part in a qualitative interview study. We used in-depth interviews with open-ended and continuous questions, focusing on emotions, coping strategies and need for follow-up after performing CPR.
Results: All CPR bystanders reported that experiencing OHCA was an emotionally challenging experience. Most bystanders contacted health care professionals among family members and friends to receive recognition and acceptance of their CPR performance. A significant desire was to receive information on the cardiac arrest victim’s outcome, and the bystanders used great efforts to obtain this information. All bystanders described a strong need to talk to health care professionals shortly after performing CPR, preferably EMS staff. It was important for them to understand the most frequently experienced emotions after performing CPR. Bystanders, who experience life threatening situations in their daily work, described less emotional stress than the others.
Conclusions: Bystanders need follow-up from health care professionals to learn about frequent emotions after CPR and to receive feed-back on patient outcome. We believe that organizing professional follow-up after CPR attempts may mitigate emotional stress among OHCA bystanders. We believe that an organized follow-up of CPR bystanders might improve the general public’s future willingness to initiate CPR.
Author Disclosures: W. Mathiesen: None. C. Bjørshol: None. E. Søreide: None.
- © 2014 by American Heart Association, Inc.