Abstract 22: Experienced Impact and Post-Traumatic Stress Symptoms of Dispatched Local Lay Rescuers Performing Basic Life Support
Aim: A text message (TM) alert system for OHCA has been implemented in part of the Netherlands. This system uses TM from EMS dispatch to alert local lay rescuers (TM-responders [TMRs]) living <1000m radius of the OHCA victim, to either go directly to the victim and perform CPR, or to a nearby AED first. Over 14 000 TMRs and >1500 AEDs were registered in a database residing with the dispatch center. We studied the level of experienced impact shortly after performing BLS and compared it with the Impact of Event Scale (IES) score 4-6 wks afterwards.
Methods: With each TM-alert an email was sent to the TMRs with a link to an online questionnaire. We analyzed all questionnaires from 15-02-2013 to 21-04-2014 which were filled out median 5h after EMS call. We counted the experienced impact level (no, little, bearable, much, unbearable). All firstly arrived TMRs who provided BLS±AED use prior to EMS arrival, participated in a semi-structured interview by telephone median 4 days after resuscitation. To assess if TMRs had post-traumatic stress symptoms (PTSS), the IES was sent to all interviewees 4-6 wks after the resuscitation. Scores 0-8 indicated subclinical, 9-25 mild, 26-43 moderate, and ≥44 severe stress. A score >25 indicated PTSS.
Results: The dispatcher activated the TM-alert system 697 times, alerting 18 742 TMRs. 4799 completed the questionnaire. Of these, 1639 responded to the call and 353 arrived on scene, participating in the resuscitation. We interviewed 148 first arriving TMRs of whom 137 also completed the IES. Comparison between level of experienced impact and IES score is shown in the figure. None showed PTSS (median: 1, 25th-75th percentile: 0-8, max. 25). Of all TMRs experiencing no/little impact, 13% was grouped as mild. Of all TMRs experiencing bearable impact, 22% scored mild and of all TMRs experiencing much impact, 44% scored mild.
Conclusion: TMRs do not show PTSS 4-6 wks after performing BLS, even if their experienced level of impact is considerable shortly after the event.
- Cardiac arrest
- Basic life support
- Post cardiac resuscitation
- Automated external defibrillator (AED)
- Cardiopulmonary resuscitation
Author Disclosures: J. Zijlstra: None. S. Beesems: None. R. de Haan: None. R. Koster: Research Grant; Significant; Dutch Heart Foundation #2010T083.
- © 2014 by American Heart Association, Inc.