Fear & CPR-Trained Bystanders


 
 

Street Science | | Tuesday, June 26, 2007


Swor R, Khan I, Domeier R, et al: CPR training and CPR performance: Do CPR-trained bystanders perform CPR? Academic Emergency Medicine. 13(6):596 601, 2006.

The Science

The authors conducted phone interviews with bystanders who called 9-1-1 for a cardiac arrest victim. The bystanders were asked several questions regarding their actions related to performing or not performing CPR. The authors made contact with 684 (78.1 percent) of 868 cardiac arrest bystanders. Seventy percent were family members of the victim, 37 percent had more than a high-school education, and 54 percent had been taught CPR at some time. Twenty-one percent of the bystanders immediately started CPR, and in 34 percent of the cases someone started CPR prior to EMS arrival. The bystander was twice as likely to perform CPR if the collapse was witnessed, more than six times more likely if they were CPR trained, and three times more likely if the arrest occurred in a public area. Of the CPR trained bystanders who did not perform CPR, 37 percent stated that they simply panicked, 9 percent were worried they wouldn t perform it correctly, and only 1 percent objected to performing mouth-to-mouth resuscitation.

The Street

This study confirms many of our beliefs regarding the value of CPR training. Clearly, bystanders trained in CPR are more likely to perform it, but the surprising finding was that fear and panic were the major deterrents to performing CPR by these very same trained bystanders. Although the physical task of performing CPR has become better defined and we have more CPR training programs being delivered than ever before, it appears we re forgetting to educate potential citizen rescuers of the emotional component of being involved in such an event. We re quick to tell them how proud they ll be if they save a life, but we must also psychologically prepare them to remain calm and take command of the scene. Hopefully, this study will change the way we educate so there will be no barriers to performing CPR when the need arises.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Cardiac and Circulation, Research

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Mechanical CPR is Producing Resuscitation Results Beyond Expectations

Discover why clinical studies are finding mechanical CPR just as effective as optimally-performed CPR.
More >

Multimedia Thumb

New Technology Helps Missouri Ambulances

Strategic GPS tracking helps in Springfield.
Watch It >


Multimedia Thumb

Profile: Hospital Wing Air Ambulance

Take a look inside this Memphis service.
Watch It >


Multimedia Thumb

New Monitors for Wyoming EMS

Grant helps Torrington EMS get new equipment.
Watch It >


Multimedia Thumb

London Medics Increasingly Attacked

One medic describes her violent confrontation.
Watch It >


Multimedia Thumb

Violence, Arson in Ferguson

Crowds in Ferguson and elsewhere react to decision.
More >


Multimedia Thumb

California Bus Rollover

One killed and dozens injured.
More >


Multimedia Thumb

Buffalo Residents Dig Out and Prepare for Flooding

Flooding expected as heavy snow melts.
More >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


More Product Videos >