Current state of knowledge and concerns regarding cardiopulmonary resuscitation performed in the setting of out-of-hospital sudden cardiac arrest among adult, non-medical rural residents
KeywordsCPR, Out-of-Hospital Heart Arrest, Rural Population
INTRODUCTION Every year in Poland 56,000 outside the hospital there is a sudden cardiac arrest.
OBJECTIVES The aim of the study was to determine the level of knowledge of basic life support undertaken in prehospital management in rural areas. The second objective of the study was to assess needs for cardiopulmonary resuscitation(CPR) training among adults in rural areas.
MATERIAL AND METHODS The study was carried out with the use of an original questionnaire based on the review of literature and guidelines of the European Resuscitation Council. The questionnaire was shared by social media. The questionnaire consisted of the following parts: metric, experience of previous CPR, knowledge about CPR, assessment of demand and interest in expanding knowledge and skills in CPR. A total of 501 responses were collected, of which 316 from adult, non-medical rural residents were analyzed.
RESULTS Over 85% of respondents knew how to assess consciousness of the victim, 95% of respondents knew when to start CPR. About 33% of the respondents did not know the correct location of chest compressions. Moreover 65% of them could not identify the correct frequency of compressions. Although rib fracture was one of the most commonly cited concerns, it was a potential reason to discontinue CPR only for 4.5% of respondents.
CONCLUSIONS It was observed that there is a need for additional CPR training among rural adult residents. The information collected in this study may allow for the planning of appropriate educational activities to increase the level of knowledge about CPR in heart accidents.
Wojtyniak B, Goryński P, Seroka W. Highlights on the health status of the Polish population in 1999/2000. Przegl Epidemiol. 2002;56(1):179-192.
Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016;105:188-195. doi:10.1016/j.resuscitation.2016.06.004
Perkins GD, Handley AJ, Koster RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99, doi:10.1016/j.resuscitation.2015.07.015
Cummins RO, Ornato JP, Thies WH, et al. Improving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation. 1991;83(5):1832-1847, doi:10.1161/01.cir.83.5.1832
Cebula GM, Osadnik S, Wysocki M, et al. Comparison of the early effects of out-of-hospital resuscitation in selected urban and rural areas in Poland. A preliminary report from the Polish Cardiac Arrest Registry by the Polish Resuscitation Council. Kardiol Pol. 2016;74(4):356-361, doi:10.5603/KP.a2016.0001
Golboni F, Nadrian H, Najafi S, et al. Urban-rural differences in health literacy and its determinants in Iran: A community-based study. Aust J Rural Health. 2018;26(2):98-105, doi:10.1111/ajr.12378
Samra HA, Sudhagoni RG, Kupershmidt S, et al. Using Data Science to Provide Preliminary Estimates of Out-of-Hospital Cardiac Arrest in Rural South Dakota. S D Med. 2018;71(2):72-79.
Haig A, Dozier M. BEME Guide no 3: systematic searching for evidence in medical education--Part 1: Sources of information. Med Teach. 2003; 25(4):352-363. doi:10.1080/0142159031000136815.
“Lubelskie Voivodship. Subregions, Powiats, Gminas” Statistical Office in Lublin [download 28.02.2020] https://lublin.stat.gov.pl/publikacje-i-foldery/roczniki-statystyczne/wojewodztwo-lubelskie-podregiony-powiaty-gminy-2019,1,16.html
Krzysztofik M. Legal Issue of the Definition of the Rural Area. Studia Iuridica Lublinensia. 2017;26(1):299-314, doi 10.17951/sil.2017.26.1.299.
Ustawa z dnia 15 kwietnia 2011 r. o działalności leczniczej. Dz. U. 2011; poz. 654.
Luiz T, Dittrich S, Pollach G, Madler C. Kenntnisstand der Bevölkerung über Leitsymptome kardiovaskulärer Notfälle und Zuständigkeit und Erreichbarkeit von Notrufeinrichtungen. Der Anaesthesist. 2017; 66;11, doi:10.1007 / s00101-017-0367-4
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