Abstract 196: Comparing Bystander Response to an Unannounced Cardiac Arrest Based on Victim Gender Using an Immersive Virtual Reality System

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Marion Leary ◽  
Alfredo Almodovar ◽  
David Buckler ◽  
Jaldhi Patel ◽  
Zainab A Chaudhary ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Real Life ◽  
Emergency Situation ◽  
Male Victims ◽  
Female Victim ◽  
Male Victim ◽  
Female Victims ◽  
Bystander Response

Introduction: Bystander response to a sudden cardiac arrest (SCA) should ideally be the same for all victims, however studies have shown disparities in response exist based on the gender of the victim. Current virtual reality (VR) wearable technology allows for the creation of high realism scenarios permitting manipulation of the victim’s gender in order to observe bystander response. Objectives: We sought to compare lay bystander response to an unannounced simulated VR SCA event based on the victim’s gender. Methods: Using our VR SCA system integrated with a CPR recording manikin, we randomized the avatar victim’s gender to either female or male (Figure 1). Subjects were able to interact with simulated bystanders, give vocal commands such as “call 911” or “get an AED”, and perform CPR on the simulated victim in the virtual environment while simultaneously performing CPR on the manikin. Subjects were unaware of the nature of the event but were told to respond however they would in real-life to an emergency situation. Subject’s ability to proceed through the Chain of Survival (Call 911, Perform CPR, Ask for and Use an AED) and CPR quality were recorded. Results: Between 9/2017 and 12/2017, 75 subjects were enrolled; mean age was 31±11 yrs, 35% were female, 49% were White, and 66% had never been trained in CPR or were trained >2 yrs prior. In total, 59% of subjects performed CPR, and 11% used an AED. CPR was performed on male victims 65% of the time vs 54% on female victims (p=NS, Figure 2a); An AED was used 21% of the time for male victims vs 15% for female victims (p=NS, Figure 2b). If the subject was male, CPR was performed on a female victim 56% of the time vs 71% for a male victim; female subjects performed CPR on a female victim 50% vs 58% on a male victim (p=NS). Conclusion: In our unannounced, immersive VR SCA study, there was a trend toward less CPR and AED use on female avatar victims. Future work will need to be powered to evaluate disparities in CPR and AED use based on gender.

Comparing bystander response to a sudden cardiac arrest using a virtual reality CPR training mobile app versus a standard CPR training mobile app

Resuscitation ◽  
2019 ◽  
Vol 139 ◽  
pp. 167-173 ◽  
Author(s):  
Marion Leary ◽  
Shaun K. McGovern ◽  
Zainab Chaudhary ◽  
Jaldhi Patel ◽  
Benjamin S. Abella ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Mobile App ◽  
Bystander Response ◽  
Cpr Training

The Effects of Gender-Role Traditionality and Gender of Abuser on Attitudes Toward Intimate Partner Violence and Perceived Body Size of the Victim and Abuser

Partner Abuse ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 230-248
Author(s):  
Niwako Yamawaki ◽  
Christina Riley ◽  
Nathan Gardner
Keyword(s):  
Body Size ◽  
Gender Role ◽  
Partner Violence ◽  
Intervention Programs ◽  
Male Victims ◽  
Female Victim ◽  
Male Victim ◽  
Female Victims ◽  
New Directions ◽  
And Gender

The current study examined college students’ perceptions of male victims compared to female victims in a female abuser–male victim scenario and a male abuser–female victim scenario. Victim blaming, minimization of the seriousness of the abuse, and body size perceptions and how gender-role traditionality (GRT) affects these perceptions were investigated. Male victims were blamed as the victim more and their abuse was minimized more compared to female victims. These differences were moderated by GRT. Only the female victim and abuser varied in body size perceptions, and these perceptions were also moderated by GRT. Males blamed the victim and minimized the seriousness of the abuse more than did females. Implications for intervention programs and new directions in IPV research are discussed.

scholarly journals Attributions of victim responsibility in revenge pornography

2019 ◽  
Vol 11 (4) ◽  
pp. 263-272 ◽  
Author(s):  
Jeff Gavin ◽  
Adrian J. Scott
Keyword(s):  
Design Methodology ◽  
Qualitative Content Analysis ◽  
Victim Blame ◽  
Male Victims ◽  
Female Victim ◽  
Content Type ◽  
Male Victim ◽  
Female Perpetrator ◽  
Victim Responsibility ◽  
Male Perpetrator

Purpose Revenge pornography is a growing risk among adolescents and young adults. Often stemming from sexting, some victims of revenge pornography report experiencing victim-blame similar to that accompanying the reporting of rape. The purpose of this paper is to explore the assumptions that underlie attributions of victim-blame, with a focus on perpetrator and victim responsibility, as well as gendered assumptions surrounding sexting. Design/methodology/approach A total of 222 UK university students (111 male, 111 females) read one of two versions of a hypothetical revenge pornography scenario, one involving a male victim of a female perpetrator, the other a female victim of a male perpetrator. They then responded to an open-ended question regarding responsibility. Findings Qualitative content analysis of these responses identified three inter-related themes: the victim’s behaviour, mitigating victim responsibility and minimising the behaviour. Social implications The majority of participants in this study attributed at least some responsibility to the victims of revenge pornography depicted in the scenarios. Sex of the victim played a less important role than assumptions around sexting. Originality/value The study suggests that victim-blame is linked to the consent implied by sharing intimate images with a partner, but is also mitigated by the normative nature of this relationship practice. There was some evidence that the experience of male victims of revenge pornography is trivialised. These findings have implications for e-safety and victim support.

scholarly journals Immediate Bystander Response to Sudden Cardiac Arrest During Sports is Associated with Improved Survival -- A Video Analysis.

2020 ◽  
Author(s):  
Nicole M Panhuyzen-Goedkoop ◽  
Hein JJ Wellens ◽  
Andre LM Verbeek ◽  
Jan J Piek ◽  
Ron JG Peters
Keyword(s):  
Cardiac Arrest ◽  
Video Analysis ◽  
Elite Athletes ◽  
Sudden Cardiac Arrest ◽  
Early Defibrillation ◽  
Chest Compressions ◽  
Neurologic Dysfunction ◽  
Bystander Response ◽  
Current Guidelines

Abstract Background Sudden cardiac arrest (SCA) during sports can be the first symptom of yet undetected cardiovascular conditions. Immediate chest compressions and early defibrillation offer SCA victims the best chance of survival, which requires prompt bystander response.Aims To determine the effect of rapid bystander response to SCA during sports by searching for and analyzing videos of these SCA/SCD events from the internet.Methods We searched images.google.com, video.google.com and YouTube.com, and included any camera-witnessed non-traumatic SCA in athletes and other sports participants at any sports facility. The rapidity of starting bystander chest compressions and defibrillation was classified as <3, 3-5, or >5 minutes. The year SCA occurred was allocated to 1990-2009, 2010-2014 or 2015 onwards, compatible with the current guidelines.ResultsWe identified and included 28 victims of average age 27.9 years (SD=9.8); 27 were males, 22 elite athletes, and 17 participated in soccer. Bystander response <3 minutes (6/28) or 3-5 minutes (1/28) and defibrillation <3 minutes was associated with 100% survival. Not performing chest compressions and defibrillation was associated with death (14/28), and >5 minutes delay of intervention with worse outcome (death 4/28, severe neurologic dysfunction 1/28). Survival was highest between 2010-2014 (71.4%).ConclusionsAnalysis of internet videos showed that immediate bystander response to non-traumatic SCA during sports was associated with improved survival. This suggests that immediate chest compressions and early defibrillation are crucially important in SCA during sport, as they are in other settings. Optimal use of both will most likely result in survival. The observed bystander responses to SCA during sports do not show awareness of current guidelines.

scholarly journals The Unusual Case of Sexual Homicide Against Males: Comparisons and Classification

2021 ◽  
pp. 0306624X2110491
Author(s):  
Julien Chopin ◽  
Eric Beauregard
Keyword(s):  
Latent Class ◽  
Target Selection ◽  
Male Victims ◽  
Sexual Homicide ◽  
Strategy Method ◽  
Male Victim ◽  
Female Victims ◽  
Crime Commission ◽  
Empirical Typology

This study examines the specificities of sexual homicides involving male victims. First, this study aims to identify characteristics specific to SH involving male victims by comparing them to SH involving female victims and determine whether rational choice approach and routine activities theories are useful to explain the crime-commission process. Second, this study aims to provide the first empirical classification of SH involving male victims. The sample used in this research comes from the Sexual Homicide International Database (SHIelD) including 662 cases of cases—100 cases involving male victims and 552 involving female victims. Bivariate and multivariate analysis are performed to examine the differences between the two groups and latent class analysis is used to generate an empirical classification of cases involving male victims. Findings indicate the victim’s gender plays an important role in the different choices made by sexual homicide offenders of male victims to successfully complete their crime. They adapted their crime-commission process to overcome the risks associated with a physical confrontation with a male victim (i.e., target selection, approach strategy, method of killing). Classification analysis suggests that it exists three different types of sexual murderers assaulting male victims: the robber sexual murderer, the sadistic sexual murderer, and the pedophile murderer. This research proposes the first empirical typology of sexual homicide involving male victims and provides both a true picture of the reality and a comprehensive understanding of this phenomenon.

Extended cardiopulmonary resuscitation: from high fidelity simulation scenario to the first clinical applications in Poznan out-of-hospital cardiac arrest program

Perfusion ◽  
2020 ◽  
pp. 026765912098181
Author(s):  
Maciej Sip ◽  
Mateusz Puslecki ◽  
Marek Dabrowski ◽  
Tomasz Klosiewicz ◽  
Radoslaw Zalewski ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Real Life ◽  
Drug Eluting Stent ◽  
Medical Simulation ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Simulation Scenario ◽  
Hospital Cardiac Arrest

Background: The outcomes of out-of-hospital cardiac arrest (OHCA) patients are poor. In some OHCA cases, the reason is potentially reversible cardiac or aortic disease. It was suggested previously that high-quality cardiopulmonary resuscitation (CPR) followed by extracorporeal membrane oxygenation (ECMO) support may improve the grave prognosis of OHCA. However, extended CPR (ECPR) with ECMO application is an extremely invasive and cutting-edge procedure. The purpose of this article is to describe how high-fidelity medical simulation as a safe tool enabled implementation of the complex, multi-stage ECPR procedure. Method: A high fidelity simulation of OHCA in street conditions was prepared and carried out as part of a ECPR procedure implemented in an in-hospital area. The simulation tested communication and collaboration of several medical teams from the pre-hospital to in-hospital phases along with optimal use of equipment in management of a sudden cardiac arrest (SCA) patient. Results: The critical and weak points of an earlier created scenario were collected into a simulation scenario checklist of ECPR algorithm architecture. A few days later, two ECPR procedures followed by cardiologic interventions for OHCA patients (one pulmonary artery embolectomy for acute pulmonary thrombosis and one percutaneous coronary artery angioplasty with drug eluting stent implantation for acute occlusion of the left anterior descending artery), were performed for the first time in Poland. The protocol was activated five times in the first 2 months of the POHCA Program. Conclusion: High fidelity medical simulation in real-life conditions was confirmed to be a safe, useful tool to test and then implement the novel and complex medical procedures. It enabled to find, analyze and solve the weakest points of the earlier developed theoretical protocol and eventually succeed in clinical application of complete ECPR procedure.

scholarly journals Effect of cardiopulmonary resuscitation training towards cardiac arrest emergency knowledge upon students at Student Health Association of Universitas Gadjah Mada, Indonesia

2020 ◽  
Vol 8 (10) ◽  
pp. 3463
Author(s):  
Bayu Fandhi Achmad
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Emergency Situation ◽  
Heart Association ◽  
Student Health ◽  
Resuscitation Training ◽  
Health Association ◽  
Post Test ◽  
Cpr Training

Background: The cardiovascular disease, especially the sudden cardiac arrest, was the main cause of death and disability throughout the world. The cardiopulmonary resuscitation (CPR) that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for students to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. University became the appropriate place to organize the CPR training because the students were more conditioned in emotional, social and cultural terms.Methods: This research utilized the quasi-experiment method. The total number of research subject was 56 Universitas Gadjah Mada students at Student Health Association. The implementation of intervention of this research was conducted on 07 July, 2018. The topic in this research intervention were formed based on American Heart Association (AHA) Guideline 2015. Pretest and posttest instrument were 10 multiple choices with five choices of answer.Results: This research proved that the CPR training gave effect on the improvement of the knowledge about emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation. The pre-test and post-test results showed that there was a knowledge improvement after the training (p=0,000).Conclusions: CPR training could be recommended to have an impact on increasing student knowledge in emergency management, especially cardiac arrest.

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