Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey

Background Victims of out-of-hospital cardiac arrest (OHCA) have higher survival rates and more favorable neurological outcomes when basic life support (BLS) maneuvers are initiated quickly after collapse. Although more than half of OHCAs are witnessed, BLS is infrequently provided, thereby worsening the survival and neurological prognoses of OHCA victims. According to the theory of planned behavior, the probability of executing an action is strongly linked to the intention of performing it. This intention is determined by three distinct dimensions: attitude, subjective normative beliefs, and control beliefs. We hypothesized that there could be a decrease in one or more of these dimensions even shortly after the last BLS training session. Objective The aim of this study was to measure the variation of the three dimensions of the intention to perform resuscitation according to the time elapsed since the last first-aid course. Methods Between January and April 2019, the two largest companies delivering first-aid courses in the region of Geneva, Switzerland sent invitation emails on our behalf to people who had followed a first-aid course between January 2014 and December 2018. Participants were asked to answer a set of 17 psychometric questions based on a 4-point Likert scale (“I don’t agree,” “I partially agree,” “I agree,” and “I totally agree”) designed to assess the three dimensions of the intention to perform resuscitation. The primary outcome was the difference in each of these dimensions between participants who had followed a first-aid course less than 6 months before taking the questionnaire and those who took the questionnaire more than 6 months and up to 5 years after following such a course. Secondary outcomes were the change in each dimension using cutoffs at 1 year and 2 years, and the change regarding each individual question using cutoffs at 6 months, 1 year, and 2 years. Univariate and multivariable linear regression were used for analyses. Results A total of 204 surveys (76%) were analyzed. After adjustment, control beliefs was the only dimension that was significantly lower in participants who took the questionnaire more than 6 months after their last BLS course (P<.001). Resisting diffusion of responsibility, a key element of subjective normative beliefs, was also less likely in this group (P=.001). By contrast, members of this group were less afraid of disease transmission (P=.03). However, fear of legal action was higher in this group (P=.02). Conclusions Control beliefs already show a significant decrease 6 months after the last first-aid course. Short interventions should be designed to restore this dimension to its immediate postcourse state. This could enhance the provision of BLS maneuvers in cases of OHCA.

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Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey (Preprint)

10.2196/preprints.24798 ◽

2020 ◽

Author(s):

Simon Regard ◽

Django Rosa ◽

Mélanie Suppan ◽

Chiara Giangaspero ◽

Robert Larribau ◽

...

Keyword(s):

Disease Transmission ◽

Life Support ◽

Survival Rates ◽

Training Session ◽

First Aid ◽

Three Dimensions ◽

Control Beliefs ◽

Normative Beliefs ◽

Neurological Outcomes ◽

The Difference

BACKGROUND Victims of out-of-hospital cardiac arrest (OHCA) have higher survival rates and more favorable neurological outcomes when basic life support (BLS) maneuvers are initiated quickly after collapse. Although more than half of OHCAs are witnessed, BLS is infrequently provided, thereby worsening the survival and neurological prognoses of OHCA victims. According to the theory of planned behavior, the probability of executing an action is strongly linked to the intention of performing it. This intention is determined by three distinct dimensions: attitude, subjective normative beliefs, and control beliefs. We hypothesized that there could be a decrease in one or more of these dimensions even shortly after the last BLS training session. OBJECTIVE The aim of this study was to measure the variation of the three dimensions of the intention to perform resuscitation according to the time elapsed since the last first-aid course. METHODS Between January and April 2019, the two largest companies delivering first-aid courses in the region of Geneva, Switzerland sent invitation emails on our behalf to people who had followed a first-aid course between January 2014 and December 2018. Participants were asked to answer a set of 17 psychometric questions based on a 4-point Likert scale (“I don’t agree,” “I partially agree,” “I agree,” and “I totally agree”) designed to assess the three dimensions of the intention to perform resuscitation. The primary outcome was the difference in each of these dimensions between participants who had followed a first-aid course less than 6 months before taking the questionnaire and those who took the questionnaire more than 6 months and up to 5 years after following such a course. Secondary outcomes were the change in each dimension using cutoffs at 1 year and 2 years, and the change regarding each individual question using cutoffs at 6 months, 1 year, and 2 years. Univariate and multivariable linear regression were used for analyses. RESULTS A total of 204 surveys (76%) were analyzed. After adjustment, control beliefs was the only dimension that was significantly lower in participants who took the questionnaire more than 6 months after their last BLS course (P<.001). Resisting diffusion of responsibility, a key element of subjective normative beliefs, was also less likely in this group (P=.001). By contrast, members of this group were less afraid of disease transmission (P=.03). However, fear of legal action was higher in this group (P=.02). CONCLUSIONS Control beliefs already show a significant decrease 6 months after the last first-aid course. Short interventions should be designed to restore this dimension to its immediate postcourse state. This could enhance the provision of BLS maneuvers in cases of OHCA.

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Evolution of Bystander Intention to Perform Resuscitation since last Training: an Online Survey

10.21203/rs.3.rs-67667/v1 ◽

2020 ◽

Author(s):

Simon Regard ◽

Django Rosa ◽

Mélanie Suppan ◽

Chiara Giangaspero ◽

Robert Larribau ◽

...

Keyword(s):

Online Survey ◽

Theory Of Planned Behaviour ◽

Primary Outcome ◽

First Aid ◽

Three Dimensions ◽

Control Beliefs ◽

Normative Beliefs ◽

Secondary Outcomes ◽

One Year ◽

And Control

Abstract BackgroundAccording to the theory of planned behaviour, the probability of executing an action is strongly linked to the intention of performing it. The aim of this study was to measure the variation over time of the three dimensions of the intention to perform resuscitation, i.e. attitude, subjective normative beliefs, and control beliefs.MethodsThe two largest companies delivering first aid courses in the region of Geneva, Switzerland, sent invitation e-mails on our behalf to people who had followed a first aid course in the last five years. Participants were asked to answer a set of 17 psychometric questions designed to assess each dimension of the intention to perform resuscitation. The primary outcome was the change in each dimension at 6 months. Secondary outcomes were the change in each dimension at one and two years and change in each individual question at 6 months, one year and two years.ResultsOut of 270 completed surveys, 204 were analysed. Control beliefs was the only dimension that displayed a significant change at 6 months (p < 0.001). Participants who had followed their last BLS course more than 6 months ago were however more prone to diffusion of responsibility, a key element of subjective normative beliefs (p = 0.001). Fear of legal action was higher in participants who had followed their last BLS course more than 2 years ago (p = 0.040).ConclusionsControl belief, a dimension of the intention to perform resuscitation, rapidly decreases after the last first aid course.

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Looking beyond survival rates: neurological outcomes after extracorporeal life support

Intensive Care Medicine ◽

10.1007/s00134-013-3050-5 ◽

2013 ◽

Vol 39 (10) ◽

pp. 1870-1872 ◽

Cited By ~ 5

Author(s):

Kate L. Brown ◽

Graeme MacLaren ◽

Bradley S. Marino

Keyword(s):

Life Support ◽

Extracorporeal Life Support ◽

Survival Rates ◽

Neurological Outcomes

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PELATIHAN BANTUAN HIDUP DASAR/BASIC LIFE SUPPORT BAGI MAHASISWA FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH MATARAM

SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan ◽

10.31764/jpmb.v5i1.6507 ◽

2021 ◽

Vol 5 (1) ◽

pp. 548

Author(s):

Baiq Leny Nopitasari ◽

Alvi Kusuma Wardani ◽

Nurul Qiyaam ◽

Anna Pradiningsih ◽

Mahacita Andanalusia ◽

...

Keyword(s):

Cardiac Arrest ◽

Community Service ◽

Basic Life Support ◽

Life Support ◽

Respiratory Arrest ◽

First Aid ◽

Health Sciences ◽

Knowledge And Skills ◽

Implementation Time ◽

The Difference

ABSTRAKBantuan Hidup Dasar (BHD) adalah serangkaian usaha awal untuk mengembalikan fungsi pernafasan atau sirkulasi pada seseorang yang mengalami henti nafas dan atau henti jantung (cardiac arrest). Pengetahuan dan keterampilan BHD penting diajarkan terutama tentang teknik dasar penyelamatan korban yang mengalami henti jantung dan henti nafas. Kesiapsiagaan yang tepat berupa pelatihan kepada mahasiswa dalam pemberian BHD sebagai upaya penanggulangan yang cepat dan tepat sehingga dapat meminimalisir kematian akibat henti jantung yang terjadi di lingkungan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Mataram. Saat ini belum ada mahasiswa yang mendapatkan pelatihan mengenai kemampuan melakukan bantuan hidup dasar, maka kegiatan pengabdian ini sangat penting untuk dilakukan untuk mengantisipasi adanya kasus henti jantung dan henti napas. Lokasi pelaksanaan kegiatan pengabdian kepada masyarakat adalah di Fakultas Ilmu Kesehatan, dengan waktu pelaksanaan selama 1 hari. Target dalam pengabdian ini yaitu adanya pemahaman mahasiswa akan perbedaan henti jantung dan serangan jantung dan cara melakukan pertolongan pertama. Luaran dari pengabdian ini adalah adanya peningkatan pengetahuan dan pemahaman mahasiswa dalam memberikan pertolongan pada korban henti nafas dan henti jantung jika ada kejadian henti jantung dan henti nafas yang terjadi di lingkungan Universitas Muhammadiyah Mataram. Kata kunci: bantuan hidup dasar; mahasiswa; fakultas ilmu kesehatan; universitas muhammadiyah mataram. ABSTRACTBasic Life Support (BLS) is a series of initial efforts to restore respiratory or circulatory function in someone who has stopped breathing and/or cardiac arrest. Knowledge and skills of BLS are important to be taught, especially about the basic techniques of saving victims who experience cardiac and respiratory arrest. Appropriate preparedness such as training for students in giving BLS as a quick and appropriate response to minimize deaths from cardiac arrest that occur in the Faculty of Health Sciences, Universitas Muhammadiyah Mataram. Currently, there are no students who have received training on the ability to perform basic life support, so this training is very important to do to anticipate cases of cardiac arrest and respiratory arrest. The location of the implementation of community service activities at the Faculty of Health Sciences, with an implementation time of 1 day. The target in this service is the students' understanding of the difference between cardiac arrest and heart attack and how to perform first aid. The output of training is an increase in students' knowledge and understanding in providing assistance to victims of respiratory arrest and cardiac arrest if cardiac arrest and respiratory arrest occur within the Universitas Muhammadiyah Mataram. Keywords: basic life support; student; faculty of health sciences; universitas muhammadiyah mataram.

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Difference in First Aid Activity During Mass Casualty Training Based on Having Taken an Educational Course

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2017.99 ◽

2017 ◽

Vol 12 (4) ◽

pp. 437-440

Author(s):

Youichi Yanagawa ◽

Kazuhiko Omori ◽

Kouhei Ishikawa ◽

Ikuto Takeuchi ◽

Kei Jitsuiki ◽

...

Keyword(s):

Life Support ◽

Initial Period ◽

Fire Department ◽

First Aid ◽

Mass Casualty Incident ◽

Mass Casualty ◽

Disaster Medicine ◽

Ambulance Service ◽

Medical Practitioners ◽

The Difference

ABSTRACTBackgroundThe Japanese Association for Disaster Medicine developed a mass casualty life support (MCLS) course to improve cooperation among medical practitioners during a disaster, which is essential for reducing the rates of preventable disaster death. We investigated whether there was difference in first aid activity among members of the ambulance service during mass casualty training based on having taken the MCLS course.MethodsMass casualty training was held at the fire department of Numazu City. Twenty-one ambulance service parties participated in this training. They first evaluated the mass casualty situation, performed the appropriate services at the scene during the initial period, and then provided START triage for mock wounded patients. Throughout the training, 5 examiners evaluated their performance.ResultsRegarding the difference in first aid activity based on MCLS course attendance among the ambulance service members, the cooperative management (scored on a scale of 1 to 5) among the members who had taken the MCLS course was significantly better than that among those who had not taken the course (median [interquartile range]: 5 [0.5] vs. 4 [1.75], P<0.05).ConclusionAttending an MCLS course may help to improve outcomes in the face of an actual mass casualty incident. (Disaster Med Public Health Preparedness. 2018;12:437–440)

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Perbedaan Metode Three Compartement Sink dengan Air Panas dan Larutan Klorin terhadap Angka Kuman Alat Makan di RSU Queen Latifa

JURNAL NUTRISIA ◽

10.29238/jnutri.v19i2.27 ◽

2017 ◽

Vol 19 (2) ◽

pp. 126-130

Author(s):

Rifatun Hasanah ◽

Setyowati Setyowati ◽

Noor Tifauzah

Keyword(s):

Infectious Diseases ◽

Confidence Level ◽

Disease Transmission ◽

T Test ◽

Hot Water ◽

Independent Test ◽

The Difference ◽

Hospital Use

Background:One of the efforts in preventing congenital food disease is by washing the cutlery perfectly. The cutlery used by patients with infectious diseases should be noted more, because it has a risk in disease transmission through cutlery. The process of washing the cutlery for infected patients in Queen Latifa Hospital use three compartement sink method with hot water, while the three compartement sink method with clorine solvent has never been tested. Purpose: Research was to determine the difference in the number of germs in the tool was washed using three compartement sink method with hot water and with clorine solvent. Method:Types of research is experiment with rancangan percobaan acak kelompok (RAK). The object of this research is 4 plates and 4 bowls. The number of experimental units in this research were 2 treatments x 2 cutlery x 2 checks x 2 reapetitions = 16 experimental units. The analysis used independent t-test with 95% confidence level. Result :The average number of germs in the cutlery washed using the three compartment sink method with hot water was 1 x 101 cfu / cm2, whereas with chlorine solvent is 0.2 cfu / cm2. Independent test t-test shows p = 0.049 which means the hypothesis is accepted. onclusion : There are differences in the number of germs in the washing cutlery using the three compartment sink method with hot water and with chlorine solvent. Keywords: number of germs, cutlery, three compartment sink

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Perbedaan Metode Three Compartement Sink dengan Air Panas dan Larutan Klorin terhadap Angka Kuman Alat Makan di RSU Queen Latifa

JURNAL NUTRISIA ◽

10.29238/jnutri.v19i2.262 ◽

2017 ◽

Vol 19 (2) ◽

pp. 126

Author(s):

Rifatun Hasanah ◽

Setyowati Setyowati ◽

Noor Tifauzah

Keyword(s):

Infectious Diseases ◽

Confidence Level ◽

Disease Transmission ◽

T Test ◽

Hot Water ◽

Independent Test ◽

The Difference ◽

Hospital Use

Background:One of the efforts in preventing congenital food disease is by washing the cutlery perfectly. The cutlery used by patients with infectious diseases should be noted more, because it has a risk in disease transmission through cutlery. The process of washing the cutlery for infected patients in Queen Latifa Hospital use three compartement sink method with hot water, while the three compartement sink method with clorine solvent has never been tested. Purpose: Research was to determine the difference in the number of germs in the tool was washed using three compartement sink method with hot water and with clorine solvent. Method:Types of research is experiment with rancangan percobaan acak kelompok (RAK). The object of this research is 4 plates and 4 bowls. The number of experimental units in this research were 2 treatments x 2 cutlery x 2 checks x 2 reapetitions = 16 experimental units. The analysis used independent t-test with 95% confidence level. Result :The average number of germs in the cutlery washed using the three compartment sink method with hot water was 1 x 101 cfu / cm2, whereas with chlorine solvent is 0.2 cfu / cm2. Independent test t-test shows p = 0.049 which means the hypothesis is accepted. Conclusion : There are differences in the number of germs in the washing cutlery using the three compartment sink method with hot water and with chlorine solvent.

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Analysis and calculation of the process of low-pressure reverse osmosis during recycling of hygienic water

Space engineering and technology ◽

10.33950/spacetech-2308-7625-2019-2-28-36 ◽

2019 ◽

pp. 28-36

Author(s):

Leonid S. Bobe ◽

Nikolay A. Salnikov

Keyword(s):

Mass Transfer ◽

Reverse Osmosis ◽

Life Support ◽

Space Station ◽

Low Pressure ◽

Operating Pressure ◽

Life Support System ◽

Cleaning Agent ◽

The Difference ◽

Pressure Channel

Analysis and calculation have been conducted of the process of low-pressure reverse osmosis in the membrane apparatus of the system for recycling hygiene water for the space station. The paper describes the physics of the reverse osmosis treatment and determines the motive force of the process, which is the difference of effective pressures (operating pressure minus osmotic pressure) in the solution near the surface of the membrane and in the purified water. It is demonstrated that the membrane scrubbing action is accompanied by diffusion outflow of the cleaning agent components away from the membrane. The mass transfer coefficient and the difference of concentrations (and, accordingly, the difference of osmotic pressures) in the boundary layer of the pressure channel can be determined using an extended analogy between mass transfer and heat transfer. A procedure has been proposed and proven in an experiment for calculating the throughput of a reverse osmosis apparatus purifying the hygiene water obtained through the use of a cleaning agent used in sanitation and housekeeping procedures on Earth. Key words: life support system, hygiene water, water processing, low-pressure reverse osmosis, space station.

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Attitudes and willingness toward out-of-hospital cardiopulmonary resuscitation: a questionnaire study among the public trained online in China

BMJ Open ◽

10.1136/bmjopen-2020-038712 ◽

2020 ◽

Vol 10 (10) ◽

pp. e038712

Author(s):

Yi Jiang ◽

Bangsheng Wu ◽

Long Long ◽

Jiaxing Li ◽

Xiaoqing Jin

Keyword(s):

Cardiopulmonary Resuscitation ◽

Disease Transmission ◽

Public Attitudes ◽

Online Training ◽

First Aid ◽

The Public ◽

Close Family Member ◽

Positive Attitudes ◽

Bystander Cardiopulmonary Resuscitation ◽

Cpr Training

ObjectivesThe incidence of bystander cardiopulmonary resuscitation (CPR) is low in China. CPR training could improve public attitudes and willingness, but at present, the attitudes of the public after online training are unclear. This study investigated individual attitudes towards CPR, the willingness to perform it in emergencies along with the main obstacles and the overall effects of online training.DesignQuestionnaires were distributed to investigate the public attitudes and willingness towards performing bystander CPR.SettingQuestionnaires were accessible after the online course ‘First Aid’.Participants1888 students who attended ‘First Aid’ from December 2019 to 1 January 2020 and then completed the questionnaire voluntarily.ResultsThe majority understood CPR (96.7%) and displayed a willingness to learn (98.4%) and to disseminate CPR knowledge (82.0%). Characteristics associated with more positive attitudes included women, the 26–35-year olds and those in medical-related occupations (p<0.05). Only 34.8% had CPR training before. Most people would willingly perform CPR on a close family member. Compared with the standard CPR (S-CPR), the public preferred chest compression-only CPR (CO-CPR) (p<0.01). The top three obstacles to performing CO-CPR were lack of confidence (26.7%), fear of harming the victim (23.4%) and causing legal trouble (20.7%), while regarding S-CPR, fear of disease transmission (22.9%) ranked second. Women, those in poor health and in medical-related occupations, were more likely to perform CPR (p<0.05). The confidence to perform CPR was improved remarkably after online training (p<0.05).ConclusionsThe overwhelming majority of respondents showed positive attitudes and willingness towards CPR. In some cases, there is still reluctance, especially towards S-CPR. Obstacles arise mainly due to lack of confidence in administering CPR, while online CPR training can markedly improve it. Therefore, we should focus on disseminating CPR knowledge, targeting those who are less willing to perform CPR and helping overcome their obstacles by online training.

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Knowledge and perceptions of cardiopulmonary resuscitation amongst New Zealand podiatrists: a web-based survey

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00481-9 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Angela Brenton-Rule ◽

Daniel Harvey ◽

Kevin Moran ◽

Daniel O’Brien ◽

Jonathon Webber

Keyword(s):

New Zealand ◽

Cardiopulmonary Resuscitation ◽

Life Support ◽

Survival Rates ◽

Sudden Cardiac Arrest ◽

Cross Sectional Study ◽

Trial Registration ◽

Cross Sectional ◽

Web Based ◽

The Past

Abstract Background Podiatrists in New Zealand have a duty of care to assist patients in an emergency, and current cardiopulmonary resuscitation (CPR) certification is a requirement for registration. However, it is unknown how competent and confident podiatrists are in administering CPR and how they would respond in an emergency. Having a health professional who has a competent knowledge of CPR and skills in basic life support, can improve survival rates from sudden cardiac arrest. Therefore, the aim of this study was to survey New Zealand podiatrists to determine their CPR knowledge and qualifications; beliefs about the application of CPR; and perceptions of their competency in CPR. Methods This cross-sectional study used a web-based survey. Participants were New Zealand registered podiatrists with a current annual practising certificate. The 31-item survey included questions to elicit demographic information, CPR practice and attitudes, and CPR knowledge. Responses were collected between March and August 2020. Results 171 podiatrists responded to the survey. 16 % of the podiatrists (n = 28) had performed CPR in an emergency, with a 50 % success rate. Participants were predominantly female (n = 127, 74 %) and working in private practice (n = 140,82 %). Nearly half of respondents were younger than 40 years (n = 75,44 %) and had less than 10 years of clinical experience (n = 73, 43 %). Nearly all (n = 169,97 %) participants had received formal CPR training in the past two years, with 60 % (n = 105) receiving training in the past 12 months. Most respondents (n = 167,98 %) self-estimated their CPR ability as being effective, very effective, or extremely effective. Participants’ knowledge of CPR was variable, with the percentage of correct answers for CPR protocol statements ranging between 20 and 90 %. Conclusions This study provides the first insight into New Zealand podiatrists’ CPR knowledge and perceptions. Podiatrists were found to have high levels of CPR confidence but demonstrated gaps in CPR knowledge. Currently, New Zealand registered podiatrists require biennial CPR re-certification. However, resuscitation authorities in New Zealand and overseas recommend an annual update of CPR skills. Based on this study’s findings, and in line with Australia and the United Kingdom, the authors recommend a change from biennial to annual CPR re-certification for podiatrists in New Zealand. Trial registration The study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620001144909).

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