J Korean Soc Emerg Med.  2017 Aug;28(4):287-293. 10.0000/jksem.2017.28.4.287.

Willingness Variability of Bystander Cardiopulmonary Resuscitation in Special Situations

Affiliations
  • 1Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
  • 2Department of Emergency Medicine, Gumi CHA Medical Center, CHA University, Gumi, Korea. jisilpark@naver.com
  • 3Department of Emergency Medicine, Hallym University School of Medicine, Anyang, Korea.
  • 4Department of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 5Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.

Abstract

PURPOSE
This study aims to investigate how variability of bystander cardiopulmonary resuscitation (CPR) willingness may change depending on special situations and to find out factors that enhance CPR willingness in each situation and ways to increase the ratio of bystander CPR.
METHODS
A population-based, nationwide study using a structured questionnaire via telephone survey regarding CPR was done in 2015 (n=1,000). A stratified cluster sampling was conducted to assess the impact of age and gender on CPR willingness. The contents of the questionnaire consisted of basic characteristics, CPR training experience, and status. Additionally, respondents were presented with five hypothetical scenarios of cardiopulmonary arrest; family member, stranger, elderly person, preschool child, and pregnant woman.
RESULTS
Willingness to perform CPR was low for pregnant women (52.1%) or elders (59.3%), moderate for strangers (73.3%) or children (71.3%), but high for a family members (90.4%). Age, awareness of CPR, training experience of CPR, CPR training by manikin practice, recent CPR training (≤2 years), experience of bystander CPR, family history of severe illness, and awareness of Good Samaritan law all influenced the willingness to perform CPR on bystander in each scenario.
CONCLUSION
The willingness of bystander CPR decreased in special situations, especially for elderly and pregnant woman. However, recent CPR training group were more willing in the elderly, and CPR experienced group also showed increased tendency in pregnant woman. It is expected that the rate of bystander CPR can be increased by emphasizing that performing bystander CPR for children, pregnant women, and elders is not different from the general population.

Keyword

Cardiopulmonary resuscitation; Heart arrest; Attitude to health; Pregnant women; Aged

MeSH Terms

Aged
Attitude to Health
Cardiopulmonary Resuscitation*
Child
Child, Preschool
Female
Heart Arrest
Humans
Jurisprudence
Manikins
Pregnant Women
Surveys and Questionnaires
Telephone
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