Why the study?
Although bystander CPR improves OHCA survival, its prevalence remains low worldwide.
Does bystander CPR improve clinical outcomes in patients with out-of-hospital cardiac arrests?
Does bystander CPR improve clinical outcomes in patients with out-of-hospital cardiac arrests?
Bystander CPR improves survival in out-of-hospital cardiac arrest, and community interventions alongside dispatcher assistance can optimize its prevalence and quality.
Community CPR training initiatives may raise bystander rates in OHCA; leaves open optimal targeting and long-term efficacy.
Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death around the world. Bystander cardiopulmonary resuscitation (CPR) is an independent factor to improve OHCA survival. However, the prevalence of bystander CPR remains low worldwide. Community interventions such as mandatory school CPR training or targeting CPR training to family members of high-risk cardiac patients are possible strategies to improve bystander CPR rate. Real-time feedback, hands-on practice with a manikin, and metronome assistance may increase the quality of CPR. Dispatcher-assistance and compression-only CPR for untrained bystanders have shown to increase bystander CPR rate and increase survival to hospital discharge. After return of spontaneous circulation, targeted temperature management should be performed to improve neurological function. This review focuses on the impact of bystander CPR on clinical outcomes and strategies to optimize the prevalence and quality of bystander CPR.
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Liou et al. (2021) studied this question.
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