The impact of bystander cardiopulmonary resuscitation on patients with out-of-hospital cardiac arrests. Issue 12 (2nd December 2021)

• Record Type: Journal Article
• Authors: Liou, Fang-Yu; Lin, Kun-Chang; Chien, Chian-Shiu; Hung, Wan-Ting; Lin, Yi-Ying; Yang, Yi-Ping; Lai, Wei-Yi; Lin, Tzu-Wei; Kuo, Shu-Hung; Huang, Wei-Chun
• Is Part Of: Journal of the Chinese Medical Association. Volume 84:Issue 12(2021)
• Page Start: 1078
• Page End: 1083
• Publication Date: 2021-12-02
• Subjects: Bystander cardiopulmonary resuscitation rate -- Cardiopulmonary resuscitation -- Hospital discharge -- Out-of-hospital cardiac arrest; Medicine -- Periodicals; 610.5
• DOI: 10.1097/JCMA.0000000000000630
• Languages: English
• ISSNs: 1726-4901

Abstract

Abstract : 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.