Initial bystander response to a simulated out-of-hospital cardiac arrest

Objective: The main aim was to investigate laypersons’ automatic reactions when confronted with an unexpected, real-life simulated out-of-hospital cardiac arrest (OHCA). Methods: 16 participants with no prior knowledge of cardiopulmonary resuscitation (CPR) were individually confronted with a simula...

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Main Authors: Fran Wyffels, Geert Brône, Nathalie Charlier, Peter Iserbyt, Stijn De Beugher, Tessy Boedt, Toon Goedemé
Format: Article
Language:English
Published: Aperio 2024-10-01
Series:International Journal of First Aid Education
Subjects:
Online Access:https://firstaidjournal.org/article/id/2611/
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author Fran Wyffels
Geert Brône
Nathalie Charlier
Peter Iserbyt
Stijn De Beugher
Tessy Boedt
Toon Goedemé
author_facet Fran Wyffels
Geert Brône
Nathalie Charlier
Peter Iserbyt
Stijn De Beugher
Tessy Boedt
Toon Goedemé
author_sort Fran Wyffels
collection DOAJ
description Objective: The main aim was to investigate laypersons’ automatic reactions when confronted with an unexpected, real-life simulated out-of-hospital cardiac arrest (OHCA). Methods: 16 participants with no prior knowledge of cardiopulmonary resuscitation (CPR) were individually confronted with a simulated OHCA, while observing art in a museum, as a deceptive task. Participants wore an eye-tracker and were continuously videotaped to collect their responses. Following the simulated OHCA, participants were interviewed to collect reflections on their reaction and then debriefed by a psychologist. One month later, appearance of posttraumatic stress disorder was requested by mail. Results: The primary outcome was the timing and helping behavior of the layperson. Five of 16 participants noticed the casualty within 40 seconds after collapse and initiated immediate help. Two participants provided no help, although they had noticed the collapsed person. The second outcome was the participants’ reflection on their response to the simulated emergency. The main reasons for delayed helping behavior were a lack of cardiac arrest recognition, misinterpretation of the emergency, bystander effect, and distraction by the deceptive task. Conclusion: Results show the need for public awareness regarding the recognition of cardiac arrest and correct interpretation of an emergency.
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institution Kabale University
issn 2514-7153
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publishDate 2024-10-01
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series International Journal of First Aid Education
spelling doaj-art-9a134a1360fd4cb5a6154d1fd7f5caf32025-01-31T16:27:44ZengAperioInternational Journal of First Aid Education2514-71532024-10-017110.25894/ijfae.2611Initial bystander response to a simulated out-of-hospital cardiac arrestFran Wyffels0Geert Brône1https://orcid.org/0000-0002-4725-7933Nathalie Charlier2https://orcid.org/0000-0002-9511-956XPeter Iserbyt3https://orcid.org/0000-0003-3090-9007Stijn De Beugher4Tessy Boedt5https://orcid.org/0000-0001-5417-4258Toon Goedemé6https://orcid.org/0000-0002-7477-8961Department of Pharmaceutical and Pharmacological Sciences, KU LeuvenDepartment of Linguistics, KU LeuvenPharmaceutical and Pharmacological Sciences, KU LeuvenDepartment of Movement Sciences, KU LeuvenDepartment of Electrical Engineering, KU LeuvenDepartment of Pharmaceutical and Pharmacological Sciences, KU LeuvenDepartment of Electrical Engineering, KU LeuvenObjective: The main aim was to investigate laypersons’ automatic reactions when confronted with an unexpected, real-life simulated out-of-hospital cardiac arrest (OHCA). Methods: 16 participants with no prior knowledge of cardiopulmonary resuscitation (CPR) were individually confronted with a simulated OHCA, while observing art in a museum, as a deceptive task. Participants wore an eye-tracker and were continuously videotaped to collect their responses. Following the simulated OHCA, participants were interviewed to collect reflections on their reaction and then debriefed by a psychologist. One month later, appearance of posttraumatic stress disorder was requested by mail. Results: The primary outcome was the timing and helping behavior of the layperson. Five of 16 participants noticed the casualty within 40 seconds after collapse and initiated immediate help. Two participants provided no help, although they had noticed the collapsed person. The second outcome was the participants’ reflection on their response to the simulated emergency. The main reasons for delayed helping behavior were a lack of cardiac arrest recognition, misinterpretation of the emergency, bystander effect, and distraction by the deceptive task. Conclusion: Results show the need for public awareness regarding the recognition of cardiac arrest and correct interpretation of an emergency. https://firstaidjournal.org/article/id/2611/basic life supportearly recognitionlay personbystander effectOut of hospital cardiac arrestfirst aid
spellingShingle Fran Wyffels
Geert Brône
Nathalie Charlier
Peter Iserbyt
Stijn De Beugher
Tessy Boedt
Toon Goedemé
Initial bystander response to a simulated out-of-hospital cardiac arrest
International Journal of First Aid Education
basic life support
early recognition
lay person
bystander effect
Out of hospital cardiac arrest
first aid
title Initial bystander response to a simulated out-of-hospital cardiac arrest
title_full Initial bystander response to a simulated out-of-hospital cardiac arrest
title_fullStr Initial bystander response to a simulated out-of-hospital cardiac arrest
title_full_unstemmed Initial bystander response to a simulated out-of-hospital cardiac arrest
title_short Initial bystander response to a simulated out-of-hospital cardiac arrest
title_sort initial bystander response to a simulated out of hospital cardiac arrest
topic basic life support
early recognition
lay person
bystander effect
Out of hospital cardiac arrest
first aid
url https://firstaidjournal.org/article/id/2611/
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AT peteriserbyt initialbystanderresponsetoasimulatedoutofhospitalcardiacarrest
AT stijndebeugher initialbystanderresponsetoasimulatedoutofhospitalcardiacarrest
AT tessyboedt initialbystanderresponsetoasimulatedoutofhospitalcardiacarrest
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