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Review paper
Received: 29.01.2022. >> Accepted: 10.03.2022. >> Published: 02.07.2022. Biochemistry
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https://doi.org/10.17392/1472-22

Bystanders’ cardiopulmonary resuscitation involvement in the treatment of out-of-hospital cardiac arrest events and educational status regarding basic life support measures and automated external defibrillator usage among residents in Canton Sarajevo, Bos

By
Adem Zalihić ,
Adem Zalihić

Emergency Medical Service of Canton Sarajevo , Sarajevo , Bosnia and Herzegovina

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Armin Šljivo Orcid logo ,
Armin Šljivo
Contact Armin Šljivo

Emergency Medical Service of Canton Sarajevo , Sarajevo , Bosnia and Herzegovina

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Emina Ribić ,
Emina Ribić

Emergency Medical Service of Canton Sarajevo , Sarajevo , Bosnia and Herzegovina

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Aida Gavranović ,
Aida Gavranović

Emergency Medical Service of Canton Sarajevo , Sarajevo , Bosnia and Herzegovina

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Lejla Brigić
Lejla Brigić

Department of Cardiology, Clinical Centre of University of Sarajevo , Sarajevo , Bosnia and Herzegovina

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Abstract

Aim
To investigate bystanders’ CPR involvement in out-of-hospital cardiac arrest (OHCA) events, their current knowledge regarding OHCA and BLS measures, their willingness to learn BLS measures with the usage of AEDs, as well as current practices.
Methods
This cross-sectional study included: data regarding all OHCA events treated at the Emergency Medical Service of Canton
Sarajevo between January 2015 and December 2019, and an online anonymous questionnaire that examined knowledge, attitudes and practices regarding basic life support (BLS) and automated external defibrillators (AEDs).
Results
A total of 328 (24.0 %) of 1362 OHCA events achieved the return of spontaneous circulation (ROSC). OHCA incidence was 62/100.000 inhabitants per year. Male gender (p=0.043) and younger age (p<0.001) were significantly associated with obtaining ROSC. Only 44 (3.2%) OHCA events were assisted by bystanders, who were mostly medical professionals 38 (86.4%), followed by close family members 6 (13.6%). There was no report of AED usage. BLS and AED knowledge test score was in the range 12.0-89.8% with generally poor knowledge. Our residents agreed that BLS measurements are essential, 1604 (86.7 %) and that BLS should be a part of their curriculum, 1678 (90.7 %).
Conclusion
The prevalence of OHCA events in Bosnia and Herzegovina is similar to the region; ROSC among OHCA events was
lower than European average, but among highest in the region. There was an extremely low rate of bystander engagement and no AEDs usage. Governmental institutions and health agencies should intervene to increase population knowledge thus increasing OHCA survival rate.

Keywords:

CPR,
heart arrest,
out-of-hospital cardiac arrest,
return of spontaneous circulation

References

1.
Myat A, Song K, Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;970–9.
2.
European Registry of Cardiac Arrest-Study TWO (EuReCa TWO). 2022;
3.
Yan S, Gan Y, Jiang N, Wang R, Chen Y, Luo Z, et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Crit Care. 2020;61.
4.
Semeraro F, Greif R, Böttiger B, Burkart R, Cimpoesu D, Georgiou M, et al. European Resuscitation Council Guidelines 2021: systems saving lives. Resuscitation. 2021;80–97.
5.
Rhee B, Kim B, Lee Y. Effects of prehospital factors on survival of out-of-hospital cardiac arrest patients: age-dependent patterns. Int J Environ. 2020;5481.
6.
Larribau R, Deham H, Niquille M, Sarasin F. Improvement of out-of-hospital cardiac arrest survival rate after implementation of the 2010 resuscitation guidelines. PLoS One. 2018;204169.
7.
Shinozaki K, Nonogi H, Nagao K, Becker L. Strategies to improve cardiac arrest survival: a time to act. AMS. 2016;61–4.
8.
Yunus M, Mishra A, Karim H, Raphael V, Ahmed G, Myrthong C. Knowledge, attitude and practice of basic life support among junior doctors and students in a tertiary care medical institute. Int J Res Med Sci. 2015;3644–50.
9.
Gräsner J, Lefering R, Koster R, Masterson S, Böttiger B, Herlitz J, et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016;188–95.
10.
Oving I, Blom M, Tan H. Sex differences in out-ofhospital cardiac arrest. Aging. 2020;5588–9.
11.
Huang L, Ho Y, Tsai M, Wu W, Cheng F. Response time threshold for predicting outcomes of patients with out-of-hospital cardiac arrest. Emerg Med Int. 2021;1–6.
12.
Subki A, Mortada H, Alsallum M, Alattas A, Almalki M, Hindi M, et al. Basic Life Support Knowledge Among a Nonmedical Population in Jeddah, Saudi Arabia: Cross-Sectional Study. Interact. J Med Res. 2018;1042.
13.
Rajapakse R, Noč M, Kersnik J. Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wien Klin Wochenschr. 2010;667–72.
14.
Birkun A, Gautam A, Trunkwala F. Global prevalence of cardiopulmonary resuscitation training among the general public: a scoping review. Clin Exp Emerg Med. 2021;(4):255–67.
15.
Kayipmaz A, Akpınar C, Altıparmak N, Kavalcı C, Gedik H, Aydoğdu C, et al. Cardiopulmonary resuscitation training improves the quality of basıc life support provided by untrained rescuers with dispatcher guidance. KÜ Tıp Fak Derg. 2017;55–9.

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