The Recognition Capability of Cardiac Arrest for Lay Person, Nurse and Dispatcher: A Comparison Study through the Video Question.
- Author:
Taewan KIM
1
;
Youngsuk CHO
;
Jinhyuck LEE
;
Hyunmin CHA
;
Hyunjung LEE
;
Daehee CHOI
;
Gyu Chong CHO
Author Information
1. Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea. emdrcho@empas.com
- Publication Type:Original Article
- Keywords:
Cardiopulmonary resuscitation;
Cardiac arrest;
Respiration;
Recognition
- MeSH:
Cardiopulmonary Resuscitation;
Health Personnel;
Heart Arrest*;
Humans;
Respiration;
Seizures
- From:Journal of the Korean Society of Emergency Medicine
2017;28(6):635-642
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The rapid recognition of cardiac arrest is an important factor for survival in cardiac arrest patients, and gasping is a primary barrier to the recognition of a cardiac arrest. This study examined differences in capability of recognizing a cardiac arrest and gasping among lay people, hospital nurses, and medical dispatchers. METHODS: From January to July 2016, 193 participants (65 lay people 62 hospital nurses, and 66 medical dispatchers) watched video clips of a collapsed virtual patient with unresponsiveness, gasping or seizure and answered a questionnaire asking whether the patient was in cardiac arrest or not. The results of the questionnaire were analyzed and compared among the groups. RESULTS: The total score of the questionnaire on the determination of cardiac arrest among lay people, nurses, and medical dispatchers were significant (3.09±1.43 vs. 4.15±1.22 vs. 4.45±1.29 points, p < 0.01). In the questions regarding cardiac arrest with gasping, the correct answer rate was highest in the dispatchers, followed in order by nurses and lay people (82.5% vs. 54.8% vs. 29.7%, p < 0.001). CONCLUSION: In this study, lay people had the lowest recognition capability of a cardiac arrest and gasping among the groups. In addition, gasping is a meaningful barrier to cardiac arrest recognition for both lay people and healthcare providers.