Open AccessThe impact of bystander cardiopulmonary resuscitation on patients with out-of-hospital cardiac arrests
Author(s) -
Fang-Yu Liou,
KungHung Lin,
ChianShiu Chien,
WanTing Hung,
YiYing Lin,
YiPing Yang,
Lai Wei,
Tzu-Wei Lin,
Shu-Hung Kuo,
Wei-Chun Huang
Publication year - 2021
Publication title -
journal of the chinese medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.535
H-Index - 42
eISSN - 1728-7731
pISSN - 1726-4901
DOI - 10.1097/jcma.0000000000000630
Subject(s) - medicine , bystander effect , cardiopulmonary resuscitation , return of spontaneous circulation , resuscitation , psychological intervention , emergency medicine , intensive care medicine , medical emergency , nursing , immunology
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.