Describing out-of-hospital cardiac arrest to improve recognition

Alberta Academic Review

View Publication Info
 
 
Field Value
 
Title Describing out-of-hospital cardiac arrest to improve recognition
 
Creator Picard, Christopher Thomas
Yun, Zhou
Douma, Matthew J
 
Subject recognition
response
emergency dispatch
out-of-hospital cardiac arrest
cardiac arrest
CPR
 
Description Introductions
 
Out-of-hospital cardiac arrests (OOHCA) often go untreated by lay-rescuers. One barrier to response is poor recognition. This study’s purpose is to describe OOHCA using publicly available videos.
 
Materials and Methods
 
26 of the internet’s most popular video-hosting and social media platforms were consecutively searched in English and Chinese August 3rd to January 20th, 2018 until each site returned 100 consecutive unrelated videos.
 
Video inclusion required: i) medium to high definition video quality (>360p and >10 frames per second), ii) that cardiac arrest be confirmed from two sources (i.e. news, social media, etc.), iii) 100% reviewer agreement on pre-arrest and post-arrest signs, and iv) arrest have non-traumatic etiology.
 
Results
 
821 videos were identified; 165 videos met inclusion criteria and underwent content analysis. 68, victims (41%) exhibited pre-arrest signs: 34 (21%) had unsteady gait; 42 (26%) touched their head or neck; and 33 (20%) hip-flexed or squatted prior to collapse. After collapse, 97 (59%) exhibited signs of life such as agonal breathing (71, 43%) or posturing/convulsions (39, 24%).
 
Most common lay-responses were: 38 (28%) victims were shaken, 28 (17%) received chest compression(s), 18 (11%) had their head held, 17 (10%) were unsuccessfully lifted to a standing position, 9 (5%) had their legs raised, and 5 (3%) had an AED applied.
 
Discussion
 
Analysis suggests three times as many victims of cardiac arrest show some signs of life compared to no signs of life, and that bystander response is poor. Publicly available videos offer rich examples of what OOCHA collapse and resuscitation look like and could inform training.
 
Publisher Alberta Academic Review Ltd
 
Date 2019-10-17
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://albertaacademicreview.com/index.php/aar/article/view/90
10.29173/aar90
 
Source Alberta Academic Review; Vol 2 No 3 (2019): CASCH Special Issue; 8
2561-5335
2561-5327
 
Language eng
 
Relation https://albertaacademicreview.com/index.php/aar/article/view/90/57
 
Rights Copyright (c) 2019 Christopher Thomas Picard, Mr., Zhou Yun, Matthew J Douma, Dr., Asst. Prof.
https://creativecommons.org/licenses/by/4.0
 

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