作者: Justin Mausz , Paul Snobelen , Walter Tavares
DOI: 10.1161/CIRCOUTCOMES.117.004035
关键词:
摘要: Background: Bystander cardiopulmonary resuscitation (CPR) is an important determinant of survival from out-of-hospital cardiac arrest (OHCA), yet rates bystander CPR are highly variable. In effort to promote CPR, the procedure has been streamlined, and ultrashort teaching modalities have introduced. increasingly reconceptualized as simple, safe, easy perform; however, current methods instruction may not adequately prepare lay rescuers for various logistical, conceptual, emotional challenges resuscitating a victim arrest. Methods Results: We adopted constructivist grounded theory methodology qualitatively explore invited who had recently (ie, within 1 week) intervened in OHCA participate semistructured interviews focus groups. used constant comparative analysis until theoretical saturation derive midrange explanatory CPR. constructed 3-stage model describing common experiential process rescuer intervention OHCA: Being called act disturbing, causing panic, shock, disbelief that must ultimately be overcome. Taking action save complicated by several misconceptions about arrest, where victims mistakenly believed choking, agonal respirations misinterpreted mean alive. Making sense experience challenging, at least short term, contend with self-doubt, unanswered questions, uncomfortable reactions traumatic event. Conclusions: Our study suggests training programs reality identifies key knowledge gaps should addressed. The long-term psychological consequences remain poorly understood warrant further study.