• J Chin Med Assoc · Dec 2021

    The Impact of Bystander CPR on Patients with Out-of-Hospital Cardiac Arrests.

    • Fang-Yu Liou, Kun-Chang Lin, Chian-Shiu Chien, Wan-Ting Hung, Yi-Ying Lin, Yi-Ping Yang, Wei-Yi Lai, Tzu-Wei Lin, Shu-Hung Kuo, and Wei-Chun Huang.
    • Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
    • J Chin Med Assoc. 2021 Dec 1; 84 (12): 1078-1083.

    AbstractOut-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.Copyright © 2021, the Chinese Medical Association.

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