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• W2149058758 abstract "Study Objectives: Prompt administration of cardiopulmonary resuscitation (CPR) and defibrillation greatly improve survival for victims of sudden cardiac arrest. The goal of this study was to quantify attitudes among an urban police force toward basic life support (BLS), including CPR and automatic external defibrillators (AEDs). To help improve positive attitudes toward chest compression (CC) and use of AEDs, we explored the effect of a 10-minute CPR/AED training video. Methods: We administered a 3-part, online survey via Surveymonkey™ to Chicago Police Department (CPD) Officers through CPD's e-learning curriculum. Part 1 queried demographic variables. Part 2 assessed prior experience in CPR and with AEDs. Part 3 (pretest) evaluated attitudes toward mouth-to-mouth ventilation (MTM), CC, and AEDs in a hypothetical scenario involving a victim of presumed cardiac arrest. Several victim categories were assessed: family, co-worker, stranger, and those with perioral contamination. Part 3 was repeated (posttest) after participants viewed a 10-minute CPR/AED training video discussing the use of CC-only CPR and AEDs. The primary outcome measure was proportion of participants who reported being “very likely” on a 5-pt Likert scale to do CC or use an AED on a victim who is a stranger. Means and proportions are reported with 95% confidence intervals. Results: Over a 1-month period, 2615 pretest and 2542 posttest survey entries were collected. A total of 1616 participants (63.6%, 95%CI 61.7 to 65.4) responded with complete, correctly matched data. Mean age was 44.7 years (95%CI 44.3 to 45.1), mean CPD experience was 16.9 years (95%CI 16.5 to 17.2), and the sample was 74.6% male (95%CI 72.4 to 76.6). Most (58.4%, 95%CI 55.9 to 60.7) had a Bachelors degree or higher. Seven percent (95%CI 5.9 to 8.3) had up-to-date formal BLS certification, 4.8% (95%CI 3.8 to 5.9) had recent BLS certification (2y after expiration) or no BLS certification. The vast majority of participants had never performed MTM (92.8%, 95%CI 91.4 to 93.9) or CC (88.2%, 95%CI 86.5 to 89.7) or used an AED (98.8%, 95%CI 98.2 to 99.3). After viewing the training video, the number of participants who reported being very likely to do CC on a stranger victim rose from 48.8% to 68.0%, an improvement of 19.2% (95%CI 15.8 to 22.5). The proportion of those very likely to use an AED on a stranger improved from 45.8% to 68.3%, a difference of 22.5% (95%CI 19.1 to 25.8). Similar results were seen in victims with perioral contamination: very likely to perform CC rose from 37.3% to 55.3% (+18.0%, 95%CI 14.6 to 21.4) and those very likely to use an AED went from 39.2% to 60.9% (+21.7%, 95%CI 18.3 to 25.1). Likelihood of MTM performance was not significantly changed in either of these victim categories. Likelihood of performance of CC and use of AED increased significantly in all victim categories after the intervention. Conclusion: Among a population of well-educated public servants, most report little real-life experience with CPR and AED use and exhibit an initial hesitancy to perform these interventions on strangers. A brief training video increased self-reported likelihood of these urban police officers to perform CC and use an AED in victims of presumed cardiac arrest." @default.
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• W2149058758 date "2012-10-01" @default.
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• W2149058758 title "210 Effect of Video Self-instruction Training on Law Enforcement Attitudes Toward Cardiopulmonary Resuscitation and Automated External Defibrillators" @default.
• W2149058758 doi "https://doi.org/10.1016/j.annemergmed.2012.06.188" @default.
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