Cardiopulmonary Resuscitation (CPR)

Cardiopulmonary Resuscitation (CPR) – Psychologically or Socially Feasible?

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The experts, for the very first time, have given a crisp review of the experience of the lay people who have successfully performed CPR (cardiopulmonary resuscitation). Therein, they have thrown light on their perspectives regarding training, factors inspiring them to take action, and the psychological impact that witnessing as well as responding to cardiac arrest has.

The American Heart Association has released a new Scientific Statement entitled “Understanding the Importance of the Lay Responder Experience in Out-of-Hospital Cardiac Arrest”. The Association’s peer-reviewed, flagship journal called “Circulation”. It is a known fact that the American Heart Association leads with respect to resuscitation science when it comes to training and education. It is also authorized to officially publish Guidelines for CPR and Emergency Cardiovascular Care.

Handling Dysfunctionality of Heart

Abrupt cardiac arrest comes across as the heart getting dysfunctional unexpectedly, along with consciousness and breathing going haywire. This could also be termed as a consequence of an electric disturbance (an arrhythmia) in heart. Also, taking action on an immediate basis on this count does improve the patient’s chances of survival. The CPR could thus help in continuous pumping of blood into heart till defibrillator is made available for restoring heart to normalcy.

It could be inferred that the one witnessing cardiac arrest outside the hospital settings could go for CPR. Majority of cardiac arrest does occur in private residences or homes. In such a scenario, a family member of friend should be the one coming forward to perform CPR.

Research states that the US alone witnesses close to 350K people suffer from abrupt cardiac arrest outside the hospitals. In North America, rate of the bystanders is nearly 39-44%. Furthermore, only 10% of the people manage to live through an out-of-hospital cardiac arrest.

Bystander CPR

Excessive research is being conducted regarding effectiveness on the part of bystander CPR coupled with work on type and amount of training that could be termed as “effective”. However, it has been observed that very few bystanders are proactive on the count of going for CPR in case of cardiac arrest. The Association has put forth the figures to raise an alarm about the importance of bystander CPR.

As per Katie N. Dainty, Ph.D. Research Chair at North York General Hospital (and also one of the associate professors in the Institute of Health Policy, Management & Evaluation at the University of Toronto), people need to listen to and learn from experiences of the lay responders for truly improving the way we train, support, and encourage the future responders. He has also gone on records to state that it’s imperative to acknowledge what might exactly be confusing to public regarding the recognition of cardiac arrest and also understand psychological barriers playing a role in the process of decision-making of whether going for CPR would be the feasible thing to do or not.

Along with the above-mentioned measures, people should be prepared on the emotional count as well regarding coping up with aftereffects of performing CPR.

In all, an amalgamation of psychology and sociology would be needed for performing CPR.

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