BLS courses for refugees are feasible and induce commitment towards lay rescuer resuscitation.


Journal

European journal of clinical investigation
ISSN: 1365-2362
Titre abrégé: Eur J Clin Invest
Pays: England
ID NLM: 0245331

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 29 05 2021
received: 30 04 2021
accepted: 26 06 2021
pubmed: 30 6 2021
medline: 18 3 2022
entrez: 29 6 2021
Statut: ppublish

Résumé

High-quality Basic Life Support (BLS), the first step in the Utstein formula for survival, needs effective education for all kinds of population groups. The feasibility of BLS courses for refugees is not well investigated yet. We conducted BLS courses including automated external defibrillator (AED) training for refugees in Austria from 2016 to 2019. Pre-course and after course attitudes and knowledge towards cardiopulmonary resuscitation (CPR) were assessed via questionnaires in the individuals' native languages, validated by native speaker interpreters. We included 147 participants (66% male; 22 [17-34] years; 28% <18 years) from 19 countries (74% from the Middle East). While the availability of BLS courses in the participants' home countries was low (37%), we noted increased awareness towards CPR and AED use after our courses. Willingness to perform CPR increased from 25% to 99%. A positive impact on the participants' perception of integration into their new environment was noted after CPR training. Higher level of education, male gender, age <18 years and past traumatizing experiences positively affected willingness or performance of CPR. BLS education for refugees is feasible and increases their willingness to perform CPR in emergency situations, with the potential to improve survival after cardiac arrest. Individuals with either past traumatizing experiences, higher education or those <18 years might be eligible for advanced life support education. Interestingly, these BLS courses bear the potential to foster resilience and integration. Therefore, CPR education for refuge should be generally offered and further evaluated.

Sections du résumé

BACKGROUND BACKGROUND
High-quality Basic Life Support (BLS), the first step in the Utstein formula for survival, needs effective education for all kinds of population groups. The feasibility of BLS courses for refugees is not well investigated yet.
METHODS METHODS
We conducted BLS courses including automated external defibrillator (AED) training for refugees in Austria from 2016 to 2019. Pre-course and after course attitudes and knowledge towards cardiopulmonary resuscitation (CPR) were assessed via questionnaires in the individuals' native languages, validated by native speaker interpreters.
RESULTS RESULTS
We included 147 participants (66% male; 22 [17-34] years; 28% <18 years) from 19 countries (74% from the Middle East). While the availability of BLS courses in the participants' home countries was low (37%), we noted increased awareness towards CPR and AED use after our courses. Willingness to perform CPR increased from 25% to 99%. A positive impact on the participants' perception of integration into their new environment was noted after CPR training. Higher level of education, male gender, age <18 years and past traumatizing experiences positively affected willingness or performance of CPR.
CONCLUSION CONCLUSIONS
BLS education for refugees is feasible and increases their willingness to perform CPR in emergency situations, with the potential to improve survival after cardiac arrest. Individuals with either past traumatizing experiences, higher education or those <18 years might be eligible for advanced life support education. Interestingly, these BLS courses bear the potential to foster resilience and integration. Therefore, CPR education for refuge should be generally offered and further evaluated.

Identifiants

pubmed: 34185325
doi: 10.1111/eci.13644
pmc: PMC9285446
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13644

Informations de copyright

© 2021 The Authors. European Journal of Clinical Investigation published by John Wiley & Sons Ltd on behalf of Stichting European Society for Clinical Investigation Journal Foundation.

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Auteurs

Sebastian Schnaubelt (S)

Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Zurück ins Leben, Association for First Aid Courses for Migrants, Vienna, Austria.
Austrian Cardiac Arrest Awareness Association-PULS, Vienna, Austria.

Benedikt Schnaubelt (B)

Zurück ins Leben, Association for First Aid Courses for Migrants, Vienna, Austria.

Arnold Pilz (A)

Zurück ins Leben, Association for First Aid Courses for Migrants, Vienna, Austria.
Department of Pulmonology, Clinic Penzing, Vienna Healthcare Group, Vienna, Austria.

Julia Oppenauer (J)

Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.

Erdem Yildiz (E)

Zurück ins Leben, Association for First Aid Courses for Migrants, Vienna, Austria.
Department of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria.

Christoph Schriefl (C)

Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Austrian Cardiac Arrest Awareness Association-PULS, Vienna, Austria.

Florian Ettl (F)

Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Austrian Cardiac Arrest Awareness Association-PULS, Vienna, Austria.

Mario Krammel (M)

Austrian Cardiac Arrest Awareness Association-PULS, Vienna, Austria.
Emergency Medical Service Vienna, Vienna, Austria.

Rakesh Garg (R)

All India Institute of Medical Sciences, New Delhi, India.

Alexander Niessner (A)

Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.

Robert Greif (R)

Department of Anaesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
School of Medicine, Sigmund Freud University Vienna, Vienna, Austria.

Hans Domanovits (H)

Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Austrian Cardiac Arrest Awareness Association-PULS, Vienna, Austria.

Patrick Sulzgruber (P)

Austrian Cardiac Arrest Awareness Association-PULS, Vienna, Austria.
Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.

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