Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic-Single-Center Study

doi:10.3390/jcm13020438

. 2024 Jan 13;13(2):438.

doi: 10.3390/jcm13020438.

Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic-Single-Center Study

Filip Jaskiewicz¹, Wojciech Timler², Jakub Panasiuk¹, Katarzyna Starosta¹, Marcin Cierniak¹, Remigiusz Kozlowski³, Monika Borzuchowska³, Klaudiusz Nadolny⁴, Dariusz Timler¹

Affiliations

¹ Emergency Medicine and Disaster Medicine Department, Medical University of Lodz, 90-419 Lodz, Poland.
² Department of Family Medicine, Medical University of Lodz, 90-419 Lodz, Poland.
³ Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland.
⁴ Department of Emergency Medical Service, Faculty of Medicine, Silesian Academy in Katowice, 40-555 Katowice, Poland.

PMID: 38256572
PMCID: PMC10816474
DOI: 10.3390/jcm13020438

Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic-Single-Center Study

Filip Jaskiewicz et al. J Clin Med. 2024.

. 2024 Jan 13;13(2):438.

doi: 10.3390/jcm13020438.

Authors

Filip Jaskiewicz¹, Wojciech Timler², Jakub Panasiuk¹, Katarzyna Starosta¹, Marcin Cierniak¹, Remigiusz Kozlowski³, Monika Borzuchowska³, Klaudiusz Nadolny⁴, Dariusz Timler¹

Affiliations

¹ Emergency Medicine and Disaster Medicine Department, Medical University of Lodz, 90-419 Lodz, Poland.
² Department of Family Medicine, Medical University of Lodz, 90-419 Lodz, Poland.
³ Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland.
⁴ Department of Emergency Medical Service, Faculty of Medicine, Silesian Academy in Katowice, 40-555 Katowice, Poland.

PMID: 38256572
PMCID: PMC10816474
DOI: 10.3390/jcm13020438

Abstract

Most of the studies in the field of willingness and barriers to resuscitation (CPR) were conducted before the SARS-CoV-2 pandemic. The aim of the study was to assess the number and types of barriers to CPR among medical students after the pandemic ended. This study was based on a survey. The data was collected from 12 April 2022 to 25 May 2022. A total of 509 complete questionnaires were obtained. The number of barriers depending on the time elapsed from the last CPR course did not differ significantly (Me = 4 [IQR 2-6] vs. Me = 5 [IQR 3-7]; p = 0.054, respectively). The number of all barriers reported by respondents differed significantly and was higher in those reporting fear of coronavirus (Me = 4 [IQR 2-6] vs. Me = 7 [IQR 4-9]; p < 0.001, respectively). A total of 12 out of all 23 barriers were significantly more frequent in this group of respondents. Barriers to CPR are still common among medical students, even despite a high rate of CPR training. The pandemic significantly affected both the number and frequency of barriers. The group of strangers and children, as potential cardiac arrest victims, deserve special attention. Efforts should be made to minimize the potentially modifiable barriers.

Keywords: CPR; cardiopulmonary resuscitation; education; out-of-hospital cardiac arrest; resuscitation.

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Conflict of interest statement

F.J. is the founder, medical consultant, and co-constructor of the “ECO CPR” project, financed by the program “Innovation Incubator 4.0” as part of the non-competitive project entitled “Support for the management of scientific research and commercialization of the results of R&D works in scientific units and enterprises” under the Intelligent Development Operational Program 2014–2020 (Measure 4.4). There is no other conflict of interest or financial relationship with manufacturers or products to declare. D.T. is the President of the Polish Society for Emergency Medicine (2023–2027). Other authors have no conflicts of interest to declare.

Figures

**Figure 1**
The concept of continuous construction of “the bridge of survival”.

See this image and copyright information in PMC

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[1] Gräsner J.T., Herlitz J., Tjelmeland I.B.M., Wnent J., Masterson S., Lilja G., Bein B., Böttiger B.W., Rosell-Ortiz F., Nolan J.P., et al. European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation. 2021;161:61–79. doi: 10.1016/j.resuscitation.2021.02.007. - DOI - PubMed

[2] Gräsner J.T., Herlitz J., Tjelmeland I.B.M., Wnent J., Masterson S., Lilja G., Bein B., Böttiger B.W., Rosell-Ortiz F., Nolan J.P., et al. European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation. 2021;161:61–79. doi: 10.1016/j.resuscitation.2021.02.007. - DOI - PubMed

[3] Kiguchi T., Okubo M., Nishiyama C., Maconochie I., Ong M.E.H., Kern K.B., Wyckoff M.H., McNally B., Christensen E.F., Tjelmeland I., et al. Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR) Resuscitation. 2020;152:39–49. doi: 10.1016/j.resuscitation.2020.02.044. - DOI - PubMed

[4] Kiguchi T., Okubo M., Nishiyama C., Maconochie I., Ong M.E.H., Kern K.B., Wyckoff M.H., McNally B., Christensen E.F., Tjelmeland I., et al. Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR) Resuscitation. 2020;152:39–49. doi: 10.1016/j.resuscitation.2020.02.044. - DOI - PubMed

[5] Panchal A.R., Bartos J.A., Cabañas J.G., Donnino M.W., Drennan I.R., Hirsch K.G., Kudenchuk P.J., Kurz M.C., Lavonas E.J., Morley P.T., et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142((Suppl. 2)):S366–S468. doi: 10.1161/CIR.0000000000000916. - DOI - PubMed

[6] Panchal A.R., Bartos J.A., Cabañas J.G., Donnino M.W., Drennan I.R., Hirsch K.G., Kudenchuk P.J., Kurz M.C., Lavonas E.J., Morley P.T., et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142((Suppl. 2)):S366–S468. doi: 10.1161/CIR.0000000000000916. - DOI - PubMed

[7] Olasveengen T.M., Semeraro F., Ristagno G., Castren M., Handley A., Kuzovlev A., Monsieurs K.G., Raffay V., Smyth M., Soar J., et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021;161:98–114. doi: 10.1016/j.resuscitation.2021.02.009. - DOI - PubMed

[8] Olasveengen T.M., Semeraro F., Ristagno G., Castren M., Handley A., Kuzovlev A., Monsieurs K.G., Raffay V., Smyth M., Soar J., et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021;161:98–114. doi: 10.1016/j.resuscitation.2021.02.009. - DOI - PubMed

[9] Shimamoto T., Kiyohara K., Matsuyama T., Kitamura T., Kiguchi T., Nishiyama C., Kobayashi D., Okabayashi S., Kawamura T., Iwami T. Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest. Int. Heart J. 2020;61:46–53. doi: 10.1536/ihj.19-301. - DOI - PubMed

[10] Shimamoto T., Kiyohara K., Matsuyama T., Kitamura T., Kiguchi T., Nishiyama C., Kobayashi D., Okabayashi S., Kawamura T., Iwami T. Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest. Int. Heart J. 2020;61:46–53. doi: 10.1536/ihj.19-301. - DOI - PubMed

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Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic-Single-Center Study

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Willingness and Barriers to Undertaking Cardiopulmonary Resuscitation Reported by Medical Students after the SARS-CoV-2 Pandemic-Single-Center Study

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