Barr, Gavin C, Jr.  MD

Dowling, Nicholas M, DO

Greenberg, Marna R, DO, MPH, FACEP

Hamilton, Kimberly, BA

Rupp, Valerie, RN, BSN

Sears, Jennifer L, DO

Weaver, Kevin, DO

Willardson, Jon D, DO

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Emergency MedicineCardiopulmonary Resuscitation: Is the EmergencyDepartment Visit an Opportunity to RecommendEducation? (Poster)Marna R. Greenberg DO, MPH, FACEPLehigh Valley Health Network, marna.greenberg@lvhn.orgGavin C. Barr Jr. MDLehigh Valley Health Network, Gavin.Barr_jr@lvhn.orgJon D. Willardson DOLehigh Valley Health Network, Jon_D.Willardson@lvhn.orgNicholas M. Dowling DOLehigh Valley Health Network, Nicholas_M.Dowling@lvhn.orgJennifer L. Sears DOLehigh Valley Health Network, Jennifer_L.Sears@lvhn.orgSee next page for additional authorsFollow this and additional works at: http://scholarlyworks.lvhn.org/emergency-medicinePart of the Cardiology Commons, Emergency Medicine Commons, and the Medical EducationCommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtGreenberg, M., Barr, G., Willardson, J., Dowling, N., Sears, J., Rupp, V., Hamilton, K., & Weaver, K. (2012, June 1-5). CardiopulmonaryResuscitation: Is the Emergency Department Visit an Opportunity to Recommend Education?. Poster presented at: The SAEM AnnualMeeting, Boston, MA.Greenberg, M., Barr, G., Willardson, J., Dowling, N., Sears, J., Rupp, V., Hamilton, K., & Weaver, K. (2012, June 1-5). CardiopulmonaryResuscitation: Is the Emergency Department Visit an Opportunity to Recommend Education?. Poster presented at: The ACOEP, Denver,CO (October 2012)AuthorsMarna R. Greenberg DO, MPH, FACEP; Gavin C. Barr Jr. MD; Jon D. Willardson DO; Nicholas M. DowlingDO; Jennifer L. Sears DO; Valerie Rupp RN, BSN; Kimberly Hamilton BA; and Kevin Weaver DOThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/emergency-medicine/194Lehigh Valley Health Network, Allentown, PennsylvaniaCardiopulmonary Resuscitation:  Is the Emergency Department Visit an Opportunity to Recommend Education?Marna Rayl Greenberg, DO, MPH; Gavin C. Barr, Jr, MD; Jon D. Willardson, DO; Nicholas M. Dowling, DO; Jennifer L. Sears, DO; Valerie Rupp, MSN, CRNP; Kimberly Hamilton, BA; Kevin R. Weaver, DOBackgroundFigures and OutcomesResultsThe mean age of the 129 study participants was 44.7 years; 80 (62.0%) were female and 49 (38.0%) were male.  Eighty-three percent (n=107) of the participants reported having access to a primary care physician and 87% (n=112) had health insurance.  Seven participants (5.4%) had a personal history of a heart attack, while 68 (52.7%) reported a positive family history of heart attacks.  Sixty percent of the participants (n=77) rated importance of personal knowledge of CPR a “10,” on a scale from 1 to 10 (not very important to very important).  When asked the importance of their family members knowing CPR, 85 respondents (65.9%) also rated it a “10” on the same scale.  Despite this overall perceived importance, males reported significantly lower importance levels than females.  Fifty-nine of the 80 female participants (73.8%) gave the highest score for CPR personal importance, whereas only 18 of the 49 male participants (36.7%) responding similarly (p=0.004).  Comparable results were observed for CPR importance for family members with 77% of females and 46.9% of males responding with the highest score (p=0.02).  At the three-month follow-up, 14 participants (10.8%) either refused to continue to participate or could not be located.  Of the 115 remaining participants, 31 (26.9%) completed the kit at home; 16 were females (22.2%) and 15 male (34.9%), (p=0.14). There were five subjects enrolled that did not complete the kit, but had a family member do so; they were all men whose wives completed the kit.  In addition, 18 of the participants gave the CPR kit to 19 additional persons (multiplier effect).  References:1.  Herlitz J, Svensson L, Holmberg S, Angquist K, Young M. Efficacy of bystander CPR: intervention by lay people and by health care professionals. Resuscitation 2005;66:291–95.2.  Stiell IG, Wells GA, Field B, et al., Ontario Prehospital Advanced Life Support Study Group. Advanced cardiac life support in outof-hospital cardiac arrest. N Engl J Med 2004;351:647–56.3.  American Heart Association. CPR & sudden cardiac arrest fact sheet [as of April 26, 2010]. Available at: http://www.heart.org/HEARTORG/CPRAndECC/WhatisCPR/CPRFactsandStats/CPRStatistics_UCM_307542_Article.jsp. Accessed August 24, 2010.4.  American Heart Association. Out of hospital cardiac arrest statistics: Statistical fact sheet [2009 update]. Available at: http://www.americanheart.org/presenter.jhtml?identifier=3008699. Accessed August 24, 2010.The American Heart Association wants to increase the number of citizens who know how to perform cardiopulmonary resuscitation (CPR).   It is unknown whether providing educational materials to patients in the Emergency Department (ED) to learn CPR is effective. ObjectiveWe sought to determine if patients and their families would complete a CPR AnytimeTM kit if it was given to them, at no expense, during their ED visit.MethodsThis was a prospective, pilot study of a convenience sample of patients who presented to a tertiary, suburban Level-One trauma center with a yearly census of 75,000.  After informed consent was obtained, CPR-naïve adult participants were given a CPR Anytime™ self learning kit, which consists of a CPR mannequin and a 22-minute DVD.  Approximately three months after their ED visit, a telephone follow-up survey assessed self-reported completion of the kit at home by study participants, and/or friends and family.  Descriptive frequencies and graphical methods were used to describe survey responses.  Between-group comparisons for categorical variables were completed using Pearson’s chi-square.  Wilcoxon rank-sum test was used to evaluate differences in median CPR importance responses between participant genders.  Significance was set at α <0.05.  All statistical tests were two-sided.  Stata version 10.1 (Stata Corporation, College Station, Texas) and SPSS version 15 (SPSS Inc., Chicago) were used for all analyses.  ConclusionsThe majority of ED patients report that knowing how to perform CPR for both themselves and their families is very important.  However, a minority of these same patients and their families are motivated to complete a CPR AnytimeTM kit, even when provided at no expense to them.  The benefit to the few who learn CPR from this type of effort must be offset by the program cost.10090807060504030201001 2 3 4 5 6 7 8 9 10PercentN ot Im portan t E xtrem e ly Im portan t1 2 3 4 5 6 7 8 9 10E xtrem e ly Im portan tN o t Im portan tCPR Important for You CPR Important for FamilyFigure 1 - CPR Treatment StatisticsFigure 2 - Percentage of CPR Kit Utilization0%10%20%30%40%50%60%70%80%90%100%TotalParticipantsFemales Males Insured UninsuredPercentage of CPR Kit UtilizationCPR Treatment KitFamiy and Friends

Cardiopulmonary Resuscitation: Is the Emergency Department Visit an Opportunity to Recommend Education? (Poster)

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1193&context=emergency-medicine

Cardiopulmonary Resuscitation: Is the Emergency Department Visit an Opportunity to Recommend Education? (Poster)

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