Document Detail

Disagreeable physical characteristics affecting bystander CPR.
MedLine Citation:
PMID:  2646999     Owner:  NLM     Status:  MEDLINE    
We determined the frequency of certain disagreeable physical characteristics (presence of vomitus, dentures, blood and/or alcohol on the breath) of a cardiac arrest patient and the effect these characteristics have on a bystander's willingness to perform CPR. Data were collected prospectively on 121 nontraumatic cardiac arrest patients, of whom 35 received bystander-initiated CPR involving a total of 42 bystanders. Seventy-one (59%) patients had one or more disagreeable characteristics identified. Forty (33%) patients vomited; 39 (33%) wore dentures; five (4%) had alcohol on their breath; and nine (7%) had visible blood. Of the 42 bystanders involved, 14 were exposed to one or more of the disagreeable characteristics. No bystander interviewed indicated hesitancy in performing CPR when encountering disagreeable characteristics. Seven bystanders stated they felt inadequately prepared to handle patients who vomited. Because of the high incidence of disagreeable characteristics, notably vomitus, in patients suffering a cardiac arrest, specific training in handling such characteristics seems justified.
A P McCormack; S K Damon; M S Eisenberg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  18     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-12     Completed Date:  1989-04-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  283-5     Citation Subset:  AIM; IM    
Center for Evaluation of Emergency Medical Services, King County Health Department, Seattle, Washington 98104.
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MeSH Terms
Attitude to Health*
Halitosis / psychology
Heart Arrest / therapy
Prospective Studies
Resuscitation / psychology*
Vomiting / psychology
Reg. No./Substance:

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