Royal Life Saving Society - Australia, Broadway, NSW, Australia.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.
Health Promot J Austr. 2019 Apr;30(2):258-262. doi: 10.1002/hpja.195. Epub 2018 Sep 16.
Rivers are a leading location for fatal drowning worldwide, often geographically isolated from timely medical assistance. Cardiopulmonary resuscitation (CPR) benefits drowning victims and those who suffer cardiac arrests. This study explored CPR and first-aid training of river users in Australia.
Adult river users (18+ years) were surveyed at four high-risk river drowning sites. Respondents were asked the last time they undertook CPR (responses converted into: "CPR ever undertaken"-yes/no; and "CPR training current"-yes/no (training undertaken ≤12 months ago). Responses were explored by demographics and social determinants of health.
Of those surveyed (N = 688), 98.4% responded regarding CPR. Seventy-five percent (74.9%) had undertaken CPR training previously. Females and 35- to 44-year-olds were more likely to have undertaken training (P < 0.05). Males and older people (65+ years) were less likely to hold a current qualification (P < 0.05). Major city residents reported a longer mean time (5.4 years) since last trained than remote and very remote locations (2.0 years). People in low socio-economic areas had a shorter time since qualification current (5.8 years) than those in areas deemed high (7.2 years).
Current CPR qualifications are important, particularly among those visiting high-risk river drowning locations. System-level, upstream strategies that should be explored include compulsory CPR training in secondary schools and linking CPR updates to motor vehicle licence renewals. SO WHAT?: Cardiopulmonary resuscitation is a vital component of multifaceted river drowning prevention. Social determinants of health, such as socio-economic disadvantage and geographical isolation, were not barriers to participation or currency of qualification.
河流是全球致命溺水事件的主要发生地，通常与及时的医疗救助在地理位置上相隔绝。心肺复苏术（CPR）有益于溺水者和那些遭受心脏骤停的人。本研究探讨了澳大利亚河流使用者的 CPR 和急救培训。
在四个高风险河流溺水地点对成年河流使用者（18 岁以上）进行了调查。受访者被问及他们最后一次进行心肺复苏术的时间（回答转换为：“是否进行过心肺复苏术”-是/否；和“是否接受过心肺复苏术培训”-是/否（在 12 个月前接受过培训）。根据人口统计学和健康社会决定因素对回答进行了探索。
在所调查的人群中（N=688），98.4%的人对心肺复苏术做出了回应。75%的人之前接受过心肺复苏术培训。女性和 35-44 岁的人更有可能接受过培训（P<0.05）。男性和老年人（65 岁以上）更不可能持有当前资格（P<0.05）。主要城市居民报告的最后一次培训时间（5.4 年）长于偏远和非常偏远地区（2.0 年）。社会经济水平较低地区的人自获得资格以来的时间较短（5.8 年），而被认为是高地区的人（7.2 年）。
当前的心肺复苏术资格很重要，特别是对于那些访问高风险河流溺水地点的人。应探索系统层面的上游策略，包括在中学强制进行心肺复苏术培训，并将心肺复苏术更新与机动车驾照更新挂钩。因此：心肺复苏术是多方面河流溺水预防的重要组成部分。健康的社会决定因素，如社会经济劣势和地理位置隔离，不是参与或资格货币化的障碍。
