Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Zurück ins Leben, Association for First Aid Courses for Migrants, Vienna, Austria.
Eur J Clin Invest. 2022 Jan;52(1):e13644. doi: 10.1111/eci.13644. Epub 2021 Jul 10.
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.
高质量的基础生命支持（BLS）是 Utstein 公式中生存的第一步，需要对各种人群进行有效的教育。BLS 课程对难民的可行性尚未得到充分研究。
我们在 2016 年至 2019 年期间在奥地利为难民开展了包括自动体外除颤器（AED）培训在内的 BLS 课程。通过母语问卷和母语口译员验证，评估课程前后个体对心肺复苏术（CPR）的态度和知识。
我们纳入了 147 名参与者（66%为男性；22 [17-34] 岁；28% <18 岁），来自 19 个国家（74%来自中东）。尽管参与者原籍国的 BLS 课程可用性较低（37%），但我们注意到在我们的课程后，对 CPR 和 AED 使用的认识有所提高。愿意进行 CPR 的意愿从 25%增加到 99%。CPR 培训后，参与者对融入新环境的看法有积极影响。教育程度较高、男性、<18 岁和过去的创伤经历对 CPR 的意愿或实施有积极影响。
难民的 BLS 教育是可行的，可提高他们在紧急情况下进行 CPR 的意愿，有可能提高心脏骤停后的生存率。有过去创伤经历、较高教育程度或<18 岁的个体可能有资格接受高级生命支持教育。有趣的是，这些 BLS 课程具有培养适应力和融入感的潜力。因此，应普遍提供和进一步评估难民的 CPR 教育。
