Study Shows Black Children Less Likely to Receive Bystander CPR

DrParasite

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July 10—African American children living in socioeconomically disadvantaged neighborhoods are significantly less likely than their Caucasian counterparts in disadvantaged or wealthier areas to receive CPR from a bystander, according to new research in Journal of the American Heart Association, the Open Access Journal of the American Heart Association/American Stroke Association.

Prior studies have examined bystander CPR rates in adults, but this is the first time racial and socioeconomic factors have been analyzed exclusively in children in the United States.
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Among the findings:

  • Overall, 3,399 children (48%) received bystander CPR.
  • Compared to white children, bystander CPR was 41% less likely for black kids; 22% less likely for Hispanics and 6% less likely among other ethnic groups.
  • Black children living in majority black neighborhoods with high unemployment, low education and low median income were almost half as likely to receive bystander CPR compared to white children with rates of (59.7% versus 32.1%).
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“As most bystander CPR is provided by family members, lower response rates are likely due to a lack of CPR training and recognition of cardiac arrests,” she said, noting that teaching CPR to parents before a newborn is released from the hospital, or during pediatrician visits would be good opportunities for such training.
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read the rest at: https://www.emsworld.com/press-release/1222985/study-shows-black-children-less-likely-receive-bystander-cpr
 

EMDispatch

IAED EMD-Q/EMT
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Does anyone have access to the full study. Most, not all, 911 systems in the US are providing the CPR instructions. Are they tracking when instructions are provided and if they are being refused,etc?

Public education is a significant factor, but anecdotally I feel like there’s some cultural barriers playing a bigger factor.
 

EMDispatch

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Gracias,

My internet is sketchy on my mobile at work.

It’s a shame the study did nothing to capture CPR instruction from 911. Granted it’s not a be all, end all, but it’s the current system stop gap for lack of education in the layperson. It would have added a lot more to depth of the study, and added a little more weight to the conclusion and recommendations.
 
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Peak

ED/Prehospital Registered Nurse
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Does anyone have access to the full study. Most, not all, 911 systems in the US are providing the CPR instructions. Are they tracking when instructions are provided and if they are being refused,etc?
Every hospital I know of requires some form of video or hands on CPR training before discharge from mom/baby or the NICU, it surprises me the numbers are so low. Granted this doesn't capture every care giver or every child but the rate of CPR even among the white socially advantaged children shocks me as being so low. Did they actually capture which kids had their caregivers taught CPR prior to hospital discharge (and those born in home or birthing centers seem to be of more affluent backgrounds too).

I skimmed through quickly but i would be curious a bit more regarding down times or how patients were found. Working in a downtown medical center in a large city we certainly see a fair number of kids of African or Hispanic descent, and I can't think of any where the family didn't attempt CPR.
 
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