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Schnaubelt S, Veigl C, Snijders E, Abelairas Gómez C, Neymayer M, Anderson N, Nabecker S, Greif R. Tailored Basic Life Support Training for Specific Layperson Populations-A Scoping Review. J Clin Med 2024; 13:4032. [PMID: 39064072 PMCID: PMC11277549 DOI: 10.3390/jcm13144032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Revised: 07/05/2024] [Accepted: 07/07/2024] [Indexed: 07/28/2024] Open
Abstract
Background: Basic life support (BLS) is a life-saving link in the out-of-hospital cardiac arrest chain of survival. Most members of the public are capable of providing BLS but are more likely to do so confidently and effectively if they undertake BLS training. Lay members of the public comprise diverse and specific populations and may benefit from tailored BLS training. Data on this topic are scarce, and it is completely unknown if there are any benefits arising from tailored courses or for whom course adaptations should be developed. Methods: The primary objective of this scoping review was to identify and describe differences in patient, clinical, and educational outcomes when comparing tailored versus standard BLS courses for specific layperson populations. This review was undertaken as part of the continuous evidence evaluation process of the International Liaison Committee on Resuscitation. Results: A primary search identified 1307 studies and after title, abstract, and full-text screening, we included eight publications reporting on tailored courses for specific populations. There were no studies reporting direct comparisons between tailored and standardized training. Seven (88%) studies investigated courses tailored for individuals with a disability, and only one study covered another specific population group (refugees). Overall, the quality of evidence was low as the studies did not compare tailored vs. non-tailored approaches or consisted of observational or pre-post-designed investigations. Conclusions: Tailored BLS education for specific populations is likely feasible and can include such groups into the pool of potential bystander resuscitation providers. Research into comparing tailored vs. standard courses, their cost-to-benefit ratio, how to best adapt courses, and how to involve members of the respective communities should be conducted. Additionally, tailored courses for first responders with and without a duty to respond could be explored.
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Affiliation(s)
- Sebastian Schnaubelt
- Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria
- PULS—Austrian Cardiac Arrest Awareness Association, 1090 Vienna, Austria
- Department of Emergency Medicine, Antwerp University Hospital, 2650 Edegem, Belgium
- Emergency Medical Service Vienna, 1030 Vienna, Austria
| | - Christoph Veigl
- Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria
- PULS—Austrian Cardiac Arrest Awareness Association, 1090 Vienna, Austria
| | - Erwin Snijders
- Department of Emergency Medicine, Antwerp University Hospital, 2650 Edegem, Belgium
| | - Cristian Abelairas Gómez
- Faculty of Education Sciences and CLINURSID Research Group, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela—CHUS, 15706 Santiago de Compostela, Spain
| | - Marco Neymayer
- Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria
- PULS—Austrian Cardiac Arrest Awareness Association, 1090 Vienna, Austria
| | - Natalie Anderson
- Faculty of Medical and Health Sciences, University of Auckland, Auckland 1023, New Zealand
| | - Sabine Nabecker
- Department of Anesthesiology and Pain Management, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada
| | - Robert Greif
- Faculty of Medicine, University of Bern, 3012 Bern, Switzerland
- School of Medicine, Sigmund Freud University Vienna, 1020 Vienna, Austria
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Alzahrani AAH. Periodontal Health among Individuals with Intellectual Disabilities Living in a Saudi Institutional Rehabilitation Centre. Healthcare (Basel) 2024; 12:891. [PMID: 38727448 PMCID: PMC11083931 DOI: 10.3390/healthcare12090891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2024] [Revised: 04/23/2024] [Accepted: 04/24/2024] [Indexed: 05/13/2024] Open
Abstract
The aim of this study was to explore periodontal health among intellectually disabled individuals living in an institutional rehabilitation centre in the Al-Baha Region of Saudi Arabia. A cross-sectional study was conducted from November 2023 to January 2024. Clinical oral examinations were carried out using the World Health Organization criteria for bleeding sites and the presence of periodontal pockets. Simplified oral hygiene and community periodontal indices were employed to evaluate participants' oral health. A total of 89 participants, comprising both males and females with intellectual disabilities, were included in this study. Gender, severity of intellectual disability, type of additional physical disability, tooth brushing habits and oral hygiene status were significantly associated with the presence of periodontal disease. Additionally, poor oral hygiene, not brushing teeth and periodontal pockets of 4-5 mm and 6 mm or more were significantly more prevalent among individuals with severe and moderate intellectual disabilities (p = 0.001, p = 0.001, p = 0.001 and p = 0.001, respectively). The prevalence of periodontal disease among the studied population was 54%. The odds of having periodontal disease were significantly higher in the severe intellectual disability group compared to the mild intellectual disability group (OR = 2.328, 95% CI = 1.430-3.631, p = 0.03). It was also found that intellectually disabled participants with additional physical disabilities suffered more from periodontal disease than those without additional physical disabilities (OR = 0.971, 95% CI = 0.235-4.023, p = 0.025). Overall, individuals with intellectual disabilities had a significant demand for periodontal care. This study highlighted the need for more organised preventive programmes for individuals with intellectual disabilities. Dentists should be vigilant about improving periodontal health, focus on preventive programmes and provide comprehensive dental care with an emphasis on periodic recall and monitoring.
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Affiliation(s)
- Abdullah Ali H Alzahrani
- Dental Health Department, Faculty of Applied Medical Sciences, Al-Baha University, Al-Baha 65731, Saudi Arabia
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Veigl C, Orlob S, Kloimstein T, Schnaubelt B, Krammel M, Draxl M, Feurhuber L, Wittig J, Schlieber J, Schnaubelt S. [Layperson basic life support education in Austria: An overview]. Wien Klin Wochenschr 2024:10.1007/s00508-024-02331-7. [PMID: 38300333 DOI: 10.1007/s00508-024-02331-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 01/17/2024] [Indexed: 02/02/2024]
Abstract
Early interventions of laypersons can improve the survival and neurological outcome in patients with out-of-hospital cardiac arrest. There are several organizations in Austria which train lay people in basic life support and raise awareness for sudden cardiac death. To obtain an overview of the various initiatives, a questionnaire was sent to 26 organizations, and 15 of the organizations (58%) replied. The geographical distribution of the organizations between rural and urban areas was illustrated in a map. Most of them are situated in a university city, resulting in accessibility disparities for individuals in urban and rural settings. Layperson resuscitation education in Austria is largely dependent on the individual commitments of volunteers. The time spent practicing chest compressions in resuscitation courses ranges from 25% to 90% of the total course time. Furthermore, reasons for a lack of scientific endeavours could be identified, and solutions are suggested. Through better networking between organizations and initiatives, more laypersons could be trained in the future, which would lead to improved survival chances for persons suffering from out-of-hospital cardiac arrest in Austria. Appropriate support by political bodies and public authorities is and will remain a key element.
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Affiliation(s)
- Christoph Veigl
- Universitätsklinik für Notfallmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich
- PULS - Verein zur Bekämpfung des plötzlichen Herztodes, Wien, Österreich
- Österreichischer Rat für Wiederbelebung (ARC), Graz, Österreich
| | - Simon Orlob
- Österreichischer Rat für Wiederbelebung (ARC), Graz, Österreich
- Universitätsklinik für Anästhesiologie und Intensivmedizin, Medizinische Universität Graz, Graz, Österreich
- Drück Mich! Arbeitsgemeinschaft für Notfallmedizin, Graz, Österreich
| | - Thomas Kloimstein
- Österreichischer Rat für Wiederbelebung (ARC), Graz, Österreich
- Ordensklinikum Linz Elisabethinen, Linz, Österreich
- SINUS - Interdisziplinäre Notfallinitiative Linz, Linz, Österreich
| | - Benedikt Schnaubelt
- PULS - Verein zur Bekämpfung des plötzlichen Herztodes, Wien, Österreich
- Zurück ins Leben, Horn, Österreich
| | - Mario Krammel
- PULS - Verein zur Bekämpfung des plötzlichen Herztodes, Wien, Österreich
- Berufsrettung Wien (MA 70), Wien, Österreich
| | - Markus Draxl
- Medizinische Universität Innsbruck, Innsbruck, Österreich
- IGNI - Interessengemeinschaft Notfallmedizin Innsbruck, Innsbruck, Österreich
| | - Lukas Feurhuber
- Karl Landsteiner Privatuniversität für Gesundheitswissenschaften, Krems an der Donau, Österreich
- emerKREMSy - studentischer Verband für Notfallmedizin Krems, Krems an der Donau, Österreich
| | - Johannes Wittig
- Österreichischer Rat für Wiederbelebung (ARC), Graz, Österreich
- Drück Mich! Arbeitsgemeinschaft für Notfallmedizin, Graz, Österreich
- Research Center for Emergency Medicine, Universityhospital Aarhus, Aarhus, Dänemark
- Randers Regional Hospital, Randers, Dänemark
| | - Joachim Schlieber
- Österreichischer Rat für Wiederbelebung (ARC), Graz, Österreich
- Abteilung für Anästhesiologie und Intensivmedizin, Unfallkrankenhaus Salzburg, Salzburg, Österreich
| | - Sebastian Schnaubelt
- Universitätsklinik für Notfallmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
- PULS - Verein zur Bekämpfung des plötzlichen Herztodes, Wien, Österreich.
- Österreichischer Rat für Wiederbelebung (ARC), Graz, Österreich.
- Zurück ins Leben, Horn, Österreich.
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