title: Web-based general public opinion study of automated versus manual external chest compression.
abstract: BACKGROUND
  Only a few cardiac-arrest victims receive external chest compression (ECC) by a bystander.
  
  
  OBJECTIVE
  To test the hypothesis that the general public might start ECC more often if they used an automated device rather than a manual massage.
  
  
  METHODS
  Web-based public opinion survey based on two short videos, one showing manual ECC and the other automated ECC (Autopulse, Zoll, France). Advantages and disadvantages (perceived efficacy, reproducibility, hazard, apprehension and acceptability) of the two techniques were evaluated on a visual analogue scale (VAS). A VAS of 1-3 was considered to indicate preference for manual ECC, 8-10 for automated ECC and 4-7 for no clear preference. The final global score was the difference between advantage and disadvantage scores.
  
  
  RESULTS
  Overall, 1769 persons answered the questionnaire. The median VAS score for each variable was as follows: 7 (25-75 percentiles, 5-9) for efficacy, 8 (3-10) for reproducibility, 5 (3-8) for hazard, 5 (2-8) for apprehension and 5 (2-8) for acceptability. The overall median score indicated that 1034 persons (58%) preferred use of the device, 618 (35%) preferred manual ECC and 117 (7%) had no preference. There was no significant difference in the preference according to gender, education and training in first aid. However, older persons (0) preferred the use of device.
  
  
  CONCLUSIONS
  The better 'advantages over disadvantages' score for the automated ECC device over manual ECC indicated that the general public might envisage use of the device. This could contribute to increase the frequency of resuscitation attempts by bystanders.
authors.affiliation: AP-HP, Urgences-SAMU 93, Hôpital Avicenne, Bobigny, France Université Paris 13, Bobigny, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Lapostolle
authors.affiliation: AP-HP, Urgences-SAMU 93, Hôpital Avicenne, Bobigny, France Université Paris 13, Bobigny, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Bertrand
authors.affiliation: AP-HP, Urgences-SAMU 93, Hôpital Avicenne, Bobigny, France Université Paris 13, Bobigny, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Agostinucci
authors.affiliation: SAMU 33, Hôpital Pellegrin, Bordeaux, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Pradeau
authors.affiliation: SAMU 77, Hôpital de Melun, Melun, France.
authors.forename: Karim
authors.initials: K
authors.lastname: Tazarourte
authors.affiliation: AP-HP, Urgences-SAMU 93, Hôpital Avicenne, Bobigny, France Université Paris 13, Bobigny, France.
authors.forename: Mélanie
authors.initials: M
authors.lastname: Grave
authors.affiliation: AP-HP, Urgences-SAMU 93, Hôpital Avicenne, Bobigny, France Université Paris 13, Bobigny, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Galinski
authors.affiliation: AP-HP, Urgences-SAMU 93, Hôpital Avicenne, Bobigny, France Université Paris 13, Bobigny, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Adnet
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D005260:Female; D005392:First Aid / Q000295:instrumentation*; D006336:Heart Massage / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D011639:Public Opinion; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014741:Video Recording
keywords: Cardiac Arrest; Prehospital Care; Resuscitation