Neighborhood, Race, and CPR

An New England Journal of Medicine article looks at the probability of a bystander performing CPR based on neighborhood characteristics including income and race:

Among 14,225 patients with cardiac arrest, bystander-initiated CPR was provided to 4068 (28.6%). As compared with patients who had a cardiac arrest in high-income white neighborhoods, those in low-income black neighborhoods were less likely to receive bystander-initiated CPR (odds ratio, 0.49; 95% confidence interval [CI], 0.41 to 0.58). The same was true of patients with cardiac arrest in neighborhoods characterized as low-income white (odds ratio, 0.65; 95% CI, 0.51 to 0.82), low-income integrated (odds ratio, 0.62; 95% CI, 0.56 to 0.70), and high-income black (odds ratio, 0.77; 95% CI, 0.68 to 0.86). The odds ratio for bystander-initiated CPR in high-income integrated neighborhoods (1.03; 95% CI, 0.64 to 1.65) was similar to that for high-income white neighborhoods.


Joe

I've been trained in CPR. I remember thinking about how terrifying it'd be to have to administer it, despite "good samaritan" laws. I felt like I'd be more vulnerable to an ugly lawsuit if I screwed up, especially since popular belief of CPR is that it will resuscitate people. While in reality, it's more of a way to give medics/emts more time to get to the scene.

Rob

Even without screwing up, I think that you're putting yourself in the path of a lawsuit. Given the ease and low risk of filing a lawsuit in the US, I cannot imagine that I would ever perform CPR on anyone who I didn't know. I would think twice (and I mean really really have to consider it) before performing CPR, first aid, or emergency AED on anyone outside of my own family.

Chalres L.

I don't want to be sued, but personally I'm not a fan of watching people die. I am CPR trained and if I thought someone needed help, I would administer without hesitation. The lawsuits can wait until after the EMTs have arrived.

John

Anyone can be sued for anything, but that doesn't mean the plaintiff will win.

Almost every state has Good Samaritan laws that protect them from liability. The only case I've found where a person was sued somewhat successfully was Van Horn V. Torti in California, and that case revolved around the "rescue" from a burning vehicle, not actual medical care. As soon as the Supreme Court stated that the rescuer could be liable, the State of California fell all over itself to pass a new law reversing the decision and exempting rescuers in the future.

Learn CPR and do it if given the opportunity. You might save a life.

Fred

"Anyone can be sued for anything, but that doesn’t mean the plaintiff will win."

While I agree with you, one should also remember that you would still need to pay for a lawyer to defend you. "Court appointed" doesn's apply to civil suits right?

Travis

It doesn't, but most states have cost shifting provisions in the case of frivolous law suits. While it does create a burden, no doubt, sticking it out just for a short while can be worth it for the defendant.

Additionally, if you get a frivolous civil suit when court appointed attorney isn't an option, you can potentially get an attorney to defend you on a contingency fee (contingent that they get to keep all attorney fees awarded when it's thrown out).

mannyv

I think what this is saying is that bystanders in poor neighborhoods don't know CPR.

So...do we offer CPR classes in poor neighborhoods?

anon

School is for jokers.

Eric M. Jones.

In Massachusetts we just passed an assisted suicide law. I'm going to get the suicide kit and keep in my first aid kit just in case.

Bob

In my unscientific opinion, the low-income ones could be explained by saying that low-income people don't have the time to go take CPR training. The results for high-income blacks is puzzling though.

mannyv

CPR requires that you kiss a stranger. Where and under what circumstances would you kiss a stranger?

Also, the numbers are meaningless if you don't know who's delivering CPR. It could be that low and high income blacks don't know CPR as well, while white high-income people do. Both integrated and white high-income neighborhoods have high-income whites, thus have higher rates of CPR.

Enter your name...

Actually, the current recommendation is that you ignore rescue breathing for the first five minutes or so, and focus on rapid (100+/minute) chest compressions. For most of us, the professionals will have arrived before you need to "kiss" anyone.

triclops

this needs to be repeated often

CPR Courses

CPR courses provide the basic knowledge of how to help in critical situation and how to provide the patient firstly need for saving their life so CPR is necessary traning for everyone