ArticleResuscitation plus2021
Immediate psychological impact on citizen responders dispatched through a mobile application to out-of-hospital cardiac arrests.
Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed, 24 citations in OpenAlex.
- Public access defibrillation by activated community first responders - the randomized HeartRunner trial.Resuscitation plus · 2026Article
- RescQ™: Study protocol for a feasibility pilot of structured support for bystanders/lay-rescuers following out-of-hospital cardiac arrest.Resuscitation plus · 2026Article
- Barriers and facilitators while implementing community first responder systems in a western setting: mixed-methods expert consensus.International journal of emergency medicine · 2026Review
- Out-of-Hospital Cardiac Arrest: Public-Access Defibrillation and System Approaches to Minimize Avoidable Delay.Journal of clinical medicine · 2026Review
- Smartphone-based alert of community first responders: A multinational survey to characterise contemporary systems.Resuscitation plus · 2025Article
- Smartphone-activated volunteer responders and survival to discharge after out-of-hospital cardiac arrests in Victoria, 2018-23: an observational cohort study.The Medical journal of Australia · 2025Observational
- Psychological impact on first responders dispatched to out-of-hospital cardiac arrest via smartphone alerting system: A longitudinal survey-based study.Resuscitation plus · 2025Article
- Defining the terminology of first responders alerted for out-of-hospital cardiac arrest by medical dispatch centres: An international consensus study on nomenclature.Resuscitation plus · 2025Article
- Key Features in Designing an Integrated Recall System for Dispatch in Mass Casualty Incidents; a Systematic Review.Archives of academic emergency medicine · 2024Review
- Out of sight - Out of mind? The need for a professional and standardized peri-mission first responder support model.Resuscitation plus · 2023Article
- What motivates and demotivates emergency response volunteers? A survey-based factor analysis study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Proposal to increase safety of first responders dispatched to cardiac arrest.Resuscitation plus · 2023Article
- Follow-up on volunteer responders dispatched for out-of-hospital cardiac arrests: Addressing the psychological and physical impact.Resuscitation plus · 2023Article
- Volunteer responder provision of support to relatives of out-of-hospital cardiac arrest patients: a qualitative study.BMJ open · 2023Article
- Editorial - Impact of first responders in resuscitation.Resuscitation plus · 2022Article
- Smartphone activated community first responders' experiences of out-of-hospital cardiac arrests alerts, a qualitative study.Resuscitation plus · 2022Article
- Activation of Citizen Responders to Out-of-Hospital Cardiac Arrest During the COVID-19 Outbreak in Denmark 2020.Journal of the American Heart Association · 2022Observational
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundActivating citizen responders may increase survival after out-of-hospital cardiac arrest (OHCA) but could induce significant psychological impact on the citizen responders. We examined psychological impact among citizen responders within the first days following resuscitation attempt. METHODS AND
resultsA mobile phone application to activate citizen responders to perform cardiopulmonary resuscitation (CPR) was implemented in the Capital Region of Denmark. All dispatched citizen responders (September 2017 to May 2019) received a survey 90 minutes after an alarm, including self-rating of perceived psychological impact on a scale of 1-4.Of 5,395 included citizen responders, most (88.6%) completed the survey within 24 hours.The majority reported no psychological impact (68.6%), whereas 24.7%, 5.5% and 1.2% reported low, moderate, or severe impact, respectively. Severe impact was more commonly reported in the following groups: No CPR training (3.8% vs 1.2%, p = 0.02), age < 30 years (2.0% vs 0.9%, p < 0.001), female sex (1.8% vs 0.7%, p < 0.001), provided CPR (2.7% vs 1.0%, p < 0.001), and arrived prior to the emergency medical services (EMS) (2.8% vs 0.7%, p < 0.001) compared to no to moderate impact.Chi square test, Mann-Whitney U test, Fischer's exact test and a logistic regression model were used to assess differences in psychological impact across groups.
conclusionVery few citizen responders reported severe psychological impact. Lack of prior CPR training, younger age, female sex, performing CPR and arrival prior to the EMS were associated with greater psychological impact. Though very few citizen responders reported severe impact, the possibility of professional debriefing should be considered in citizen responder programs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.