Klinik Araştırma
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Filmlerdeki Kardiyopulmoner Resüsitasyon Tasvirlerinin Kalitesi

Yıl 2024, Cilt: 4 Sayı: 2, 17 - 26, 31.08.2024

Öz

Amaç: Kardiyak arrest dünya çapında mortalite ve morbiditenin önde gelen nedenlerinden biridir. Hastane içi kardiyak arrest sonuçlarında yıllar içinde iyileşme görülürken, hastane dışı kardiyak arest vakalarında bu gelişme gözlenmemektedir. Halkın CPR bilgisini geliştirmek, olay yerinde bulunan kişilerin CPR uygulama oranını artıracağı ve sonuçları geliştirebileceği için odak noktasıdır. Filmlerdeki CPR tasvirlerinin halkın CPR hakkındaki bilgisi üzerinde olumlu veya olumsuz etkileri olabilir. Bu çalışmada, filmlerdeki CPR tasvirlerini analiz etmeyi ve tıbbi doğruluğunu değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Bu çalışmaya, IMDb film veri tabanında yer alan, 01/01/1990 ile 01/01/2023 tarihleri arasında yayınlanan “Uzun Metrajlı Filmler” arasından “Kardiyak arrest”, “kardiyopulmoner resüsitasyon” (CPR), “resüsitasyon” ve “CPR” anahtar sözcükleri ile etiketlenenler dahil edildi. 113 filmden toplam 125 CPR sahnesi analiz edildi. Her film ve sahnenin temel verileri kaydedildi. Her sahne için bir Bası Kalite Puanı (CQS) hesaplandı. Dört araştırmacı, kontrol listelerini kullanarak her bir CPR sahnesini tıbbi doğruluk açısından analiz etti. Sahnede CPR hatasız olarak yapılmışsa, sahne “tıbben doğru” olarak değerlendirildi. Tüm kararlar oybirliğiyle alındı.
Bulgular: CPR uygulananların çoğunluğu erkek (%70,4), yetişkin (%78,4) ve travma geçirmiş (%70,4) kişilerdi. CPR uygulayıcısı 92 vakada (%73,6) sağlık profesyoneli olmayan kişilerdi. Vakaların 52'sine (%41,6) açık alanda CPR uygulandı. Yalnızca 28 sahne “tıbbi açıdan doğru” (%20,8) olarak yorumlandı.
Sonuç: Bu çalışmada, filmlerdeki CPR sahnelerinin genellikle CPR uygulamasını doğru şekilde yansıtmadığını ve CPR'nin kamuoyu algısını olumsuz etkileyebileceğini bulduk.

Kaynakça

  • Perkins GD., Cooke MW. Variability in cardiac arrest survival: the NHS ambulance service quality indicators. Emerg Med 2012; 29(1):3-5. Doi: 10.1136/emermed-2011-200758.
  • Ong MEH., Shin SD., De Souza NNA., et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The pan asian resuscitation outcomes study (PAROS). Resuscitation 2015; 96:100-8. Doi: 10.1016/j.resuscitation.2015.07.026.
  • Merchant RM., Topjian AA., Panchal AR., et al. Part 1: Executive summary: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020; 142(2):S337-57. Doi: 10.1161/CIR.0000000000000918.
  • Ong MEH., Perkins GD., Cariou A. Out-of-hospital cardiac arrest: prehospital management. Lancet 2018; 391(10124):980-8. Doi: 10.1016/S0140-6736(18)30316-7.
  • Dobbie F., MacKintosh AM., Clegg G., Stirzaker R., Bauld L. Attitudes towards bystander cardiopulmonary resuscitation: Results from a cross-sectional general population survey. PLoS One 2018; 13(3):e0193391. Doi: 10.1371/journal.pone.0193391.
  • Colwill M., Somerville C., Lindberg E., Williams C., Bryan J., Welman T. Cardiopulmonary resuscitation on television: are we miseducating the public? Postgrad Med J 2018; 94(1108):71-5. Doi: 10.1136/postgradmedj-2017-135122.
  • Ratanarojanakul S., Pangkanon W. Comparison of tele-education and conventional cardiopulmonary resuscitation training during COVID-19 pandemic. J Emerg Med 2022; 63(2): 309-16. Doi: 10.1016/j.jemermed.2022.02.002.
  • Al-Turki YA., Al-Fraih YS., Jalaly JB., et al. Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia. Saudi Med J 2008; 29(9):1306-9.
  • Mgbako OU., Ha YP., Ranard BL., et al. Defibrillation in the movies: a missed opportunity for public health education. Resuscitation 2014; 85(12):1795-8. Doi: 10.1016/j.resuscitation.2014.09.005.
  • IMDb. Press Room [Internet]. United States of America: Internet movie database; 2023 March [cited 2023 March 6]. Available from: https://www.imdb.com/pressroom/
  • National Institutes of Health (NIH). Age [Internet]. United States of America: NIH; 2023 March [cited 2023 March 6]. Available from: https://www.nih.gov/nih-style-guide/age
  • American Heart Association. AHA’s basic life support adult cpr and aed skills testing checklist. [Internet]. United States of America: American Heart Association; 2023 March [cited 2023 March 6]. Available from: https://cpr.heart.org/-/media/CPR2-Files/Course-Materials/2020-BLS/2023-BLS-Prov-Virtual-Skills/ChecklistAdult_HeartCodeBLSVirtualSkills.pdf
  • American Heart Association. PEARS® child cpr and aed skills testing checklist. [Internet]. United States of America: American Heart Association; 2023 March [cited 2023 March 6]. Available from: https://cpr.heart.org/-/media/CPR2-Files/Course-Materials/PEARS/PEARS-Course-Info/BLS_Child_Skills_Checklist_ucm_495803.pdf
  • Meaney PA., Bobrow BJ., Mancini ME., et al. Cardiopulmonary resuscitation quality: Improving cardiac resuscitation outcomes both inside and outside the hospital. Circulation 2013; 128(4):417-35. Doi: 10.1161/CIR.0b013e31829d8654.
  • Eisenburger P., Safar P. Life supporting first aid training of the public--review and recommendations. Resuscitation 1999; 41(1):3-18. Doi: 10.1016/s0300-9572(99)00034-9.
  • Champoux J.E. Film as a teaching resource. JMI 1999; 8(2), 206–17. Doi: 10.1177/105649269982016
  • Cantor D. Uncertain enthusiasm: The American Cancer Society, public education, and the problems of the movie, 1921-1960. Bull Hist Med 2007; 81(1):39-69. Doi: 10.1353/bhm.2007.0002.
  • Bray J., Howell S., Ball S., et al. The epidemiology of out-of-hospital cardiac arrest in Australia and New Zealand: A binational report from the Australasian resuscitation outcomes consortium (Aus-ROC). Resuscitation 2022; 172:74-83. Doi:10.1016/j.resuscitation.2022.01.011.
  • Hutchison J., Hu EW. Precordial Thump. In: StatPearls [Internet]. United States of America: StatPearls Publishing; 2023 March [cited 2023 March 6]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545174/
  • Pellis T., Kette F., Lovisa D., et al. Utility of pre-cordial thump for treatment of out of hospital cardiac arrest: A prospective study. Resuscitation 2009; 80(1):17-23. Doi: 10.1016/j.resuscitation.2008.10.018.
  • Tsao CW., Aday AW., Almarzooq ZI., et al. Heart disease and stroke statistics-2023 Update: A report from the American Heart Association. Circulation 2023; 147(8):e93-e621. Doi: 10.1161/CIR.0000000000001123.

Quality of Cardiopulmonary Resuscitation Depictions in Movies

Yıl 2024, Cilt: 4 Sayı: 2, 17 - 26, 31.08.2024

Öz

Objective: Cardiac arrest is a leading cause of mortality and morbidity worldwide. While outcomes of in-hospital cardiac arrest have improved, it was not observed for out-of-hospital cardiac arrest cases. Bystander cardiopulmonary resuscitation (CPR) can increase survival rates. Improving CPR knowledge among the general public is the center of attention to increase bystander CPR rates and improve outcomes. CPR depictions in movies may have positive or negative effects on public knowledge about CPR. We aimed to analyze the CPR depictions in movies and evaluate their medical accuracy.
Materials and Methods: This study included “Feature Films” released between 01/01/1990 and 01/01/2023 presented in the IMDb movie database using the search function with the following keywords: “Cardiac arrest”, “cardiopulmonary resuscitation” (CPR), “resuscitation” and “CPR”. A total of 113 movies with 125 CPR scenes were analyzed. Basic characteristics for each movie and scene were recorded. Compression Quality Score (CQS) was calculated for each scene. Four researchers analyzed each CPR scene for medical accuracy using checklists. If the CPR is performed on the scene without any errors the scene is evaluated as “Accurate”. All decisions were taken unanimously.
Results: Victims were mostly male (70.4%), adults (78.4%), and suffered trauma (70.4%). The CPR performer was a bystander in 92 cases (73.6%). CPR was performed outdoors in 52 cases (41.6%). Only 28 scenes were interpreted as “medically accurate” (20.8%).
Conclusion: In this study, we found that CPR scenes in movies often do not accurately reflect how to perform CPR and may hinder the public perception of CPR.

Kaynakça

  • Perkins GD., Cooke MW. Variability in cardiac arrest survival: the NHS ambulance service quality indicators. Emerg Med 2012; 29(1):3-5. Doi: 10.1136/emermed-2011-200758.
  • Ong MEH., Shin SD., De Souza NNA., et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The pan asian resuscitation outcomes study (PAROS). Resuscitation 2015; 96:100-8. Doi: 10.1016/j.resuscitation.2015.07.026.
  • Merchant RM., Topjian AA., Panchal AR., et al. Part 1: Executive summary: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020; 142(2):S337-57. Doi: 10.1161/CIR.0000000000000918.
  • Ong MEH., Perkins GD., Cariou A. Out-of-hospital cardiac arrest: prehospital management. Lancet 2018; 391(10124):980-8. Doi: 10.1016/S0140-6736(18)30316-7.
  • Dobbie F., MacKintosh AM., Clegg G., Stirzaker R., Bauld L. Attitudes towards bystander cardiopulmonary resuscitation: Results from a cross-sectional general population survey. PLoS One 2018; 13(3):e0193391. Doi: 10.1371/journal.pone.0193391.
  • Colwill M., Somerville C., Lindberg E., Williams C., Bryan J., Welman T. Cardiopulmonary resuscitation on television: are we miseducating the public? Postgrad Med J 2018; 94(1108):71-5. Doi: 10.1136/postgradmedj-2017-135122.
  • Ratanarojanakul S., Pangkanon W. Comparison of tele-education and conventional cardiopulmonary resuscitation training during COVID-19 pandemic. J Emerg Med 2022; 63(2): 309-16. Doi: 10.1016/j.jemermed.2022.02.002.
  • Al-Turki YA., Al-Fraih YS., Jalaly JB., et al. Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia. Saudi Med J 2008; 29(9):1306-9.
  • Mgbako OU., Ha YP., Ranard BL., et al. Defibrillation in the movies: a missed opportunity for public health education. Resuscitation 2014; 85(12):1795-8. Doi: 10.1016/j.resuscitation.2014.09.005.
  • IMDb. Press Room [Internet]. United States of America: Internet movie database; 2023 March [cited 2023 March 6]. Available from: https://www.imdb.com/pressroom/
  • National Institutes of Health (NIH). Age [Internet]. United States of America: NIH; 2023 March [cited 2023 March 6]. Available from: https://www.nih.gov/nih-style-guide/age
  • American Heart Association. AHA’s basic life support adult cpr and aed skills testing checklist. [Internet]. United States of America: American Heart Association; 2023 March [cited 2023 March 6]. Available from: https://cpr.heart.org/-/media/CPR2-Files/Course-Materials/2020-BLS/2023-BLS-Prov-Virtual-Skills/ChecklistAdult_HeartCodeBLSVirtualSkills.pdf
  • American Heart Association. PEARS® child cpr and aed skills testing checklist. [Internet]. United States of America: American Heart Association; 2023 March [cited 2023 March 6]. Available from: https://cpr.heart.org/-/media/CPR2-Files/Course-Materials/PEARS/PEARS-Course-Info/BLS_Child_Skills_Checklist_ucm_495803.pdf
  • Meaney PA., Bobrow BJ., Mancini ME., et al. Cardiopulmonary resuscitation quality: Improving cardiac resuscitation outcomes both inside and outside the hospital. Circulation 2013; 128(4):417-35. Doi: 10.1161/CIR.0b013e31829d8654.
  • Eisenburger P., Safar P. Life supporting first aid training of the public--review and recommendations. Resuscitation 1999; 41(1):3-18. Doi: 10.1016/s0300-9572(99)00034-9.
  • Champoux J.E. Film as a teaching resource. JMI 1999; 8(2), 206–17. Doi: 10.1177/105649269982016
  • Cantor D. Uncertain enthusiasm: The American Cancer Society, public education, and the problems of the movie, 1921-1960. Bull Hist Med 2007; 81(1):39-69. Doi: 10.1353/bhm.2007.0002.
  • Bray J., Howell S., Ball S., et al. The epidemiology of out-of-hospital cardiac arrest in Australia and New Zealand: A binational report from the Australasian resuscitation outcomes consortium (Aus-ROC). Resuscitation 2022; 172:74-83. Doi:10.1016/j.resuscitation.2022.01.011.
  • Hutchison J., Hu EW. Precordial Thump. In: StatPearls [Internet]. United States of America: StatPearls Publishing; 2023 March [cited 2023 March 6]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545174/
  • Pellis T., Kette F., Lovisa D., et al. Utility of pre-cordial thump for treatment of out of hospital cardiac arrest: A prospective study. Resuscitation 2009; 80(1):17-23. Doi: 10.1016/j.resuscitation.2008.10.018.
  • Tsao CW., Aday AW., Almarzooq ZI., et al. Heart disease and stroke statistics-2023 Update: A report from the American Heart Association. Circulation 2023; 147(8):e93-e621. Doi: 10.1161/CIR.0000000000001123.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma Makalesi
Yazarlar

Ibrahim Sarbay 0000-0001-8804-2501

Goksu Bozdereli Berikol 0000-0002-4529-3578

Ibrahim Ulas Ozturan 0000-0002-1364-5292

Ismail Sarbay 0000-0003-1557-6312

Yayımlanma Tarihi 31 Ağustos 2024
Gönderilme Tarihi 18 Şubat 2024
Kabul Tarihi 18 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 4 Sayı: 2

Kaynak Göster

APA Sarbay, I., Bozdereli Berikol, G., Ozturan, I. U., Sarbay, I. (2024). Quality of Cardiopulmonary Resuscitation Depictions in Movies. Güncel Tıbbi Araştırmaları Dergisi, 4(2), 17-26. https://doi.org/10.52818/cjmr.1439237
AMA Sarbay I, Bozdereli Berikol G, Ozturan IU, Sarbay I. Quality of Cardiopulmonary Resuscitation Depictions in Movies. GÜTAD. Ağustos 2024;4(2):17-26. doi:10.52818/cjmr.1439237
Chicago Sarbay, Ibrahim, Goksu Bozdereli Berikol, Ibrahim Ulas Ozturan, ve Ismail Sarbay. “Quality of Cardiopulmonary Resuscitation Depictions in Movies”. Güncel Tıbbi Araştırmaları Dergisi 4, sy. 2 (Ağustos 2024): 17-26. https://doi.org/10.52818/cjmr.1439237.
EndNote Sarbay I, Bozdereli Berikol G, Ozturan IU, Sarbay I (01 Ağustos 2024) Quality of Cardiopulmonary Resuscitation Depictions in Movies. Güncel Tıbbi Araştırmaları Dergisi 4 2 17–26.
IEEE I. Sarbay, G. Bozdereli Berikol, I. U. Ozturan, ve I. Sarbay, “Quality of Cardiopulmonary Resuscitation Depictions in Movies”, GÜTAD, c. 4, sy. 2, ss. 17–26, 2024, doi: 10.52818/cjmr.1439237.
ISNAD Sarbay, Ibrahim vd. “Quality of Cardiopulmonary Resuscitation Depictions in Movies”. Güncel Tıbbi Araştırmaları Dergisi 4/2 (Ağustos 2024), 17-26. https://doi.org/10.52818/cjmr.1439237.
JAMA Sarbay I, Bozdereli Berikol G, Ozturan IU, Sarbay I. Quality of Cardiopulmonary Resuscitation Depictions in Movies. GÜTAD. 2024;4:17–26.
MLA Sarbay, Ibrahim vd. “Quality of Cardiopulmonary Resuscitation Depictions in Movies”. Güncel Tıbbi Araştırmaları Dergisi, c. 4, sy. 2, 2024, ss. 17-26, doi:10.52818/cjmr.1439237.
Vancouver Sarbay I, Bozdereli Berikol G, Ozturan IU, Sarbay I. Quality of Cardiopulmonary Resuscitation Depictions in Movies. GÜTAD. 2024;4(2):17-26.