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Insider analysis: Why bystander CPR rates in Baltimore fall short

Fear, misinformation, and cultural factors hinder bystander CPR in Baltimore

What happened: A study conducted by Johns Hopkins University analyzed data from the CARES Registry (January 2020 to December 2022) and revealed that only 27% of people in Baltimore receive bystander CPR during a cardiac arrest. This figure falls well below the national average of 40%, raising concerns about cardiac arrest survival rates in Baltimore City. The study highlights cultural and societal barriers, such as fear of liability, concerns about causing harm, and disparities in providing CPR based on gender, as contributing factors.

| More: Study finds Baltimore bystanders less likely to perform CPR

Highlights

Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this development, including:

  • The life-and-death role of bystander CPR. Early CPR is crucial to improving cardiac arrest survival rates, but without community action, outcomes stagnate.
  • Barriers to public involvement in CPR. Fear of hurting the patient, concerns over civil liability, and gender-related disparities are preventing bystanders from acting.
  • Opportunities for community education. Public health campaigns must address knowledge gaps, such as teaching hands-only CPR and dispelling myths about liability.

The path forward

Improving bystander CPR rates in Baltimore requires a cultural shift and concerted public education efforts. EMS professionals, healthcare institutions, and public health leaders must collaborate to dispel fears about providing CPR, increase access to training, and emphasize the critical role bystanders play in saving lives. Creating a more CPR-informed and confident community is essential to improving survival rates, both locally and nationally.

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Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C

Ed is a managing partner and chief executive officer of Overrun Productions, LLC; and co-host of The Overrun Podcast. Ed is a recovering medical student and paramedic.

His academic interests are in healthcare policy, team leadership and development, resuscitation and EMS medicine. Before attending medical school, he was a field preceptor and EMS educator for 10 years.

A second-generation paramedic, Ed works to inform the public about the importance of EMS and strives to encourage other EMS providers to move the profession forward using the most up-to-date data and technology.

He is a fan of old movies, the New Jersey Devils and the Philadelphia Eagles.

Daniel Schwester, MICP

Daniel Schwester has been a paramedic since 2000. He has served in a variety of roles including education, field training, clinical supervision and active practice as a paramedic.

He is the managing partner of Overrun Productions, LLC; and a co-host of The Overrun Podcast.

He is married to Jennifer, and is father to Caroline and William. He resides in Toms River, New Jersey.