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Family witnessed resuscitation: nationwide survey of 337 prehospital emergency teams in France
  1. Vanessa Belpomme1,
  2. Frederic Adnet2,
  3. Ixchel Mazariegos1,
  4. Matt Beardmore3,
  5. François-Xavier Duchateau1,
  6. Jean Mantz1,
  7. Agnes Ricard-Hibon1
  1. 1AP-HP, SMUR et DAR, Hôpital Beaujon, Université Paris 7, Clichy, France
  2. 2AP-HP, Urgences et SAMU 93, Hôpital Avicenne, Université Paris 13, Bobigny, France
  3. 3School of Medicine, University of Manchester, Manchester, UK
  1. Correspondence to Dr Vanessa Belpomme, AP-HP, Service d'Anesthésie-Réanimation-SMUR, Hôpital Beaujon, 100 bd du Général Leclerc, Clichy La Garenne 92110, France; vanessa.belpomme{at}bjn.aphp.fr

Abstract

Objective To assess the practices and opinions of prehospital emergency medical services (EMS) with regard to family witnessed resuscitation (FWR) and to analyse the differences between physicians’ and nurses’ responses.

Design An anonymous questionnaire (30 yes/no questions on demographics and FWR) was sent to all prehospital emergency staff (physicians, nurses and support staff) working for the 377 Mobile Intensive Care Units in France.

Results Of the 2689 responses received 2664 were analysed. Mean respondent age was 38±8 years, the male to female ratio was 1:2. 87% of respondents had already performed FWR and 38% had offered relatives the option to be present during resuscitation. Most respondents (90%) felt that FWR might cause psychological trauma to the family; 70% thought that FWR might impact on the duration of resuscitation and 68% on EMS team concentration. In the 28% of cases when relatives had asked to be present, 59% of respondents had acquiesced but only 27% were willing to invite relatives to be routinely present.

Conclusions Prehospital EMS teams in France seems to support FWR but are not yet ready to offer it systematically to relatives. Following our survey, written guidelines are currently in development in our department. These guidelines could be the first step of a national strategy for developing FWR in France. We await results from other studies of family members’ opinions to compare prehospital practitioners’ and family members’ views to further develop our practice.

  • prehospital care
  • emergency care systems
  • resuscitation

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