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The Effects of Stress on Tourniquet Application and CPR Performance in Layperson and Professional Civilian Populations
Linköping University, Department of Computer and Information Science, Human-Centered systems. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Biomedical and Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Regionledningskontoret, Center for Disaster Medicine and Traumatology.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Regionledningskontoret, Center for Disaster Medicine and Traumatology.ORCID iD: 0000-0003-1383-375X
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology.ORCID iD: 0000-0002-3930-3784
Linköping University, Department of Computer and Information Science, Human-Centered systems. Linköping University, Faculty of Arts and Sciences. Region Östergötland, Regionledningskontoret, Center for Disaster Medicine and Traumatology.ORCID iD: 0000-0001-5943-0679
2023 (English)In: Human Factors, ISSN 0018-7208, E-ISSN 1547-8181, Vol. 65, no 3, p. 496-507, article id 00187208211021255Article in journal (Refereed) Published
Abstract [en]

Objective The purpose of this study was to compare laypeoples and professional first responders ability to perform tourniquet application and cardiopulmonary resuscitation (CPR) during calm and stressful circumstances. Background Life-threatening bleeding is a major cause of death that could be prevented by fast and appropriate first aid interventions. Therefore, laypeople are now being trained in bleeding control skills, transforming them from bystanders to immediate responders. However, critics have questioned whether laypeople are able to perform during more stressful conditions. Method Twenty-four laypersons and 31 professional first responders were tested in two conditions: a calm classroom scenario and a stressful scenario consisting of paintball fire and physical exertion. Stress and workload were assessed along with task performance. Results The experimental manipulation was successful in terms of eliciting stress reactions. Tourniquet application performance did not decline in the stressful condition, but some aspects of CPR performance did for both groups. First responders experienced higher task engagement and lower distress, worry and workload than the laypeople in both the calm and stressful conditions. Conclusion Stress did not affect first responders and laypeople differently in terms of performance effects. Stress should therefore not be considered a major obstacle for teaching bleeding control skills to laypeople. Application Tourniquet application can be taught to laypeople in a short amount of time, and they can perform this skill during stress in controlled settings. Concerns about laypeoples ability to perform under stress should not exclude bleeding control skills from first aid courses for civilian laypeople.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC , 2023. Vol. 65, no 3, p. 496-507, article id 00187208211021255
Keywords [en]
tourniquet; stress; first aid; laypeople; first responders
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:liu:diva-176466DOI: 10.1177/00187208211021255ISI: 000657084000001PubMedID: 34039045Scopus ID: 2-s2.0-85106597803OAI: oai:DiVA.org:liu-176466DiVA, id: diva2:1566334
Note

Funding Agencies|Swedish Civil Contingencies Agency; ALF Grant, Region Ostergotland

Available from: 2021-06-15 Created: 2021-06-15 Last updated: 2025-05-19Bibliographically approved

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Friberg, MarcJonson, Carl-OscarJaeger, VictorPrytz, Erik

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Human-Centered systemsFaculty of Arts and SciencesDepartment of Biomedical and Clinical SciencesFaculty of Medicine and Health SciencesCenter for Disaster Medicine and TraumatologyDivision of Surgery, Orthopedics and Oncology
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Human Factors
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