Knowledge and attitude of youth of India towards cardio pulmonary resuscitation: a cross-sectional study

Authors

  • Shardul S. Gadre Sancheti Institute for Orthopaedics and Rehabilitation College of Physiotherapy, Pune, Maharashtra, India
  • Sayli S. Munot Sancheti Institute for Orthopaedics and Rehabilitation College of Physiotherapy, Pune, Maharashtra, India
  • Prajakta B. Sahasrabudhe Department of Cardiovascular and Respiratory Physiotherapy, Sancheti Institute for Orthopaedics and Rehabilitation College of Physiotherapy, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20261405

Keywords:

Automated external defibrillator, Cardiopulmonary resuscitation, Out-of-hospital cardiac arrest, Youth population

Abstract

Background: Sudden cardiac arrest is a major global cause of mortality, with out-of-hospital cardiac arrest (OHCA) accounting for nearly 10% of all deaths. Early Cardiopulmonary Resuscitation (CPR) and defibrillation can significantly improve survival, yet bystander CPR rates remain low, especially in India. Existing research largely focuses on healthcare professionals. Given India’s predominantly young demographic, evaluating CPR knowledge in this group is crucial.

Methods: A cross-sectional survey was conducted among 583 young adults (18–35 years) from urban India. Participants were recruited through snowball sampling; those with medical backgrounds or involved in roles such as military, lifeguards and flight attendants were excluded. A validated 24-item questionnaire (CVI=0.8) assessed demographics, CPR knowledge and attitudes. Data were analyzed using descriptive statistics in Microsoft Excel.

Results: Of 583 individuals included in the analysis, only 101 participants had previously received CPR training. Knowledge levels were low: 73% could not identify the correct chain of survival. Only 28% had heard of the AED. In contrast, attitudes of the youth towards CPR were positive: 87% were willing to assist an unconscious victim, 94% believed CPR should be taught to the general population and 95% supported CPR training in schools and colleges.

Conclusions: A strong willingness to help exists among youth, but major gaps in CPR and AED knowledge might limit effective bystander response. Implementing practical, skill-based CPR education in schools and colleges is essential to strengthen youth competence and improve survival in cardiac emergencies.

References

Chowdhury Almesned A, Almeman A, Alakhtar AM, AlAboudi AA, Alotaibi AZ, Aldamegh MS. Basic life support knowledge of healthcare students and professionals in the Qassim University. Int J Health Sci, Qassim University. 2014;8(2):142-6.

Fisher MB, Messerli A, Whayne Jr TF. Characteristics, management and results of out-of-hospital cardiac arrest (OHCA) with or without ST-segment elevation myocardial infarction (STEMI). Angiology. 2018;69(3):189-91.

Myat A, Song KJ, Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;391(10124):970-9.

Yan S, Gan Y, Jiang N, Wang R, Chen Y, Luo Z, et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Critical care. 2020;24(1):61.

Aroor AR, Saya RP, Attar NR, Saya GK, Ravinanthanan M. Awareness about basic life support and emergency medical services and their associated factors among students in a tertiary care hospital in South India. J Emerg, Trauma Shock. 2014;7(3):166-9.

American Red Cross. History of CPR. Available AT: https://www.redcross.org. Accessed on 21 November 2025.

Owaid Alsharari A, Alduraywish A, Ali Al-Zarea E, Ibrahim Salmon N, Ali Sheikh MS. Current status of knowledge about cardiopulmonary resuscitation among the university students in the northern region of Saudi Arabia. Card Res Pract. 2018;2(1):3687472.

Travers AH, Rea TD, Bobrow BJ, Edelson DP, Berg RA, Sayre MR, et al. Part 4: CPR overview: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18):676-84.

Cummins RO, Ornato JP, Thies WH, Pepe PE. Improving survival from sudden cardiac arrest: the" chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation. 1991;83(5):1832-47.

Mendhe HG, Burra L, Singh D, Narni H. Knowledge, attitude and practice study on cardiopulmonary resuscitation among medical and nursing interns. Int J Community Med Public Health. 2017;4(8):3026.

Valenzuela TD, Roe DJ, Nichol G, Clark LL, Spaite DW, Hardman RG. Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. New England J Med. 2000;343(17):1206-9.

Bækgaard JS, Viereck S, Møller TP, Ersbøll AK, Lippert F, Folke F. The effects of public access defibrillation on survival after out-of-hospital cardiac arrest: a systematic review of observational studies. Circulation. 2017;136(10):954-65.

American Red Cross. What is an AED. Available at: https://www.redcross.org/take-a-class/aed/using-an-aed/what-is-aed. Accessed on 21 November 2025.

Rajapakse R, Noč M, Kersnik J. Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wiener Klinische Wochenschrift. 2010;122(23):667-72.

Herlitz J, Eek M, Holmberg M, Engdahl J, Holmberg S. Characteristics and outcome among patients having out of hospital cardiac arrest at home compared with elsewhere. Heart. 2002;1;88(6):579-82.

Qara FJ, Alsulimani LK, Fakeeh MM, Bokhary DH. Knowledge of Nonmedical Individuals about Cardiopulmonary Resuscitation in Case of Cardiac Arrest: A Cross‐Sectional Study in the Population of Jeddah, Saudi Arabia. Emerg Med Int. 2019;2(1):3686202.

Kuramoto N, Morimoto T, Kubota Y, Maeda Y, Seki S, Takada K, et al. Public perception of and willingness to perform bystander CPR in Japan. Resuscitation. 2008;79(3):475-81.

Jarrah S, Judeh M, AbuRuz ME. Evaluation of public awareness, knowledge and attitudes towards basic life support: a cross-sectional study. BMC Emerg Med. 2018;18(1):37.

Özbilgin Ş, Akan M, Hancı V, Aygün C, Kuvaki B. Evaluation of public awareness, knowledge and attitudes about cardiopulmonary resuscitation: report of İzmir. Turkish J Anaesthesiol Reanimat. 2015;43(6):396.

Krishna CK, Showkat HI, Taktani M, Khatri V. Out of hospital cardiac arrest resuscitation outcome in North India—CARO study. World J Emerg Med. 2017;8(3):200.

Bhat R, Ravindra P, Sahu AK, Mathew R, Wilson W. Study of pre-hospital care of out of hospital cardiac arrest victims and their outcome in a tertiary care hospital in India. Indian Heart J. 2021;73(4):446-50.

Yan S, Gan Y, Jiang N, Wang R, Chen Y, Luo Z, et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Critical Care. 2020;24(1):61.

Sruthidevi CT, Thomas PE. Exploration of the political participation of youth: a social media intervention with reference to Digital India and Swachh Bharat missions. Int Res J Multidiscip Stud. 2017;3(11):864.

Gallagher EJ, Lombardi G, Gennis P. Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest. JAMA. 1995;274(24):1922-5.

India Today. 2% of people in India know CPR: Inadequate by global standards: CSI. 2023. Available at: https://www.indiatoday.in/impact-feature/story. Accessed on 21 November 2025.

Kanstad BK, Nilsen SA, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. Resuscitation. 2011;82(8):1053-9.

Al-Turki YA, Al-Fraih YS, Jalaly JB, Al-Maghlouth IA, Al-Rashoudi FH, Al-Otaibi AF, et al. Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia. Saudi Med J. 2008;29(9):1306-9.

Ezhilarasi R, JC HS. Knowledge on cardiopulmonary resuscitation among rural adults at Bangalore, India. Bioinformation. 2025;21(1):81.

Thakur T, Dhir A. Heartbeat of awareness: evaluating public knowledge of BCLS in New Delhi. Eur J Cardiovasc Med. 2019;14(1):77-83.

Ng TP, Eng SW, Ting JXR, Bok C, Tay GYH, Kong SYJ, et al. GOALS Workgroup. Global prevalence of basic life support training: A systematic review and meta-analysis. Resuscitation. 2023;186:109771.

Liou FY, Lin KC, Chien CS, Hung WT, Lin YY, Yang YP, et al. The impact of bystander cardiopulmonary resuscitation on patients with out-of-hospital cardiac arrests. J Chin Med Assoc. 2021;84(12):1078-83.

AlRadini FA, Sabbagh AY, Alamri FA, Almuzaini Y, Alsofayan YM, Alahmari AA, et al. Application of Automated External Defibrillators Among the Public: A Cross-Sectional Study of Knowledge, Attitude, Practice and Barriers of Use in Saudi Arabia. Int J Gen Med. 2023;6;16:5089-96.

Milan M, Perman SM. Out of Hospital Cardiac Arrest: A Current Review of the Literature that Informed the 2015 American Heart Association Guidelines Update. Curr Emerg Hosp Med Rep. 2016;4(4):164-71.

Elhussain MO, Ahmed FK, Mustafa NM, Mohammed DO, Mahgoub IM, Alnaeim NA, et al. The role of automated external defibrillator use in the out-of-hospital cardiac arrest survival rate and outcome: a systematic review. Cureus. 2023;15(10):47721.

Pivač S, Gradišek P, Skela-Savič B. The impact of cardiopulmonary resuscitation (CPR) training on schoolchildren and their CPR knowledge, attitudes toward CPR and willingness to help others and to perform CPR: mixed methods research design. BMC Public Health. 2020;20(1):915.

American Heart Association. 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Available at: https://professional.heart.org/en/science-news/2020-aha-guidelines-for-cpr-and-ecc. Accessed on 21 November 2025.

World Health Organization. Emergency care systems for universal health coverage: ensuring timely care for the acutely ill and injured. Geneva: World Health Organization. 2019.

Downloads

Published

2026-04-30

How to Cite

Gadre, S. S., Munot, S. S., & Sahasrabudhe, P. B. (2026). Knowledge and attitude of youth of India towards cardio pulmonary resuscitation: a cross-sectional study. International Journal Of Community Medicine And Public Health, 13(5), 2246–2251. https://doi.org/10.18203/2394-6040.ijcmph20261405

Issue

Section

Original Research Articles