Public knowledge and attitude toward basic life support in Jeddah, Saudi Arabia

Haytham Abdulnasser Abbas, Safa Yousef Khudari, Rawan Hamed Almalki, Raghad Taher Abed, Salam Atif Sait, Afnan Ahmad Sulaiman


Background: Basic life support (BLS) is an integral component of initial resuscitative care during critical situations like sudden cardiac arrest, stroke, and airway obstruction. Tragic consequences of such life-threatening emergencies can be prevented with adequate knowledge and training on BLS principles. This study sought to assess the current status of public knowledge and attitude towards BLS in Jeddah, Saudi Arabia.

Methods: Using a descriptive cross-sectional design, a study was conducted amongst residents of Jeddah, during July 2020. Participants were asked to fill a validated online questionnaire consisting of 9 demographic items, and 23 items determining attitude and general knowledge on BLS and cardiopulmonary resuscitation (CPR).

Results: A total of 740 participants completed the questionnaire, with the majority being between 18 to 39 years old. Overall, the study findings show inadequate levels of BLS knowledge, with a mean knowledge score of 5.3 (SD±2.8) out of 15. The highest rates of correct responses were observed in the question concerning the recognition of the national emergency contact number (72.3%). Participants who had previously received BLS training had significantly higher knowledge scores (p<0.001), as well as those who took BLS courses within one year or less (p<0.001), and those who previously witnessed CPR (p<0.001).

Conclusions: In general, knowledge about BLS among the participants was very limited, yet a positive attitude towards BLS training was observed. Therefore, a nation-wide effort is advised to enhance the public exposure on BLS.


Attitude, Basic life support, Jeddah, Knowledge, Saudi Arabia

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Myerburg RJ, Kessler KM, Castellanos A. Sudden cardiac death. Structure, function, and time-dependence of risk. Circulation. 1992;85(1):I2-10.

Bogle BM, Ning H, Mehrotra S, Goldberger JJ, Lloyd‐Jones DM. Lifetime risk for sudden cardiac death in the community. J Am Heart Assoc. 2016;5(7):e002398.

Narayan DPR. Assessment of knowledge and attitude about basic life support among dental interns and postgraduate students in Bangalore city, India. World J Emerg Med. 2015.

Josephson M, Wellens HJ. Implantable defibrillators and sudden cardiac death. Circulation. 2004;109(22):2685-91.

Alotaibi O, Alamri F, Almufleh L, Alsougi W. Basic life support: Knowledge and attitude among dental students and Staff in the College of Dentistry, King Saud University. Saudi J Dent Res. 2016;7(1):51-6.

Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circul Cardiovasc Qual Outcomes. 2010;3(1):63-81.

Berdowski J, Blom MT, Bardai A, Tan HL, Tijssen JG, Koster RW. Impact of onsite or dispatched automated external defibrillator use on survival after out-of-hospital cardiac arrest. Circulation. 2011;124(20):2225-32.

Subki AH, Mortada HH, Alsallum MS, Alattas AT, Almalki MA, Hindi MM, et al. Basic life support knowledge among a nonmedical population in Jeddah, Saudi Arabia: cross-sectional study. Interact J Med Res. 2018;7(2):e10428.

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;2019:1-11.

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):1-7.

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.

Al Enizi BA, Saquib N, Zaghloul MS, Alaboud MS, Shahid MS, Saquib J. Knowledge and attitudes about basic life support among secondary school teachers in Al-Qassim, Saudi Arabia. Int J Health Sci. 2016;10(3):415.

Al-Turkistani HK. Awareness and knowledge of pediatric cardio-pulmonary resuscitation in the community of Al-Khobar city. J Fam Community Med. 2014;21(2):125.

Sample Size Calculator by Raosoft, Inc. Available from: Accessedon 30 July 2020.

Ghrayeb FA, Amro NRN, Rahseed O, Yagi H, Amro R, Amro B. Knowledge and attitude of basic life support (BLS) among school teachers in Hebron, Palestine. Int J Res Med Sci. 2017;5(6):2477.

Bin Salleeh HM, Gabralla KA, Leggio WJ, Al Aseri ZA. Out-of-hospital adult cardiac arrests in a university hospital in central Saudi Arabia. Saudi Med J. 2015;36(9):1071-5.

Chair SY, Hung MSY, Lui JCZ, Lee DTF, Shiu IYC, Choi KC. Public knowledge and attitudes towards cardiopulmonary resuscitation in Hong Kong: Telephone survey. Hong Kong Med J. 2014;20(2):126-33.

Larsen P, Pearson J, Galletly D. Knowledge and attitudes towards cardiopulmonary resuscitation in the community. N Z Medical J. 2004;117(1193).

Jogade A, Patkar D. Study of awareness of basic life support among general population in Mumbai: a cross-sectional survey. Glob J Manage Business Res. 2020;20(9-A).

Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, et al. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18_suppl_2):S315-67.

Taniguchi T, Omi W, Inaba H. Attitudes toward the performance of bystander cardiopulmonary resuscitation in Japan. Resuscitation. 2007;75(1):82-7.

Bakke HK, Steinvik T, Angell J, Wisborg T. A nationwide survey of first aid training and encounters in Norway. BMC Emerg Med. 2016;17(1):1-7.

Rajapakse R, Noč M, Kersnik J. Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wien Klin Wochenschr. 2010;122(23-24):667-72.

Jennings S, Hara TO, Cavanagh B, Bennett K. A national survey of prevalence of cardiopulmonary resuscitation training and knowledge of the emergency number in Ireland. Resuscitation. 2009;80(9):1039-42.

Rasmus A, Czekajlo MS. A national survey of the Polish population's cardiopulmonary resuscitation knowledge. Eur J Emerg Med. 2000;7(1):39-43.

Sipsma K, Stubbs BA, Plorde M. Training rates and willingness to perform CPR in King County, Washington: a community survey. Resuscitation. 2011;82(5):564-7.

Celenza T, Gennat HC, O'Brien D, Jacobs IG, Lynch DM, Jelinek GA. Community competence in cardiopulmonary resuscitation. Resuscitation. 2002;55(2):157-65.

Taniguchi T, Sato K, Fujita T, Okajima M, Takamura M. Attitudes to bystander cardiopulmonary resuscitation in Japan in 2010. Circulat J. 2012;76(5):1130-5.

Hallstrom AP. Dispatcher-assisted “phone” cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. Crit Care Med. 2000;28(11):N190-2.

Berg RA, Hilwig RW, Kern KB, Ewy GA. Bystander” chest compressions and assisted ventilation independently improve outcome from piglet asphyxial pulseless “cardiac arrest. Circulation. 2000;101(14):1743-8.

Al Haliq SA, Khraisat OM, Kandil MA, Al Jumaan MA, Alotaibi FM, Alsaqabi FS, et al. Assessment on CPR Knowledge and AED Availability in Saudi Malls by Security Personnel: Public Safety Perspective. J Environ Public Health. 2020;2020.

Smith KL, Cameron PA, Meyer AM, McNeil JJ. Is the public equipped to act in out of hospital cardiac emergencies? Emerg Med J. 2003;20(1):85-7.

Clark MJ, Enraght-Moony E, Balanda KP, Lynch M, Tighe T, FitzGerald G. Knowledge of the national emergency telephone number and prevalence and characteristics of those trained in CPR in Queensland: baseline information for targeted training interventions. Resuscitation. 2002;53(1):63-9.

Smith KK, Gilcreast D, Pierce K. Evaluation of staff's retention of ACLS and BLS skills. Resuscitation. 2008;78(1):59-65.

Riegel B, Nafziger SD, McBurnie MA, Powell J, Ledingham R, Sehra R, et al. How well are cardiopulmonary resuscitation and automated external defibrillator skills retained over time? Results from the Public Access Defibrillation (PAD) Trial. Acad Emerg Med. 2006;13(3):254-63.

Na JU, Sim MS, Jo IJ, Song HG, Song KJ. Basic life support skill retention of medical interns and the effect of clinical experience of cardiopulmonary resuscitation. Emerg Med J. 2012;29(10):833-7.

Kovács E, Jenei ZM, Csordás K, Fritúz G, Hauser B, Gyarmathy VA, et al. The timing of testing influences skill retention after basic life support training: a prospective quasi-experimental study. BMC medical education. 2019;19(1):1-7.

Selby ML, Kautz JA, Moore TJ, Gombeski Jr WR, Ramirez AG, Farge EJ, et al. Indicators of response to a mass media CPR recruitment campaign. American J Public Health. 1982;72(9):1039-42.

Meissner TM, Kloppe C, Hanefeld C. Basic life support skills of high school students before and after cardiopulmonary resuscitation training: a longitudinal investigation. Scand J Trauma Resusc Emerg Med. 2012;20(1):1-7.

Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(13):1377-84.