The impact of alcohol use on the quality of cardiopulmonary resuscitation among festival attendees: A prespecified analysis of a randomised trial

• Published in: Resuscitation Vol. 181; pp. 12 - 19
• Main Authors: Nas, J, Thannhauser, J, Vart, P, van Geuns, RJM, Muijsers, HEC, Mol, JHQ, Aarts, GWA, Konijnenberg, LSF, Gommans, DHF, Ahoud-Schoenmakers, SGAM, Vos, JL, van Royen, N, Bonnes, JL, Brouwer, MA
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01-12-2022
• Subjects: Adult; Alcohol; Alcohol Drinking; Basic life support; Cardiopulmonary Resuscitation - education; Education; Female; Heart Arrest; Holidays; Humans; Male; Manikins; Virtual reality; Alcohol; Basic life support; Education; Virtual reality
• ISSN: 0300-9572; 1873-1570
• DOI: 10.1016/j.resuscitation.2022.10.002

Cardiac arrests often occur in public places, but despite the undisputed impact of bystander CPR, it is debated whether one should act as a rescuer after alcohol consumption due to the perceived adverse effects. We provide the first objective data on the impact of alcohol levels on CPR-skills.
Pre-specified analysis of a randomised study at the Lowlands music festival (August 2019, the Netherlands) on virtual reality vs face-to-face CPR-training. Participants with an alcohol level ≥ 0.5‰ (WHO-endorsed cut-off for traffic participation) were eligible provided they successfully completed a tandem gait test. We studied alcohol levels (AL, ‰) in relation to CPR-quality (compression depth and rate) and CPR-scenario performance.
Median age of the 352 participants was 26 (22–31) years, 56% were female, with n = 214 in Group 1 (AL = 0‰), n = 85 in Group 2 (AL = 0–0.5‰) and n = 53 in Group 3 (AL ≥ 0.5‰). There were no significant differences in CPR-quality (depth: 57 [49–59] vs 57 [51–60] vs 55 mm [47–59], p = 0.16; rate: 115 [104–121] vs 114 [106–122] vs 111 min−1 [95–120], p = 0.19). There were no significant correlations between alcohol level and compression depth (Spearman’s rho −0.113, p = 0.19) or rate (Spearman’s rho −0.073, p = 0.39). CPR-scenario performance scores (maximum 13) were not different between groups (12 (9–13) vs 12 (9–13) vs 11 (9–13), p = 0.80).
In this study on festival attendees, we found no association between alcohol levels and CPR-quality or scenario performance shortly after training.
Lowlands Saves Lives is registered on https://www.clinicaltrials.gov (NCT04013633).