Objective To retrieve and summarize evidence related to family first aid for patients with out-of-hospital cardiac arrest both domestically and internationally,and to provide practical basis for developing scientific and reasonable family first aid plans.Methods According to the top-down principle of the"6S"evidence model,the the domestic and foreign guide websites,professional association websites,evidence-based databases,and comprehensive databases for evidence related to home care for patients with cardiac arrest outside the hospital were researched,including clinical decision-making,guidelines,evidence summary,expert consensus,system evaluation,and meta analyse.The search period was from the establishment of the database to April 30,2023.Two researchers trained in evidence-based methods evaluated the quality of the literature,selected literature that met the inclusion criteria,and extracted evidence.Results A total of 19 articles were included,including 3 clinical decision-making articles,7 guidelines,5 expert consensus articles,and 4 systematic evaluations.Summarize 32 pieces of evidence,including 8 aspects:identification,initiation of emergency medical services,chest compressions,open airway,artificial respiration,defibrillation,mobile internet technology support,and education and training.Conclusion The best evidence for family first aid for patients with out-of-hospital cardiac arrest is obtained through scientific and systematic summary,providing evidence-based evidence for the first witness to implement family first aid measures during cardiac arrest outside the hospital.
Cardiac arrestFamily first aidCardiopulmonary resuscitationDefibrillationEvidence based nursingSummary of evidence