Basic Life Support Knowledge and Simulated Chest Compression Performance Among Primary Health Care Staff: A...

Background: Out-of-hospital cardiac arrest (OHCA) remains a major public health problem. Many patients contact primary health care (PHC) services shortly before cardiac arrest, yet data on PHC staff preparedness to provide guideline-concordant basic life support (BLS) remain limited. This study assessed BLS knowledge and chest compression quality among medical and non-medical PHC staff. Methods: This multicentre cross-sectional simulation-based study was conducted in Poznań and Poznań County, Poland. PHC staff with direct patient contact were included (n = 162). Assessment comprised an author-developed 15-item knowledge test based on European Resuscitation Council guidelines and a two-minute continuous chest compression trial on a Resusci Anne QCPR manikin. Correlations were analysed using Spearman's rank correlation coefficient, group differences using the Kruskal-Wallis test with Dunn-Bonferroni post hoc comparisons, and predictors using multivariable linear regression. Results: The median BLS knowledge score was 9/15 points (mean 8.74). Mean chest compression depth was 41.3 mm, below the recommended range, with only 23.5% of compressions meeting depth criteria. Correct compression rate was maintained in 30.2% of compressions, and full chest recoil was observed in 55.0% of attempts. Age was negatively correlated with compression rate. In participant-level regression, higher BLS knowledge was associated with better QCPR performance; however, this association was attenuated and no longer statistically significant in mixed-effects models accounting for clustering by practice. Conclusions: PHC staff demonstrated gaps in BLS knowledge and inadequate simulated chest compression performance, particularly regarding compression depth and rate. These findings support recurrent, simulation-based BLS training for all PHC personnel.