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. Author manuscript; available in PMC: 2016 May 13.
Published in final edited form as: Ann Emerg Med. 2014 Dec 3;65(5):545–552.e2. doi: 10.1016/j.annemergmed.2014.10.028

Table 3.

Cultural barriers to performing bystander CPR.

Code Illustrative Quote
Age Because people might look at you different, because
 it’s like an older person, helping a younger person.
 Like maybe touching them wrong, or stuff like that.
Sex If a guy sees a girl collapse, that like, he doesn’t want
 to interact with her. There’s, like I don’t know, space
 issues, like, with female and male.
Immigration
 status
I think people don’t react because of fear,
 communication. They don’t want to be
 involved…because they have a criminal history, or
 because of immigration issues.
Language There needs to be 2-way communication, not just
 simple instructions [with the dispatcher]. Like, if the
 person receiving CPR begins to go into convulsions,
 or if they have a lot of bleeding also at the same
 time. I mean, there could be a lot of complications.
Racism They don’t want to get involved and be known as
 someone who is helping someone else’s gang, or
 someone else’s culture, or someone else’s color or
 creed because, you know, racism exists and hate
 exists and that probably is never going to go away.
Stranger If it’s a close person…but if it’s a stranger you would
 think twice. I mean, I’m not going to give mouth-to-mouth
 respiration to a person I’ve never seen before
 in my life.
Touching another
 person
And then also, the hesitancy that there is, and I don’t
 know if it’s limited to Hispanic culture or not, but the
 hesitancy to touch another person, especially in the
 chest, and if it’s a woman, oh my goodness.… Uh,
 there is great hesitations on the older people’s part.