scholarly journals BLS courses for refugees are feasible and induce commitment towards lay rescuer resuscitation

Author(s):  
Sebastian Schnaubelt ◽  
Benedikt Schnaubelt ◽  
Arnold Pilz ◽  
Julia Oppenauer ◽  
Erdem Yildiz ◽  
...  
Keyword(s):  
2013 ◽  
Vol 31 (10) ◽  
pp. 1462-1465 ◽  
Author(s):  
Athanasios Chalkias ◽  
Nikolaos Vogiatzakis ◽  
Konstantinos Tampakis ◽  
Maria Kalafati ◽  
Lila Papadimitriou ◽  
...  

Resuscitation ◽  
2017 ◽  
Vol 118 ◽  
pp. e22
Author(s):  
Andreas Bohn ◽  
Sabrina Lang ◽  
Jan Wnent ◽  
Stephan Seewald ◽  
Sigrid Brenner ◽  
...  

2016 ◽  
Vol 32 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Wenche Torunn Mathiesen ◽  
Conrad Arnfinn Bjørshol ◽  
Sindre Høyland ◽  
Geir Sverre Braut ◽  
Eldar Søreide

AbstractBackgroundSurvival rates after out-of-hospital cardiac arrest (OHCA) vary considerably among regions. The chance of survival is increased significantly by lay rescuer cardiopulmonary resuscitation (CPR) before Emergency Medical Services (EMS) arrival. It is well known that for bystanders, reasons for not providing CPR when witnessing an OHCA incident may be fear and the feeling of being exposed to risk. The aim of this study was to gain a better understanding of why barriers to providing CPR are overcome.MethodsUsing a semi-structured interview guide, 10 lay rescuers were interviewed after participating in eight OHCA incidents. Qualitative content analysis was used. The lay rescuers were questioned about their CPR-knowledge, expectations, and reactions to the EMS and from others involved in the OHCA incident. They also were questioned about attitudes towards providing CPR in an OHCA incident in different contexts.ResultsThe lay rescuers reported that they were prepared to provide CPR to anybody, anywhere. Comprehending the severity in the OHCA incident, both trained and untrained lay rescuers provided CPR. They considered CPR provision to be the expected behavior of any community citizen and the EMS to act professionally and urgently. However, when asked to imagine an OHCA in an unclear setting, they revealed hesitation about providing CPR because of risk to their own safety.ConclusionMutual trust between community citizens and towards social institutions may be reasons for overcoming barriers in providing CPR by lay rescuers. A normative obligation to act, regardless of CPR training and, importantly, without facing any adverse legal reactions, also seems to be an important factor behind CPR provision.MathiesenWT, BjørsholCA, HøylandS, BrautGS, SøreideE. Exploring how lay rescuers overcome barriers to provide cardiopulmonary resuscitation: a qualitative study. Prehosp Disaster Med. 2017;32(1):27–32.


Circulation ◽  
2020 ◽  
Vol 141 (12) ◽  
Author(s):  
Michael Christopher Kurz ◽  
Bentley J. Bobrow ◽  
Julie Buckingham ◽  
Jose G. Cabanas ◽  
Mickey Eisenberg ◽  
...  

Every year in the United States, >350 000 people have sudden cardiac arrest outside of a hospital environment. Sudden cardiac arrest is the unexpected loss of heart function, breathing, and consciousness and is commonly the result of an electric disturbance in the heart. Unfortunately, only ≈1 in 10 victims survives this dramatic event. Early access to 9-1-1 and early cardiopulmonary resuscitation (CPR) are the first 2 links in the chain of survival for out-of-hospital cardiac arrest. Although 9-1-1 is frequently accessed, in the majority of cases, individuals with out-of-hospital cardiac arrest do not receive lay rescuer CPR and wait for the arrival of professional emergency rescuers. Telecommunicators are the true first responders and a critical link in the cardiac arrest chain of survival. In partnership with the 9-1-1 caller, telecommunicators have the first opportunity to identify a patient in cardiac arrest and provide initial care by delivering CPR instructions while quickly dispatching emergency medical services. The telecommunicator and the caller form a unique team in which the expertise of the telecommunicator is provided just in time to a willing caller, transforming the caller into a lay rescuer delivering CPR. The telecommunicator CPR (T-CPR) process, also previously described as dispatch CPR, dispatch-assisted CPR, or telephone CPR, represents an important opportunity to improve survival from sudden cardiac arrest. Conversely, failure to provide T-CPR in this manner results in preventable harm. This statement describes the public health impact of out-of-hospital cardiac arrest, provides guidance and resources to construct and maintain a T-CPR program, outlines the minimal acceptable standards for timely and high-quality delivery of T-CPR instructions, and identifies strategies to overcome common implementation barriers to T-CPR.


2017 ◽  
Vol 113 (2) ◽  
pp. 124-130 ◽  
Author(s):  
A. Wutzler ◽  
S. von Ulmenstein ◽  
M. Bannehr ◽  
K. Völk ◽  
J. Förster ◽  
...  

2021 ◽  
Vol 22 (2) ◽  
pp. 129-131
Author(s):  
Markéta Nowaková ◽  
Bořek Trávníček ◽  
Jan Pavlíček ◽  
Michal Hladík

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Michael Mueller ◽  
Christian Rudolph ◽  
Cynthia Poenicke ◽  
Andre Eichelkraut ◽  
Norbert Papkalla ◽  
...  

The current international guidelines for resuscitation recommend high quality chest compressions with minimal interruptions as important prerequisite for optimal survival after cardiac arrest. During the standard four hours BLS course of the European Resuscitation Council (ERC) the participants learn to provide chest compressions, ventilations and to use an automated external defibrillator. We know that lay rescuers are able to learn these skills. However, it is unclear whether lay rescuers manage to minimize interruptions of chest compressions. Objective: To evaluate the no-flow fraction (NFF) during lay rescuer BLS including chest compressions, ventilation and the use of an AED. Methods: 24 participants of a BLS/ AED course were assessed before (T1) and after (T2) the BLS training in a standardized scenario in pairs of 2 rescuers. We used a Resusci Anne Simulator manikin (Laerdal, Norway) and a Lifepak 1000 AED trainer device for the assessment. The scenario was an adult patient with cardiac arrest and persistent ventricular fibrillation (VF), duration of the scenario was 5 minutes. 28 lay persons served as control group and were assessed in pairs of 2 rescuers twice at the same day. Two-sided t-test was used to test differences between groups and between test scenarios (T1 vs. T2), p<.05 was considered significant. Results: The NFF decreased from 0.68 ± 0.1 (before the course) to 0.5 ± 0.07 (after the course), p=.000. In the control group the NFF was 0.63 ± 0.1 (scenario 1) and 0.59 ± 0.14 (second scenario), p=.244. Conclusion: A standard BLS course reduces the interruptions of chest compressions during lay rescuer CPR. However, 50% of the scenario no chest compressions are given. Interruptions are mainly due to ventilations or related to the use of the AED. Further research is necessary to improve the BLS algorithm regarding reduction of interruptions.


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