European Resuscitation Council Guidelines for Resuscitation: 2017 update

Perkins, Gavin D.; Olasveengen, Theresa M.; Maconochie, Ian; Soar, Jasmeet; Wyllie, Jonathan; Greif, Robert; Lockey, Andrew; Semeraro, Federico; Voorde, Patrick Van de; Lott, Carsten; Monsieurs, Koenraad G.; Nolan, Jerry P.

doi:10.1016/j.resuscitation.2017.12.007

Cited by 151 publications

(138 citation statements)

References 52 publications

(50 reference statements)

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“…1,2 The treatment for cardiac arrest is immediate defibrillation if a 'shockable' rhythm is present, while basic life support (BLS) is the key to provide circulatory support and/or to induce a 'shockable' rhythm. 1 The European Resuscitation Council (ERC) indicates that bystander cardiopulmonary resuscitation (CPR) by lay people increases survival rate by 1,3 reinforcing the importance of bystander CPR to increase the survival from cardiac arrest. Nevertheless, it is only provided in about 20% of the out-of-hospital cardiac arrests.…”

Section: Introductionmentioning

confidence: 99%

General Public’s Knowledge Regarding Basic Life Support: A Pilot Study with a Portuguese Sample

Sá-Couto¹,

Nicolau²

2019

Acta Med Port

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RESUMOIntrodução: O suporte básico de vida é uma manobra fundamental em situação de paragem cardíaca com grande impacto na sobrevida da vítima. Este estudo investiga o conhecimento do público geral sobre os fundamentos do suporte básico de vida e a sua associação com o treino/educação prévia e a autoperceção do conhecimento. Um segundo objetivo é avaliar a opinião sobre as necessidades de treino. Material e Métodos: Trata-se de um estudo transversal, exploratório e descritivo, utilizando uma amostra de conveniência de 655 indivíduos. A ferramenta de recolha de dados consistiu num questionário contendo 21 questões. Uma análise estatística descritiva e inferencial explorou as possíveis associações entre variáveis. Resultados: O conhecimento geral teve uma pontuação (75,9% ± 14,2%) estatisticamente significativa (p < 0,001) superior ao conhecimento técnico (31,2% ± 29,7). Considerando o conhecimento total, a pontuação média foi de 49,0% ± 20,3%, com 100 (15,3%) inquiridos com pontuação igual ou superior a 70% e apenas 12 (1,8%) respondendo corretamente a todas as questões. Menos de 30% da amostra teve treino prévio em suporte básico de vida. Discussão: O conhecimento em suporte básico de vida tem associações importantes e estatisticamente significativas com a proveniência do conhecimento e o tempo decorrido do treino anterior. A associação da autoperceção do conhecimento e as pontuações reais mostraram, em geral, que os participantes têm uma perceção correta do seu conhecimento. As pontuações de conhecimento indicam uma falta de treino e conhecimento na população em geral. Conclusão: Os resultados deste estudo reforçam a necessidade de treino prático e regular de suporte básico de vida, idealmente no local de trabalho e no início da vida. Os participantes reconhecem que o seu conhecimento em suporte básico de vida é residual ou baixo e estão motivados a participar em cursos de treino e/ou revalidação. Palavras-chave: Conhecimentos, Atitudes eABSTRACT Introduction: Basic life support is a key manoeuvre in a cardiac arrest situation that can often save a victim's life. This study investigates the general public's knowledge about the fundamentals of basic life support, and its association with previous training/education on basic life support and self-perception of knowledge. A secondary goal is to assess the opinion on training needs. Material and Methods: This is a cross-sectional, exploratory, and descriptive study, using a convenience sample of 655 individuals. A survey containing 21 questions was applied. A descriptive and inferential statistical analysis explored potential associations between variables. Results:The mean score for general knowledge (75.9% ± 14.2%) was statistically significantly higher (p < 0.001) than for technical knowledge (31.2% ± 29.7). Considering the overall knowledge, the mean score was 49.0% ± 20.3%, with 100 (15.3%) respondents scoring equal or higher than 70%, and only 12 (1.8%) answering all questions correctly. Less than 30% of the sample had previous training in basic life support. ...

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Section: Introductionmentioning

confidence: 99%

General Public’s Knowledge Regarding Basic Life Support: A Pilot Study with a Portuguese Sample

Sá-Couto¹,

Nicolau²

2019

Acta Med Port

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“…Out-of-hospital rhythm of cardiac arrest during the first analysis of heart electrical activity in 66 cases was asystole/PEA (62.9%), in 21 cases the rhythm was determined as unknown (20.0%) and in 18 cases CF/VT (17.1%). The average age of the patients in combination with determined rhythm during the first analysis was as follows: for asystole/ PEA 7 [2,3], 7 years (SD=13.9), VF/VT 63.5 years (SD=18.0) and for rhythms determined as unknown 66.8 years (SD=17.6) ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Mechanisms that cause sudden cardiac arrest can be divided into two groups: non-defibrillating rhythm -asystole and pulseless electrical activity (PEA) and defibrillating rhythm -ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) [1,2]. Mechanism which leads to sudden cardiac arrest determine the proceeding, which is to be undertaken by the people applying advanced cardiopulmonary resuscitation [3,4]. All the actions carried out during the rescue activities are aimed to return of spontaneous circulation (ROSC) and increase the chances of survival till release from the hospital [1,2].…”

Section: Introductionmentioning

confidence: 99%

Return of spontaneous circulation and heart rhythm during the first analysis of the heart electrical activity

Kowalski

Moskal

Żak-Kowalska

et al. 2019

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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STRESZCZENIENAGły POwRóT KRąŻENIA I RyTMU SERCA PODCZAS PIERwSZEj ANALIZy AKTywNOśCI ELEKTRyCZNEj SERCA wstęp. Uzyskanie powrotu spontanicznego krwi (ROSC) u poszkodowanego z zatrzymaniem krążenia jest głównym celem prowadzenia resuscytacji krążeniowo -oddechowej. Cel. Ocena częstości przywrócenia spontanicznego krążenia (ROSC) w zależności od rytmu serca w momencie pierwszej analizy czynności elektrycznej serca. Materiał i metody. Analiza 105 przypadków nagłego zatrzymania krążenia w warunkach na terenie funkcjonowania brzozowskiego pogotowia ratunkowego w okresie od września 2016 do końca lutego 2018. Dane zostały pozyskane z Kart Zlecenia Wyjazdu oraz Kart Medycznych Czynności Ratunkowych (KMCR). Analizy statystycznej dokonano przy użyciu programu STATISTICA. Istotność statystyczną przyjęto na poziomie p<0,05. wyniki. Nagłe zatrzymanie krążenia w analizowanej grupie w 62,9% dotyczyło mężczyzn. Powrót spontanicznego krążenia udało uzyskać się w 16 z 105 (15,2%) przypadków pozaszpitalnego zatrzymania krążenia. Analiza wykazała, że ROSC udało osiągnąć się, aż u 66,67% pacjentów, którzy podczas pierwszej analizy rytmu reprezentowali zatrzymanie krążenia w mechanizmie VF/pVT, co stanowiło 75% wszystkich przypadków ROSC w przeanalizowanej grupie. Zestawienie między ROSC, a rytmem w czasie pierwszej oceny rytmu, wykazało istotną zależność (p=0,00). Wykazano również znaczącą statystycznie zależność pomiędzy ROSC, a średnim wiekiem pacjenta (p=0,0155). wnioski. Nagłe zatrzymanie krążenia w czasie, którego podczas pierwszej analizy rytmu stwierdzono VF/pVT, ma zdecydowanie większe szanse na powrót spontanicznego krążenia niż ma to miejsce w pozostałych rytmach. Słowa kluczowe: zawał serca, resuscytacja, nagły powrót krążenia AbSTRACT RETURN Of SPONTANEOUS CIRCULATION AND HEART RHyTHM DURING THE fIRST ANALySIS Of THE HEART ELECTRICAL ACTIvITy Introduction. Return of spontaneous circulation (ROSC) of a patient with cardiac arrest is the main goal of carrying out cardiopulmonary resuscitation. Aim. Evaluation of frequency of return of spontaneous circulation depending on the heart rhythms in the first moment of heart electrical activity. Material and methods. Analysis of 105 cases of sudden cardiac arrest in out-of-hospital conditions on the premises of Brzozow Emergency Medical Service from September 2016 to the end of February 2018. The data was collected from intervention medical cards and medical rescue procedure cards. Statistical analysis was carried out using STATISTICA software. Statistical significance was assumed to be p<0.05.

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“…Because well-known guidelines are adopted in BLS training globally (Bhanji et al, 2015;Perkins et al, 2018), BLS instructor competence seems to have little cultural difference across countries. The Competence Importance-Performance scale was developed by the authors based on an existing preliminary instrument of Taniguchi et al (2013), instructor competencies (IBSTPI, 2003), and the 2015 American Heart Association educational guidelines update for CPR and emergency cardiovascular care (Bhanji et al, 2015).…”

Section: Competence Importance-performance Scalementioning

confidence: 99%

Competence‐based training needs assessment for basic life support instructors

Kim

Roh

2018

Nursing & Health Sciences

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Basic life support instructors play an important role in the planning, implementation, and evaluation of basic life support education. However, little is known about basic life support instructors' competence. The aim of the present study was to identify basic life support instructors' competence attributes and assess their competence‐based training needs according to their expertise. This was a descriptive survey study to identify the educational needs of basic life support instructors using importance and performance analysis. A Web‐based survey with a 29 item Competence Importance–Performance scale was undertaken with a convenience sample of 213 Korean instructors. Factor analysis identified several important factors for the competence of instructors: assessment, professional foundations, planning and preparation, educational method and strategies and evaluation. The importance and performance analysis matrix showed that training priorities for novice instructors were communication with learners and instructors, learner motivation, educational design, and qualifications of instructors, whereas checking equipment status and educational environment had the highest training priority for experienced instructors. Assessment was the most important factor in basic life support instructor's competence. A competence‐based training program is needed according to basic life support instructors' expertise.

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European Resuscitation Council Guidelines for Resuscitation: 2017 update

Cited by 151 publications

References 52 publications

General Public’s Knowledge Regarding Basic Life Support: A Pilot Study with a Portuguese Sample

General Public’s Knowledge Regarding Basic Life Support: A Pilot Study with a Portuguese Sample

Return of spontaneous circulation and heart rhythm during the first analysis of the heart electrical activity

Competence‐based training needs assessment for basic life support instructors

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