T-CPR Bayern

Meyer, Oliver; Beck, John C.; Dürr, G. H.-K.; Gschwendner, J.; Groschack, A.; Hannweber, M.; Harrer, M.; Kersting, Joschka; Kreimeier, U.; Kohlmann, T; Muth, Sven; Nickl, Stefanie; Pawlak, C.; Schiele, A.

doi:10.1055/s-0033-1343230

Cited by 3 publications

(3 citation statements)

References 19 publications

(39 reference statements)

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“…Some countries adapted this concept and optimized it for their specific EMS systems. 56 In 2017, Germany was the first country in the world to define standardized criteria for CAC certification. To this end, quality criteria and structural requirements for the CAC were defined in a consensus paper, which was agreed and published by the relevant professional associations.…”

Section: Supplementary Datamentioning

confidence: 99%

Improving survival after cardiac arrest in Europe: The synergetic effect of rescue chain strategies

Horriar,

Rott,

Böttiger

2024

Resuscitation Plus

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Section: Supplementary Datamentioning

confidence: 99%

Improving survival after cardiac arrest in Europe: The synergetic effect of rescue chain strategies

Horriar,

Rott,

Böttiger

2024

Resuscitation Plus

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“…Eine erste Publikation aus Seattle 1985 konnte zeigen, dass sich das Überleben mit der Einführung einer strukturierten Anleitung zur Reanimation durch Notfallzeugen durch Leitstellen von 6 % auf 21 % verbesserte [10]. In Bayern wurde die Telefonreanimation seit 2017 flächendeckend umgesetzt [11]. Bisher konnten 1675 Laienreanimationendavon 115 bei Kindern und Säuglingentelefonisch angeleitet und begleitet werden.…”

Section: Beurteilungunclassified

Möglichkeiten der Überbrückung des therapiefreien Intervalls bei Notfällen

Sefrin

Schua

2021

NOTARZT

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ZusammenfassungBei Notfällen besteht bis zur professionellen Hilfe durch den Rettungsdienst ein therapiefreies Intervall, das durch verschiedene Organisationsformen überbrückt werden soll, um dem Notfallpatienten eine adäquate Erste Hilfe zuteilwerden zu lassen. Die Hilfsfrist des Rettungsdienstes ist eine länderdifferente planerische Größe und bietet keine ausreichende Gewähr eines frühzeitigen Erreichens des Patienten, sondern definiert vielmehr die Infrastruktur des Rettungsdienstes. Eine spontane Hilfeleistung durch Notfallzeugen ist trotz des Bemühens einer bundesweiten Schulung der Bevölkerung in Erster Hilfe nicht durchgehend zu erwarten. Die Telefonreanimation durch die Leitstelle mit Anleitung des Anrufers zur Reanimation stellt eine Möglichkeit zum frühzeitigen Beginn einer Wiederbelebung dar. Engagierte ausgebildete, zufällig erreichbare Ersthelfer können über verschiedene Kommunikationsmittel an den Notfallort entsandt werden, um Erste Hilfe zu leisten. Eine organisierte Überbrückung des therapiefreien Intervalls stellen die verschiedenen First-Responder-Systeme dar. Eine Sonderform ist der dem Rettungsdienst zugehörige Gemeindenotfallsanitäter. Die Vor- und Nachteile der einzelnen Organisationssysteme werden gegenübergestellt.

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“…Telephone CPR was first integrated into the 2010 guidelines for resuscitation by the European Resuscitation Council, where further development of AED programs was also encouraged ( 9 ). Following these recommendations, Bavaria was the first federal state in Germany to implement telephone CPR in its emergency medical dispatch protocols in 2013 ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Successful treatment of out-of-hospital cardiac arrest is still based on quick activation of the chain of survival

Borgstedt

Schaller

Goudkamp

et al. 2023

Front. Public Health

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Background and goal of studyCardiopulmonary resuscitation (CPR) in prehospital care is a major reason for emergency medical service (EMS) dispatches. CPR outcome depends on various factors, such as bystander CPR and initial heart rhythm. Our aim was to investigate whether short-term outcomes such as the return of spontaneous circulation (ROSC) and hospital admission with spontaneous circulation differ depending on the location of the out-of-hospital cardiac arrest (OHCA). In addition, we assessed further aspects of CPR performance.Materials and methodsIn this monocentric retrospective study, protocols of a prehospital physician-staffed EMS located in Munich, Germany, were evaluated using the Mann–Whitney U-test, chi-square test, and a multifactor logistic regression model.Results and discussionOf the 12,073 cases between 1 January 2014 and 31 December 2017, 723 EMS responses with OHCA were analyzed. In 393 of these cases, CPR was performed. The incidence of ROSC did not differ between public and non-public spaces (p = 0.4), but patients with OHCA in public spaces were more often admitted to the hospital with spontaneous circulation (p = 0.011). Shockable initial rhythm was not different between locations (p = 0.2), but defibrillation was performed significantly more often in public places (p < 0.001). Multivariate analyses showed that hospital admission with spontaneous circulation was more likely in patients with shockable initial heart rhythm (p < 0.001) and if CPR was started by an emergency physician (p = 0.006).ConclusionThe location of OHCA did not seem to affect the incidence of ROSC, although patients in public spaces had a higher chance to be admitted to the hospital with spontaneous circulation. Shockable initial heart rhythm, defibrillation, and the start of resuscitative efforts by an emergency physician were associated with higher chances of hospital admission with spontaneous circulation. Bystander CPR and bystander use of automated external defibrillators were low overall, emphasizing the importance of bystander education and training in order to enhance the chain of survival.

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T-CPR Bayern

Cited by 3 publications

References 19 publications

Improving survival after cardiac arrest in Europe: The synergetic effect of rescue chain strategies

Improving survival after cardiac arrest in Europe: The synergetic effect of rescue chain strategies

Möglichkeiten der Überbrückung des therapiefreien Intervalls bei Notfällen

Successful treatment of out-of-hospital cardiac arrest is still based on quick activation of the chain of survival

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