A session at this year's Euroanaesthesia meeting will discuss how improving the skills of members of the public, including schoolchildren, in resuscitation following cardiac arrest could save up to 100,000 lives per year. The presentation will be given by Professor Bernd Böttiger, Director of Science and Research at the European Resuscitation Council (ERC), and also Head of the Department of Anaesthesiology and Intensive Care Medicine at University Hospital Cologne, Germany.
The best estimates currently available suggest that 350,000 deaths in each year in Europe are due to so called 'out-of-hospital cardiac arrest' (OOH-CA).This puts this cause of death in third place behind all cancers combined and other cardiovascular causes.
However, Professor Böttiger and other experts in resuscitation believe around 100,000 of these deaths could be prevented if members of the public, beginning with schoolchildren, are educated better on how to resuscitate a person who has had OOH-CA. He says: "350,000 deaths from OOH-CA per year is around 1000 deaths per day, the equivalent to 2 large full jumbo jets crashing per day, every day through the whole year, with no survivors. If that was happening, wouldn't we be doing all we could to stop it?"
Bystander cardiopulmonary resuscitation (CPR) by lay people increases survival by 2-3 times, however, today it is delivered in only 1 in 5 out-of-hospital cardiac arrests across Europe on average. Bystander CPR rates vary widely across Europe, with Andalusia in Spain as low as 12%, Germany 17%, through to very high rates in the Netherlands (61%) and Sweden (59%).The actual survival rate varies with the setting, with some countries (generally those in Eastern Europe) having survival as low as 6%, whereas countries with an excellent record in bystander CPR such as the Netherlands and Norway see survival rates as high as 40%.
"The reason for these low overall survival rates is that, without any form of resuscitation, the brain starts to die around 5 minutes after the cardiac arrest. This is usually sooner than most physicians and paramedics can arrive to help. Thus members of the public, by starting resuscitation, can really make a difference that can save someone's life. 60-80% of OOH-CA are witnessed by someone, and those people can help if they are shown how."
He gives the example of Denmark and Scandinavia which now have improved rates OOH-CA survival by focussing on improved education, including for bystander resuscitation. "Someone's wife, husband, son or daughter, friend, taxi driver: absolutely anyone could learn resuscitation, restart a person's heart, and save their life," says Professor Böttiger, He also stresses the importance of the dispatching paramedics when people call their emergency phone number: "If the dispatcher identifies cardiac arrest, the survival rate is higher than if not; rapid dispatching saves lives. Telephone CPR is in addition a method to improve survival of OOH-CA. All telephone dispatchers across Europe should be trained to teach bystander CPR to the person telephoning the emergency."
For education of schoolchildren, the ERC says that children of 12 years and older can be shown resuscitation techniques using just 2 hours per school year, and Professor Böttiger says one hour could be used in Biology or science lessons and another in physical education. Teachers can be trained how to instruct pupils. Training schoolchildren in resuscitation already happens regularly in Denmark.
The ERC has already held one successful European 'Restart a Heart' day (16 October 2013). 16-year-old Kea from Cologne, Germany successfully resuscitated 12-year-old Nic during 2013, while waiting more than 10 min for emergency physicians. Together the two children instructed the European Commissioner of Health, Tonio Borg, how to successfully resuscitate. On 16 October 2014, there will be a second European Restart a Heart Day, with the theme "Your hands can save a loved one's Life".
In addition, a study (called EuReCa-ONE), involving 20 European registries, will be completed in October, 2014, to allow more detailed comparisons between countries and best practices to be shared.
"Traffic accidents cause far fewer deaths per head of population today, thanks to the billions invested in roads and vehicle safety. Now we must make investments to prevent deaths related to cardiac arrest. Among the things that will make the biggest difference are Europe-wide schoolchildren CPR training; improving dispatcher identification of CPR on the phone to get physicians and paramedics there faster; telephone CPR; European-wide cardiac arrest registries; and legislation that not only requires the registration of each death by traffic accident, but also compulsory registration of OOH-CA," concludes Professor Böttiger. "By improving rates of OOH-CA resuscitation by members of the public to those of the best performing countries in Europe, we can easily save 100,000 additional lives every year in Europe, meaning 274 every day, and one every 5 minutes."
He adds: "Anaesthesiologists across Europe are keen to do all they can to help improve rates of bystander CPR in their respective countries."
NOTES TO EDITORS:
The steps for successful CPR
5. Smile, and be proud that you have taken action
Bernd Böttiger | Eurek Alert!
Custom-tailored strategy against glioblastomas
26.09.2016 | Rheinische Friedrich-Wilhelms-Universität Bonn
New leukemia treatment offers hope
23.09.2016 | King Abdullah University of Science and Technology
Optical quantum computers can revolutionize computer technology. A team of researchers led by scientists from Münster University and KIT now succeeded in putting a quantum optical experimental set-up onto a chip. In doing so, they have met one of the requirements for making it possible to use photonic circuits for optical quantum computers.
Optical quantum computers are what people are pinning their hopes on for tomorrow’s computer technology – whether for tap-proof data encryption, ultrafast...
The Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP has been developing various applications for OLED microdisplays based on organic semiconductors. By integrating the capabilities of an image sensor directly into the microdisplay, eye movements can be recorded by the smart glasses and utilized for guidance and control functions, as one example. The new design will be debuted at Augmented World Expo Europe (AWE) in Berlin at Booth B25, October 18th – 19th.
“Augmented-reality” and “wearables” have become terms we encounter almost daily. Both can make daily life a little simpler and provide valuable assistance for...
With the help of artificial intelligence, chemists from the University of Basel in Switzerland have computed the characteristics of about two million crystals made up of four chemical elements. The researchers were able to identify 90 previously unknown thermodynamically stable crystals that can be regarded as new materials. They report on their findings in the scientific journal Physical Review Letters.
Elpasolite is a glassy, transparent, shiny and soft mineral with a cubic crystal structure. First discovered in El Paso County (Colorado, USA), it can also be...
For the first time, Fraunhofer IKTS shows additively manufactured hardmetal tools at WorldPM 2016 in Hamburg. Mechanical, chemical as well as a high heat resistance and extreme hardness are required from tools that are used in mechanical and automotive engineering or in plastics and building materials industry. Researchers at the Fraunhofer Institute for Ceramic Technologies and Systems IKTS in Dresden managed the production of complex hardmetal tools via 3D printing in a quality that are in no way inferior to conventionally produced high-performance tools.
Fraunhofer IKTS counts decades of proven expertise in the development of hardmetals. To date, reliable cutting, drilling, pressing and stamping tools made of...
At AKL’16, the International Laser Technology Congress held in May this year, interest in the topic of process control was greater than expected. Appropriately, the event was also used to launch the Industry Working Group for Process Control in Laser Material Processing. The group provides a forum for representatives from industry and research to initiate pre-competitive projects and discuss issues such as standards, potential cost savings and feasibility.
In the age of industry 4.0, laser technology is firmly established within manufacturing. A wide variety of laser techniques – from USP ablation and additive...
28.09.2016 | Event News
27.09.2016 | Event News
23.09.2016 | Event News
28.09.2016 | Event News
27.09.2016 | Life Sciences
27.09.2016 | Physics and Astronomy