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!
Antibiotic effectiveness imperiled as use in livestock expected to increase
27.03.2015 | Princeton University
A human respiratory tissue model to assess the toxicity of inhaled chemicals and pollutants
26.03.2015 | R&D at British American Tobacco
In an experiment at the Department of Energy's SLAC National Accelerator Laboratory, scientists precisely measured the temperature and structure of aluminum as...
The IPH presents a solution at HANNOVER MESSE 2015 to make ship traffic more reliable while decreasing the maintenance costs at the same time. In cooperation with project partners, the research institute from Hannover, Germany, has developed a sensor system which continuously monitors the condition of the marine gearbox, thus preventing breakdowns. Special feature: the monitoring system works wirelessly and energy-autonomously. The required electrical power is generated where it is needed – directly at the sensor.
As well as cars need to be certified regularly (in Germany by the TÜV – Technical Inspection Association), ships need to be inspected – if the powertrain stops...
When an earthquake hits, the faster first responders can get to an impacted area, the more likely infrastructure--and lives--can be saved.
The Atlantic overturning is one of Earth’s most important heat transport systems, pumping warm water northwards and cold water southwards. Also known as the Gulf Stream system, it is responsible for the mild climate in northwestern Europe.
Scientists now found evidence for a slowdown of the overturning – multiple lines of observation suggest that in recent decades, the current system has been...
Because they are regularly subjected to heavy vehicle traffic, emissions, moisture and salt, above- and underground parking garages, as well as bridges, frequently experience large areas of corrosion. Most inspection systems to date have only been capable of inspecting smaller surface areas.
From April 13 to April 17 at the Hannover Messe (hall 2, exhibit booth C16), engineers from the Fraunhofer Institute for Nondestructive Testing IZFP will be...
25.03.2015 | Event News
19.03.2015 | Event News
17.03.2015 | Event News
27.03.2015 | Agricultural and Forestry Science
27.03.2015 | Materials Sciences
27.03.2015 | Ecology, The Environment and Conservation