Review
Critical Care Medicine
Nadine Rott, Bernd W. Boettiger, Andrew Lockey
Summary: Sudden out-of-hospital cardiac arrest remains a top cause of death in industrialized countries, with significant differences in bystander resuscitation rates globally. The ILCOR World Restart a Heart initiative has educated millions of people, potentially saving hundreds of thousands of lives, influencing legislation, and inspiring research. The WRAH awareness campaign has successfully reached 194 countries and over 200 million people through social media and digital/virtual programs.
CURRENT OPINION IN CRITICAL CARE
(2021)
Article
Emergency Medicine
Lin Zhang, Menyue Luo, Helge Myklebust, Chun Pan, Liang Wang, Zhenxiang Zhou, Qiying Yang, Qi Lin, Zhi-Jie Zheng
Summary: This study found that in the (DA-CPR) programme in Suzhou, China, the zero survival rate, delays in seeking help, and bystander compliance rate were all suboptimal. Major barriers included caller disconnection, distraught mood, or refusal to perform chest compressions or ventilations.
EMERGENCY MEDICINE JOURNAL
(2021)
Article
Medicine, General & Internal
Dong Hun Kim, Young Woo Seo, Tae Chang Jang
Summary: This study aimed to investigate the effects of rotation time on CPR duration and sex on chest compression quality. The results showed that changing rescuers every minute is helpful in maintaining high-quality CPR, especially during prolonged CPR, as it can alleviate the decrease in chest compression quality caused by rescuer fatigue.
Review
Critical Care Medicine
Theresa Mariero Olasveengen, Federico Semeraro
Summary: The purpose of this review is to discuss recent advancements in basic life support (BLS) after cardiac arrest and how evolving knowledge in resuscitation is impacting current guidelines and practices. Recent findings have shown a focus on providing high-quality CPR for both professional and lay rescuers, as well as an increased emphasis on the systems perspective in resuscitation updates. Changes in current resuscitation practice are centered around recognizing cardiac arrest, improving interaction between rescuers and EMS, and enhancing resuscitation quality.
CURRENT OPINION IN CRITICAL CARE
(2021)
Article
Cardiac & Cardiovascular Systems
Joris Nas, Jos Thannhauser, Robert-Jan M. van Geuns, Niels van Royen, Judith L. Bonnes, Marc A. Brouwer
Summary: This study found that VR training can lead to CPR quality compliant with newly proposed criteria, especially in terms of compression rate. If the prognostic importance of these new criteria is confirmed in additional studies, current Lifesaver VR training would be an easily available vector to disseminate CPR skills.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Critical Care Medicine
Keita Nakatsutsumi, Akira Endo, Todd W. Costantini, Wataru Takayama, Koji Morishita, Yasuhiro Otomo, Akihiko Inoue, Toru Hifumi, Tetsuya Sakamoto
Summary: Real-time ultrasound-guided cannulation was found to be associated with shorter cannulation time in patients undergoing ECPR. Compared to patients without ultrasound guidance, the average cannulation time was reduced by 2.5 minutes, with no increased risk of catheter-related complications or poor neurological outcomes.
Review
Critical Care Medicine
Ailish Valeriano, Shyan Van Heer, Francois de Champlain, Steven C. Brooks
Summary: This review provides a comprehensive overview of crowdsourcing technologies for bystander intervention in out-of-hospital cardiac arrest. A total of 65 articles from more than 15 countries were included, covering 25 unique technologies, predominantly using text message-based systems or mobile phone applications. These technologies typically utilize global positioning systems to direct bystanders to victims and nearby AEDs, with key barriers including false positive alerts, legal liability, and potential psychological impact on volunteers.
Review
Cardiac & Cardiovascular Systems
Daniel C. Schroeder, Federico Semeraro, Robert Greif, Janet Bray, Peter Morley, Michael Parr, Naomi Kondo Nakagawa, Taku Iwami, Simon-Richard Finke, Carolina Malta Hansen, Andrew Lockey, Marina Del Rios, Farhan Bhanji, Comilla Sasson, Stephen M. Schexnayder, Tommaso Scquizzato, Wolfgang A. Wetsch, Bernd W. Bottiger
Summary: Based on existing literature, schoolchildren show high motivation to learn basic life support. It is recommended to use the CHECK-CALL-COMPRESS algorithm for all students and provide regular training. Young children from 4 years old can assess the first links in the chain of survival, while older students can achieve effective chest compressions and ventilation volumes. A combination of theoretical and practical training is recommended, with schoolteachers serving as effective instructors.
Article
Critical Care Medicine
Ingvild B. M. Tjelmeland, Jan Wnent, Siobhan Masterson, Jo Kramer-Johansen, Marcus Eng Hock Ong, Karen Smith, Eirik Skogvol, Rolf Lefering, Shir Lynn Lim, Nan Liu, Bridget Dicker, Andrew Swain, Stephen Ball, Jan-Thorsten Grasner
Summary: This study investigated the impact of the Covid-19 lockdown on bystander cardiopulmonary resuscitation (CPR) provision using population-based registries. The results showed a steady increase in bystander CPR from 2017 to 2020, and the lockdown did not affect this trend. There were variations in the incidence of bystander CPR among different registries.
Review
Veterinary Sciences
Melody J. Ward, April E. Blong, Rebecca A. Walton
Summary: CPR education for all staff is crucial in veterinary settings, especially when dealing with ill, injured or anesthetized animals. While current veterinary guidelines are often extrapolated from human medicine, further work is needed to tailor recommendations to domestic feline and canine patients. This article aims to provide an evidence-based review of CPA and CPR in feline patients, drawing heavily from initiatives like RECOVER and peer-reviewed literature studies.
JOURNAL OF FELINE MEDICINE AND SURGERY
(2021)
Editorial Material
Emergency Medicine
Janet Bray, Jason Acworth, Greg Page, Michael Parr, Peter Morley
Summary: Cardiac arrest is a common occurrence in Australian communities, with low survival rates. The importance of early BLS training and defibrillation in improving survival rates is highlighted. As such, mandating BLS education and training in schools is seen as crucial to ensuring more Australians have life-saving skills.
EMERGENCY MEDICINE AUSTRALASIA
(2021)
Review
Critical Care Medicine
Daniel C. Schroeder, Federico Semeraro, Robert Greif, Janet Bray, Peter Morley, Michael Parr, Naomi Kondo Nakagawa, Taku Iwami, Simon-Richard Finke, Carolina Malta Hansen, Andrew Lockey, Marina Del Rios, Farhan Bhanji, Comilla Sasson, Stephen M. Schexnayder, Tommaso Scquizzato, Wolfgang A. Wetsch, Bernd W. Boettiger, International Liaison Committee Resuscitation
Summary: Teaching schoolchildren basic life support is an effective way to increase bystander CPR rates. Students are motivated to learn and regular training consolidates long-term skills. Schoolteachers serve as effective instructors and social media tools can be used for teaching.
Article
Critical Care Medicine
Federico Semeraro, Robert Greif, Bernd W. Boettiger, Roman Burkart, Diana Cimpoesu, Marios Georgiou, Joyce Yeung, Freddy Lippert, Andrew S. Lockey, Theresa M. Olasveengen, Giuseppe Ristagno, Joachim Schlieber, Sebastian Schnaubelt, Andrea Scapigliati, Koenraad G. Monsieurs
Summary: The ERC has produced guidelines on life-saving systems based on the 2020 International Consensus on Cardiopulmonary Resuscitation, covering topics such as chain of survival, performance measurement, social media engagement, and global campaigns like World Restart a Heart.
Article
Emergency Medicine
Federico Semeraro, Robert Greif, Bernd W. Boettiger, Roman Burkart, Diana Cimpoesu, Marios Georgiou, Joyce Yeung, Freddy Lippert, Andrew S. Lockey, Theresa M. Olasveengen, Giuseppe Ristagno, Joachim Schlieber, Sebastian Schnaubelt, Andrea Scapigliati, Koenraad G. Monsieurs
Summary: These guidelines cover various important topics, including improving the performance of cardiopulmonary resuscitation, engaging the community through social media and smartphone apps, as well as important educational campaigns.
NOTFALL & RETTUNGSMEDIZIN
(2021)
Article
Health Care Sciences & Services
Charles L. Sprung, Ann L. Jennerich, Gavin M. Joynt, Andrej Michalsen, J. Randall Curtis, Linda S. Efferen, Sara Leonard, Barbara Metnitz, Adam Mikstacki, Namrata Patil, Robert C. McDermid, Philipp Metnitz, Richard A. Mularski, Pierre Bulpa, Alexander Avidan
Summary: This study evaluated the impact of provider religion and geographical/institutional factors on consensus about end-of-life care, finding significant differences in responses across regions. South African and North American providers were more likely to support advance directives, while Eastern European and Asian providers were less likely to agree with withdrawing life-sustaining treatments without patient or surrogate consent.
JOURNAL OF PALLIATIVE CARE
(2021)