Okul Çağındaki Çocuklara Kardiyopulmoner Resusitasyon Öğretilebilir: Çocuklar Hayat Kurtarır
Year 2024,
, 47 - 53, 31.03.2024
Emel Altıntaş
,
Cem Oktay
,
Sena Baykara Sayılı
Abstract
Hastane dışı kardiyak arrest (HDKA) önemli bir halk sağlığı sorunudur. Kardiyopulmoner resusitasyon (KPR) ile ilgili bilimin gelişmesi, kılavuzların geliştirilmesi ve teknolojinin etkisi olmasına rağmen HDKA’dan sağ kalım oranları düşük kalmaktadır. Olay yerinde bulunan kişiler tarafından hemen KPR başlatılmasının hayatta kalım oranlarını iki ile dört kat artırabilir. Mevcut kanıtlar, verilen KPR eğitiminin geniş bir yaş aralığındaki çocuklarda başarılı olduğunu göstermektedir. 4 yaşından itibaren çocukların Yaşam Zincirindeki uygulamaları yapabilmeye başladıkları gösterilmiştir Bu makaledeki amacımız, kardiyak arrestte hayatta kalımı etkileyen faktörler, okul çağındaki çocuklara KPR’nin en uygun nasıl öğretilebileceği ve çocuklara KPR eğitimi yapılması için dünya çapında yürütülen girişimlerle ilgili literatürü gözden geçirmektir.
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Cardiopulmonary Resusitation can be Taught To Schoolchildren: Kids Save Lives
Year 2024,
, 47 - 53, 31.03.2024
Emel Altıntaş
,
Cem Oktay
,
Sena Baykara Sayılı
Abstract
Out-of-hospital cardiac arrest (OHCA) is a major public health concern. Despite the advancement of resuscitation science, development of guidelines and the impact of technology regarding cardiopulmonary resuscitation (CPR), survival rates from OHCA remain low. Initiation of early bystander CPR can double or quadruple survival rates. Current evidence shows that CPR training is successful in children across a wide age range. It has been shown that from the age of 4, children begin to perform procedures in the Chain of Survival. Our objective is to review the literature on factors affecting survival in cardiac arrest, how to best teach CPR to schoolchildren and the initiatives carried out worldwide to provide CPR training to children.
References
- Long B, Gottlieb M. Cardiopulmonary Resuscitation: The Importance of the Basics. Emerg Med Clin North Am. 2023;41(3):509-528. doi:10.1016/j.emc.2023.03.005
- Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(16_suppl_2):S366-S468. doi:10.1161/CIR.0000000000000916
- Sayre MR, Berg RA, Cave DM, et al. Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation. 2008;117(16):2162-2167. doi:10.1161/CIRCULATIONAHA.107.189380
- Kleinman ME, Brennan EE, Goldberger ZD, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S414-S435. doi:10.1161/CIR.0000000000000259
- Sayre MR, Koster RW, Botha M, et al. Part 5: Adult basic life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations [published correction appears in Circulation. 2013 Nov 5;128(19):e393]. Circulation. 2010;122(16 Suppl 2):S298-S324. doi:10.1161/CIRCULATIONAHA.110.970996
- Taniguchi D, Baernstein A, Nichol G. Cardiac arrest: a public health perspective. Emerg Med Clin North Am. 2012;30(1):1-12. doi:10.1016/j.emc.2011.09.003
- Gräsner JT, Herlitz J, Tjelmeland IBM, et al. European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation. 2021;161:61-79. doi:10.1016/j.resuscitation.2021.02.007
- Beck B, Bray J, Cameron P, et al. Regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest in Australia and New Zealand: Results from the Aus-ROC Epistry. Resuscitation. 2018;126:49-57. doi:10.1016/j.resuscitation.2018.02.029
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- Holmberg M, Holmberg S, Herlitz J. Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation. 2000;47(1):59-70. doi:10.1016/s0300-9572(00)00199-4
- Herlitz J, Bång A, Gunnarsson J, et al. Factors associated with survival to hospital discharge among patients hospitalised alive after out of hospital cardiac arrest: change in outcome over 20 years in the community of Göteborg, Sweden. Heart. 2003;89(1):25-30. doi:10.1136/heart.89.1.25
- Böttiger BW, Grabner C, Bauer H, et al. Long term outcome after out-of-hospital cardiac arrest with physician staffed emergency medical services: the Utstein style applied to a midsized urban/suburban area. Heart. 1999;82(6):674-679. doi:10.1136/hrt.82.6.674
- Gräsner JT, Wnent J, Herlitz J, et al. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation. 2020;148:218-226. doi:10.1016/j.resuscitation.2019.12.042
- Kitamura T, Kiyohara K, Nishiyama C, et al. Chest compression-only versus conventional cardiopulmonary resuscitation for bystander-witnessed out-of-hospital cardiac arrest of medical origin: A propensity score-matched cohort from 143,500 patients. Resuscitation. 2018;126:29-35. doi:10.1016/j.resuscitation.2018.02.017
- Böttiger BW, Bode C, Kern S, et al. Efficacy and safety of thrombolytic therapy after initially unsuccessful cardiopulmonary resuscitation: a prospective clinical trial. Lancet. 2001;357(9268):1583-1585. doi:10.1016/S0140-6736(00)04726-7
- Wissenberg M, Lippert FK, Folke F, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(13):1377-1384. doi:10.1001/jama.2013.278483
- Böttiger BW, Semeraro F, Altemeyer KH, et al. KIDS SAVE LIVES: School children education in resuscitation for Europe and the world. Eur J Anaesthesiol. 2017;34(12):792-796. doi:10.1097/EJA.0000000000000713
- Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe [published correction appears in Resuscitation. 2016 Dec;109:145-146]. Resuscitation. 2016;105:188-195. doi:10.1016/j.resuscitation.2016.06.004
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