Sudden out-of-hospital cardiac arrest is the third leading cause of death in industrialized nations. Many of these lives could be saved if bystander cardiopulmonary resuscitation rates were better. "All citizens of the world can save a life-CHECK-CALL-COMPRESS." With these words, the International Liaison Committee on Resuscitation launched the 2019 global "World Restart a Heart" initiative to increase public awareness and improve the rates of bystander cardiopulmonary resuscitation and overall survival for millions of victims of cardiac arrest globally. All participating organizations were asked to train and to report the numbers of people trained and reached. Overall, social media impact and awareness reached up to 206 million people, and >5.4 million people were trained in cardiopulmonary resuscitation worldwide in 2019. Tool kits and information packs were circulated to 194 countries worldwide. Our simple and unified global message, "CHECK-CALL-COMPRESS," will save hundreds of thousands of lives worldwide and will further enable many policy makers around the world to take immediate and sustainable action in this most important healthcare issue and initiative. / Revisión por pares

Out-of-hospital cardiac arrest (OHCA) is a significant public health problem in most westernized industrialized nations. In spite of national and international guidelines for cardiopulmonary resuscitation and emergency cardiac care, the overall survival of patients with OHCA was essentially unchanged for 30 years--from 1978 to 2008 at 7.6%. Perhaps a better indicator of Emergency Medical System (EMS) effectiveness in treating patients with OHCA is to focus on the subgroup that has a reasonable chance of survival, e.g., patients found to be in ventricular fibrillation (VF). But even in this subgroup, the average survival rate was 17.7% in the United States, unchanged between 1980 and 2003, and 21% in Europe, unchanged between 1980 and 2004. Prior to 2003, the survival of patients with OHCA, in VF in Tucson, Arizona was less than 9% in spite of incorporating previous guideline recommendations. An alternative (non-guidelines) approach to the therapy of patients with OHCA and a shockable rhythm, called Cardiocerebral Resuscitation, based on our extensive physiologic laboratory studies, was introduced in Tucson in 2003, in rural Wisconsin in 2004, and in selected EMS areas in the metropolitan Phoenix area in 2005. Survival of patients with OHCA due to VF treated with Cardiocerebral Resuscitation in rural Wisconsin increased to 38% and in 60 EMS systems in Arizona to 39%. In 2004, we began a statewide program to advocate chest compression-only CPR for bystanders of witnessed primary OHCA. Over the next five years, we found that survival of patients with a shockable rhythm was 17.7% in those treated with standard bystander CPR (mouth-to-mouth ventilations plus chest compression) compared to 33.7% for those who received bystander chest-compression-only CPR. This article on Cardiocerebral Resuscitation, by invitation following a presentation at the 2011 Danish Society Emergency Medical Conference, summarizes the results of therapy of patients with primary OHCA treated with Cardiocerebral Resuscitation, with requested emphasis on the EMS protocol.

<p>The purpose of this study was to survey the occurrence of and obstacles to team training in</p><p>neonatal life support in Swedish hospitals and, accordingly, to compare university hospitals</p><p>with other hospitals. The study included all the managers in 37 pediatric wards who</p><p>participated in telephone interviews with the aid of a questionnaire. The results showed that</p><p>81 % of the Swedish hospitals that have a paediatric ward train the staff in neonatal life</p><p>support. All of the university hospitals and 74 % of the other hospitals are running training in</p><p>some form. The methods of training varied and so did the occurrence of training. All the</p><p>managers thought it was important to train neonatal life support. No statistical significant</p><p>difference occurred between university hospitals and other hospitals concerning the methods</p><p>of training, evaluation of training or in possibilities and obstacles of training. The conclusion</p><p>is that training multidisciplinary teams in neonatal life support is going on in most of the</p><p>Swedish hospitals. The team training in neonatal life support is quite a new method in Sweden</p><p>and several hospitals have started the training this year. One third evaluate their training by</p><p>oral reports, which is twice as often as written reports. A recommendation based on the results</p><p>of this study is that certification for the professionals who are involved in neonatal life support</p><p>should be considered.</p>

<p>Aim: The aim was to describe adult patients quality of life after cardiac arrest and resuscitation with CPR. Method: A literature overview based on eight scientific articles and one master thesis. Results: The result is presented in three categories, physical, psychological and social quality of life. Sleeping disorders, fatigue and low energy level affected the physical quality of life in a negative way. The psychological quality of life was often impaired the first time after the cardiac arrest, to be improved over time. Number of patients described a will to change their life, to put priorities straight and live for the moment. The social quality of life was affected by several factors such as social isolation, work disability and impaired social network. Several patients had to move to sheltered accommodation and many more patients was relaying on others to manage their activity of daily living (ADL). Other patients described no change regarding their social quality of life. Conclusion: The results showed that very few people survived a cardiac arrest, but once survival was achieved, a fairly good quality of life could be expected. Several of the studies also showed that patients can have a good quality of life despite physical, psychological and social dysfunction.</p>

The purpose of this study was to survey the occurrence of and obstacles to team training in neonatal life support in Swedish hospitals and, accordingly, to compare university hospitals with other hospitals. The study included all the managers in 37 pediatric wards who participated in telephone interviews with the aid of a questionnaire. The results showed that 81 % of the Swedish hospitals that have a paediatric ward train the staff in neonatal life support. All of the university hospitals and 74 % of the other hospitals are running training in some form. The methods of training varied and so did the occurrence of training. All the managers thought it was important to train neonatal life support. No statistical significant difference occurred between university hospitals and other hospitals concerning the methods of training, evaluation of training or in possibilities and obstacles of training. The conclusion is that training multidisciplinary teams in neonatal life support is going on in most of the Swedish hospitals. The team training in neonatal life support is quite a new method in Sweden and several hospitals have started the training this year. One third evaluate their training by oral reports, which is twice as often as written reports. A recommendation based on the results of this study is that certification for the professionals who are involved in neonatal life support should be considered.

Aim: The aim was to describe adult patients quality of life after cardiac arrest and resuscitation with CPR. Method: A literature overview based on eight scientific articles and one master thesis. Results: The result is presented in three categories, physical, psychological and social quality of life. Sleeping disorders, fatigue and low energy level affected the physical quality of life in a negative way. The psychological quality of life was often impaired the first time after the cardiac arrest, to be improved over time. Number of patients described a will to change their life, to put priorities straight and live for the moment. The social quality of life was affected by several factors such as social isolation, work disability and impaired social network. Several patients had to move to sheltered accommodation and many more patients was relaying on others to manage their activity of daily living (ADL). Other patients described no change regarding their social quality of life. Conclusion: The results showed that very few people survived a cardiac arrest, but once survival was achieved, a fairly good quality of life could be expected. Several of the studies also showed that patients can have a good quality of life despite physical, psychological and social dysfunction.

Cancer was the most common cause of the death in Taiwan in the past two decades. The recent advanced improvements of cancer treatment took endless encouragements and hopes to patients and their families, so they intended aggressively while dealing with the issue of death because of the decline of mortality rate and prolonged mean lifespan. It was difficult for families and doctors to decide whether to prolong life by life sustaing treatments (including cardiopulmonary resuscitation) or to sign Do-Not-Resuscitate (DNR) consent for terminal cancer patients .We want to analyze the related factors toward terminal cancer patients DNR and point out some ones correlated closely with the time of signing consent in this restrospective research. We corrected 80 DNR consents signed by terminal cancer patients or their families from one general teaching hospital in south Taiwan and analyzed factors toward the time of signing consents. Results of this study showed that the time of signing consents was very close with that of their death . Only 12.5% of the patients with survival more than 2 weeks after signing DNR consents, 55% of the patients or their families did not sign the consents until five days before their death, 30% of the patients died in 6-14 days after signing DNR consents, and there were even more twenty percent (21.25%) of the patients died in the day of which the consents were just signed by their families. The patients¡¦age, gender, kinds of their primary cancer, whether the pulmonary or pleural metastasis were present or not, and the treatments of these patients had no significant correlations with the time of signing DNR consents. Only three factors including of education level of patients, whether the patients¡¦illness was critical while signing consents and kinds of patients¡¦painkiller use contributed to the time of DNR signing significantly in this research. 72.5% of these patients had the degree for the primary school, and 80% of the patients or their families signed the consents just when the patients¡¦illness was critical. There were 32 patients with degree of the primary school and only 4 with degree of the junior high school within the patients wih survival more than 6 days after signing DNR consents (p value =0.003); There were 53.75% of the patients had ever used opioid painkillers while siging DNR consents, 25% of them had even received morphine for pain control. For the patients with survival more than 6 days after signing DNR consents, there were 18 patients prescribed opioid painkillers, and 26 patients without taking painkillers that meaned significant difference (p value =0.011); For the patients with critical illness while signing DNR consents, it meaned statistic difference for that 42 patients got survival more than 6 days and 23 patients with survival less than 6 days. (p value =0.000). We highly suggest to inforce the knowledge of hospice care to people in community and the colleagues of doctors and nurses by any kinds of education and introduction. We all need to pay more attentions to psychiatric status of terminal cancer patients and supply adequate help and care for them, so we could all get more close to meanings of human life.

No description available.

Diss. (sammanfattning) Uppsala : Univ., 2004. / Härtill 5 uppsatser.

Thesis (M.S.)--University of Michigan, 1993.