Up to 206 Million People Reached and Over 5.4 Million Trained in Cardiopulmonary Resuscitation Worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative
AuthorBöttiger, Bernd W
Chakra Rao, Ssc
De Caen, Allan
Kern, Karl B
Khan, Abdul Majeed S
Lim, Swee H
Nakagawa, Naomi V
Neumar, Robert W
Nolan, Jerry P
van Grootven, Heleen
Perkins, Gavin D
AffiliationUniv Arizona, Dept Med, Div Cardiol
Keywords“World Restart a Heart”
International Liaison Committee on Resuscitation
MetadataShow full item record
CitationBöttiger, B. W., Lockey, A., Aickin, R., Carmona, M., Cassan, P., Castrén, M., ... & Perkins, G. D. (2020). Up to 206 million people reached and over 5.4 million trained in cardiopulmonary resuscitation worldwide: the 2019 international liaison committee on resuscitation World restart a heart initiative. Journal of the American Heart Association, 9(15), e017230.
Rights© 2020 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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AbstractSudden 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.
NoteOpen access article
VersionFinal published version
Except where otherwise noted, this item's license is described as © 2020 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
- "All citizens of the world can save a life" - The World Restart a Heart (WRAH) initiative starts in 2018.
- Authors: Böttiger BW, Lockey A, Aickin R, Castren M, de Caen A, Escalante R, Kern KB, Lim SH, Nadkarni V, Neumar RW, Nolan JP, Stanton D, Wang TL, Perkins GD
- Issue date: 2018 Jul
- World Restart a Heart initiative: all citizens of the world can save a life.
- Authors: Böttiger BW, Lockey A
- Issue date: 2018 Oct 13
- Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.
- Authors: Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, Bossaert LL, Brett SJ, Chamberlain D, de Caen AR, Deakin CD, Finn JC, Gräsner JT, Hazinski MF, Iwami T, Koster RW, Lim SH, Ma MH, McNally BF, Morley PT, Morrison LJ, Monsieurs KG, Montgomery W, Nichol G, Okada K, Ong ME, Travers AH, Nolan JP, Utstein Collaborators.
- Issue date: 2015 Nov
- Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.
- Authors: Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, Bossaert LL, Brett SJ, Chamberlain D, de Caen AR, Deakin CD, Finn JC, Gräsner JT, Hazinski MF, Iwami T, Koster RW, Lim SH, Huei-Ming Ma M, McNally BF, Morley PT, Morrison LJ, Monsieurs KG, Montgomery W, Nichol G, Okada K, Eng Hock Ong M, Travers AH, Nolan JP, Utstein Collaborators.
- Issue date: 2015 Sep 29
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A NOVEL RESUSCITATION ALGORITHM USING WAVEFORM ANALYSIS AND END-TIDAL CARBON DIOXIDE PRESSURE FOR VENTRICULAR FIBRILLATIONIndik, Julia H; Chaudhry, Fahd Abdullah; Utzinger, Urs; Konhilas, John; Hilwig, Ronald W (The University of Arizona., 2011)Ventricular fibrillation (VF) is a lethal heart rhythm that leads to cardiac arrest. It has been shown that amplitude spectral area (AMSA) in prolonged VF correlates with success of resuscitation. This study will compare traditional resuscitation with a novel resuscitation algorithm using AMSA and end-tidal carbon dioxide (ETCO2) to time defibrillations.VF will be induced in 60 swine. Resuscitation will commence after 10 minutes of untreated VF. Cases will receive defibrillation if AMSA is >19.8 mVHz and ETCO2 >20 mm of Hg, otherwise chest compressions will continue for another 90 seconds. Controls will have standard resuscitation. Sub group analysis will include effect of induced myocardial infarction (MI).End points will include survival, neurologic scores, duration of resuscitation efforts, and number of defibrillations.This experiment will establish whether using AMSA and ETCO2 to time defibrillations results in superior resuscitation compared with standard techniques.
Doubling survival and improving clinical outcomes using a left ventricular assist device instead of chest compressions for resuscitation after prolonged cardiac arrest: a large animal studyDerwall, Matthias; Brücken, Anne; Bleilevens, Christian; Ebeling, Andreas; Föhr, Philipp; Rossaint, Rolf; Kern, Karl B.; Nix, Christoph; Fries, Michael; Klinik für Anästhesiologie, Uniklinik RWTH Aachen; et al. (BioMed Central Ltd, 2015)INTRODUCTION: Despite improvements in pre-hospital and post-arrest critical care, sudden cardiac arrest (CA) remains one of the leading causes of death. Improving circulation during cardiopulmonary resuscitation (CPR) may improve survival rates and long-term clinical outcomes after CA. METHODS: In a porcine model, we compared standard CPR (sCPR; n =10) with CPR using an intravascular cardiac assist device without additional chest compressions (iCPR; n =10) following 10 minutes of electrically induced ventricular fibrillation (VF). In a separate crossover experiment, 10 additional pigs were subjected to 10 minutes of VF and 6 minutes of sCPR; the iCPR device was then implanted if a return of spontaneous circulation (ROSC) was not achieved using sCPR. Animals were evaluated in respect to intra- and post-arrest hemodynamics, survival, functional outcome and cerebral and myocardial lesions following CPR. We hypothesized that iCPR would result in more frequent ROSC and better functional recovery than sCPR. RESULTS: iCPR produced a mean flow of 1.36 ± 0.02 L/min, leading to significantly higher coronary perfusion pressure (CPP) values during the early period of CPR (22 ± 10 mmHg vs. 9 ± 5 mmHg, P ≤0.01, 1 minute after start of CPR; 20 ± 11 mmHg vs. 10 ± 7 mmHg, P =0.03, 2 minutes after start of CPR), resulting in high ROSC rates (100% in iCPR vs. 50% in sCPR animals; P =0.03). iCPR animals showed significantly lower serum S100 levels at 10 and 30 minutes following ROSC (3.5 ± 0.6 ng/ml vs. 7.4 ± 3.0 ng/ml 30 minutes after ROSC; P ≤0.01), as well as superior clinical outcomes based on overall performance categories (2.9 ± 1.0 vs. 4.6 ± 0.8 on day 1; P ≤0.01). In crossover experiments, 80% of animals required treatment with iCPR after failed sCPR. Notably, ROSC was still achieved in six of the remaining eight animals (75%) after a total of 22.8 ± 5.1 minutes of ischemia. CONCLUSIONS: In a model of prolonged cardiac arrest, the use of iCPR instead of sCPR improved CPP and doubled ROSC rates, translating into improved clinical outcomes.
Telephone cardiopulmonary resuscitation after pediatric out-of-hospital cardiac arrest: An analysis of the process measures, outcomes, and barriers to deliverySalevitz, Daniel; Bobrow, Bentley (The University of Arizona., 2020)Telephone cardiopulmonary resuscitation (T-CPR) has been associated with improved patient outcomes after out-of-hospital cardiac arrest (OHCA) in studies worldwide, however outcomes are similarly poor for adult and pediatric patients. Additionally, relatively little is known about T-CPR process measures and barriers to delivery of T-CPR in the pediatric population when compared with adult patients. We conducted an observational study of suspected and confirmed OHCAs in Arizona between 1/2011 and 12/2014. Telephone CPR process measures and barriers were extracted from suspected OHCA audio recordings from three 9-1-1 centers and linked to EMS confirmed OHCAs and hospital outcomes. Metrics were compared across four groups: Adults (? 18 years old), and pediatrics (0-1 year old, 2-8 years old, and 9-17 years old). In the study period, 4,533 calls were made to dispatch centers, and after exclusion criteria a total of 3,396 calls were included in the outcomes analysis. There was no difference in survival to hospital discharge (p = 0.6395) or functional neurological outcome (p = 0.1189) when comparing the adult and pediatric patients. A total of 2,007 calls were included in the process measures analysis after exclusions. In the pediatric population, there was a higher rate of call-takers starting CPR instructions (p = 0.0009) and bystanders starting chest compressions (p = 0.0011) and rescue breaths (p < 0.0001). Additionally, time to start of CPR instructions (p < 0.0001), first compressions (p = 0.019), and first rescue breaths (p < 0.0001) were significantly shorter for the pediatric population than for adults. Analysis of barriers to delivery of T-CPR revealed that the inability to get a patient to a hard, flat surface was statistically different in frequency between the adult and pediatric calls. Conclusion: Despite better process measures for the pediatric group, survival and functional neurological outcomes are similarly poor for the adult and pediatric populations after OHCA. The inability to get a patient to a hard, flat surface is a significant barrier in adult patients, and further evaluation of barriers to recognition of need for T-CPR in pediatric 9-1-1 calls is needed.