Abstract P168: High Incidence of Delay in Emergency Call and Analysis of the Causes in Japan: Need of public relations that emphasize “Call 119 when someone becomes unresponsive”

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Keisuke Ohta ◽  
Miki Enami ◽  
Yutaka Takei ◽  
Hideo Inaba

Incidence and causes of delay in Emergency call were analyzed in 3267 out-of-hospital cardiac arrests that were witnessed by bystanders or not witnessed but found by citizens from April 1, 2003 to March 31, 2007 in Ishikawa Prefecture. Emergency calls were considered to be significantly delayed when interval of collapse or event recognition to call exceeded 2 min. The incidence of delay was 32.9% (1076/3267) in the all arrests and significantly higher in urban (Non-Central) areas than in rural (the Central) area (691/1539 vs. 385/1728, p<0.001). Telephone-assisted CPR was performed in 501 out of 1076 delayed cases and CPR was initiated in 331 cases. The proportions of ROSC and successful resuscitation were significantly lower when the call was delayed (178/1076 vs. 490/2191 p<0.001, 153/1076 vs. 415/2191 p<0.001, respectively). As shown in Table, the major causes of delay were identified in 906 out of 1076 cases. The delay was considered to be correctable in 607 cases if the bystanders or citizens had understood when they should call 119. These results indicate that significance of early call should be more emphasized in basic life support courses. The public relations that emphasize “Call 119 when someone becomes unresponsive” may be necessary for all citizens to be aware of the significance of early call.

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Mamoru Ayusawa ◽  
Masataka Kato ◽  
Ami Chou ◽  
Hirofumi Watanabe ◽  
Akiko Komori ◽  
...  

OBJECTIVES: Hypertrophic cardiomyopathy (HCM) has been one of the leading causes of sudden cardiac death in school students. However, recent spread of basic life support combined with public access defibrillation and implantable cardioverter-defibrillator (ICD) has a possibility of a paradigm shift for prognosis of HCM in young. METHODS: In Japan, more than 98% of all students in primary, middle, and high schools subscribe in the mutual aid system, and a school that experienced event relating sudden death is obliged to submit all health checking documents to refund for the affected student. Submitted reports were investigated for 8 years between 2004 and 2011. All victims or survivors diagnosed as HCM were extracted from those reports. Demographic data, presence of diagnosis before event, and intensity of physical activity at event were compared between them. RESULTS: Though data in 2011 is still tentative, annual numbers of victims with HCM from 2004 to 2011 were 4, 4, 5, 6, 3, 2, 4, 1, respectively. The first resuscitated survivor with HCM was reported in 2007, thereafter from 2008 until 2011, those were 6, 2, 4, 2, respectively. Therefore, totals of 29 victims and 15 survivors were enrolled in this study. All survivors were middle or high school students. Three primary school students were all victims. The male-to-female ratio was 4.8 and 2.0, respectively (NS). Ratio of students who were previously diagnosed as HCM was 48% and 20%, respectively (p=0.06). Concerning exercise intensity at cardiac event, 24% and 6.7% were occurred without exercise, respectively (p=0.08). ICD insertion after successful resuscitation was reported in 80% of survivors. CONCLUSIONS: Induction of basic life support and defibrillator has a certain impact for increasing survivors with HCM in school students. After 2008, survivors become equal or more than victims. Majority of survivors were disclosed by initial cardiac event by strenuous exercise, and cardioverter-defibrillator was implanted after resuscitation. Strategy for survival of HCM students with previously diagnosed should be reviewed. School caregivers including general physicians should acquire the management of students with ICD.


2020 ◽  
Vol 1 (3) ◽  
pp. 124-128
Author(s):  
Nuno Pinto ◽  
Alexandra Carvalho ◽  
Rita Silva ◽  
Eleonora Marianucci ◽  
Beatriz Novo

Cardiovascular events are the third cause of death in the world. It is generally accepted by all the main health organisations dedicated to this topic that increasing the number of potential members of the public who could intervene if necessary will lead to an increase in the survival rate in the case of cardiac arrest. To achieve this goal, offering effective training courses to as many individuals as possible, on a large scale and at a low cost, is recommended. Schools are by nature one of the ideal places for implementing this type of large-scale training programme. With this study the authors aim to measure how open students and teachers are to basic life-support training in their school and how this can improve their confidence levels in performing basic life-support if needed.


Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S19-S20
Author(s):  
Edward Caruana ◽  
Sarah Micallef ◽  
Michelle M. Boffa ◽  
Gillian Pace-Moore ◽  
Giuliana Torpiano ◽  
...  

Author(s):  
Noor Hafizah Abdul Salim ◽  
Aneesa Abdul Rashid ◽  
Ahmad Luqman Md Pauzi ◽  
Mohd Hisham Isa

Every year, the Federation of Islamic Medical Association (FIMA) conducts a basic life support (BLS) course for the public, not just in one, but in several countries. It is held in mosques as a method of raising awareness on the importance of BLS among the public, apart from highlighting the function of a mosque as a place of obtaining knowledge. Traditionally, it was conducted as face-to-face training. However, with the 2019 novel coronavirus pandemic, the training was changed to a hybrid method to balance between the needs to teach BLS skills to the public and the necessity of avoiding the spread of infection. This article discussed the Islamic Medical Association of Malaysia (IMAM)’s experience in organizing a mass BLS course for public in the midst of the COVID-19 pandemic while utilising a small mosque as a hub of learning.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 6-10


2020 ◽  
Vol 4 (2) ◽  
pp. 115
Author(s):  
Vina Nirmalasari ◽  
Wiwin Winarti

Abstrak  Out-of-Hospital Cardiac Arrest (OHCA) merupakan keadaan hilangnya fungsi jantung secara tiba-tiba yang terjadi di luar rumah sakit dan membutuhkan pertolongan cepat. Bantuan Hidup Dasar (BHD) merupakan pertolongan pertama kepada korban OHCA yang dapat meningkatkan angka keberlangsungan hidup pasien henti jantung. Setiap lapisan masyarakat khususnya mahasiswa kesehatan harus memiliki pengetahuan dan keterampilan BHD. Pelatihan dapat meningkatkan pengetahuan dan keterampilan mahasiswa jurusan kesehatan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pelatihan bantuan hidup dasar terhadap pengetahuan dan keterampilan pada Himpunan Mahasiswa Kesehatan Masyarakat (HMKM) di UPN “Veteran” Jakarta. Penelitian ini menggunakan desain Quasi Experiment Design (Eksperimental Semu) dengan Pre-Post Without Control Group. Teknik Consecutive sampling digunakan untuk merekrut 23 mahasiswa sebagai responden penelitian. Hasil analisis menggunakan Paired t-test menunjukkan terdapat pengaruh yang signifikan antara pelatihan BHD  dengan pengetahuan (p=0,000) dan keterampilan (p=0,000). Hal tersebut menunjukkan terdapat pengaruh yang signifikan antara pelatihan BHD dengan pengetahuan dan keterampilan HMKM UPN “Veteran” Jakarta. Kata Kunci : BHD; Keterampilan; Pelatihan; Pengetahuan ABSTRACT Out of Hospital Cardiac Arrest (OHCA) is a state of a sudden loss of heart function that occurs outside the hospital and requires rapid relief. Basic Life Support (BLS) is the first aid that can increase the survival rate of patients with cardiac arrest of OHCA victims. Every level of society, especially healthcare students, is mandatory to have BLS knowledge and skills. Training can improve healthcare students' knowledge and skills. The purpose of this study was to determine the effect of basic life support training on the knowledge and skills of the members of the Public Health Student Association at UPN "Veteran" Jakarta. This study used a Quasi Experiment with Pre-Post Without Control Group design. The consecutive sampling method was used to recruit 23 students as respondents. The results of a Paired t-test showed that there was a significant effect of BLS training on the knowledge (p = 0,000) and skills (p = 0,000). This study showed that there is a significant effect of BLS training on the knowledge and skills of the members of the Public Health Student Association at UPN "Veteran" Jakarta. Keywords: BLS; Knowledge; Skill; Training


Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Hose Iwasaki ◽  
Takahisa Kamikura ◽  
Testuo Maeda ◽  
Minoru Kubo ◽  
Yutaka Takei ◽  
...  

Aim: To assess the benefit of immediate call-first or CPR-first basic life support (BLS) in promoting a better outcome of out-of-hospital cardiac arrest (OHCA). Methods: From the nation-wide database of 2005 to 2012, we extracted bystander-witnessed OHCAs in which both emergency call and CPR were performed by bystanders on their own initiative (without instruction over telephone) within 6 min of witnessing patient collapse. These cases were categorized into the following four groups; immediate Call+CPR group (N=10,195 ,emergency call and/or CPR within 2 min of witness, call-CPR time interval = 0 or 1 min), immediate Call-First group (N=1,820 , emergency call within 2 min of witness, call-CPR interval = 2[[Unable to Display Character: &#8210;]]4 min), immediate CPR-First group (N=5,446 , bystander CPR within 2 min of witness, CPR-call interval =2[[Unable to Display Character: &#8210;]]4 min), the delayed Call/CPR group (N=4,671, the remaining cases). We compared the rates of neurologically favorable survival at 1-month among the four groups for all OHCAs and subgroups of OHCAs. Results: The overall survival rate was highest in Call-First group and lowest in delayed Call/CPR group (Figure). The rate of Call-First group was significantly higher than that of CPR-First group in OHCAs of presumed cardiac etiology (17.2% vs. 14.1%, unadjusted OR; 95% CI, 1.26; 1.05[[Unable to Display Character: &#8210;]]1.52). The rate of CPR-First group was significantly higher than that of Call-First group in OHCAs of presumed non-cardiac etiology (7.7% vs. 5.0%, 1.59; 1.11[[Unable to Display Character: &#8210;]]2.33) and young adults/children (age<35y, 32.8% vs. 17.8%, 2.25; 1.33[[Unable to Display Character: &#8210;]]3.95). Multiple logistic regression analysis confirmed the results of univariate analyses and disclosed that delayed Call/CPR is associated with poor outcomes. Conclusions: The immediate (within 2 min) CPR-first BLS action followed by emergency call without a large (>4 min) delay may be recommended when a single bystander having a fundamental skill to initiate CPR witnesses OHCAs of non-cardiac etiology and young adults/children.


PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 85A-85A
Author(s):  
Jared V. Goodman ◽  
Amar Shah ◽  
Bryan A. Sisk ◽  
Amanda R. Emke

2014 ◽  
Vol 155 (21) ◽  
pp. 833-837 ◽  
Author(s):  
József Marton ◽  
Attila Pandúr ◽  
Emese Pék ◽  
Krisztina Deutsch ◽  
Bálint Bánfai ◽  
...  

Introduction: Better knowledge and skills of basic life support can save millions of lives each year in Europe. Aim: The aim of this study was to measure the knowledge about basic life support in European students. Method: From 13 European countries 1527 volunteer participated in the survey. The questionnaire consisted of socio-demographic questions and knowledge regarding basic life support. The maximum possible score was 18. Results: Those participants who had basic life support training earned 11.91 points, while those who had not participated in lifesaving education had 9.6 points (p<0.001). Participants from former socialist Eastern European countries reached 10.13 points, while Western Europeans had average 10.85 points (p<0.001). The best results were detected among the Swedish students, and the worst among the Belgians. Conclusions: Based on the results, there are significant differences in the knowledge about basic life support between students from different European countries. Western European youth, and those who were trained had better performance. Orv. Hetil., 2014, 155(21), 833–837.


2017 ◽  
Vol 14 (2) ◽  
pp. 177-188
Author(s):  
A. Avetisyan

Benevolent relations between each government institution, company or organization and its publicity are provided by Public Relations specialists. They try to provide public with information, based on the real facts, which lead to the establishment and maintenance ofthe benevolent relations and mutual understanding. Taking into consideration the fact, companies and organizations generate relevant departments, responsible for communication with Mass media and the public. These departments take responsibility for making the organization presentative, for publicity and transparent work. The aim of the research is to identify the opportunities, weaknesses and achievements of Public relations in Armenian Banking System and State Administration.


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