Abstract 327: Basic Life Support and Defibrillation Are Changing the Prognosis of Hypertrophic Cardiomyopathy in School Students

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.

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 158-159
Author(s):  

The American Academy of Pediatrics recommends that high school students receive training in Basic Life Support (BLS) and Pediatric Basic Life Support (PBLS) as part of their health education program. The skills taught, such as recognition of symptoms, establishment of an airway, and rescue breathing, will help prepare students to deal with individuals who need their assistance due to aspiration or cardiorespiratory emergencies. Individual efforts using only BLS/PBLS skills can be effective in rescuing patients in these circumstances.1-3 Prompt initiation of cardiopulmonary resuscitation (CPR) after early recognition of a cardiac arrest has limited success alone. This education must be supported by a community emergency response system. Immediate CPR coupled with access to the community emergency response team maximizes the impact of school education programs.4,5 School-based programs have been successful in training students to have BLS skills.6,7 The Academy does not expect that BLS/PBLS training will prepare students for all emergencies, nor does it intend that students should be made to believe they are solely responsible for rescuing victims or for the survival of individuals with life-threatening events in their school or community. Younger students should be reassured that their responsibility is limited during emergency events, particularly when adults are available. In addition to the potential benefits of BLS/PBLS, a realistic perspective of resuscitation abilities as only a link in the "chain of survival" should be provided. The limitations of BLS/PBLS and of all emergency services on the eventual outcome of cardiac arrests also should be explained.8 Students should be given information about avoiding the acquisition of transmissible diseases during CPR.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
J Coutinho Cordeiro ◽  
S Sousa Pinheiro ◽  
M Oliveira De Deus ◽  
L Aparecida De Sousa Pereira ◽  
MC Souto Lucio De Oliveira

Abstract Funding Acknowledgements Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): The researchers themselves. Background Cardiorespiratory Arrest (CRP) is a medical emergency that requires urgent aid as well as technical skills to initiate Cardiopulmonary Resuscitation (CPR) maneuvers, primarily among the lay population, seeing as the majority of CRP episodes take place in community environments. Purpose The purpose of this study is to compare the Basic Life Support (BLS) skills of high school students before and after a theoretical-practical approach. Method A quasi-experimental study was conducted, consisting of theoretical-practical training on BLS running 60 minutes total (20 minutes of theory and 40 minutes of practice), addressing various steps in layman’s out-of-hospital BLS. Evaluations were conducted before and after training. The instrument was developed by the researchers themselves and underwent a previous validation process. The statistical software employed for the purpose of analyzing the data was SPSS version 21.0 for Windows. At the outset, descriptive statistics were employed to present the data, as well as the Wilcoxon test to compare the results of questionnaires taken before and after the intervention. Results The sample consisted of 322 students from private institutions in Brazil. The median age was 16.0 years, with an interquartile interval (IQ) of 2 years, with 181 (56.2%) students being female and 141 (43.8%) male. The before and after results revealed statistically significant differences in performance: pre-training – median = 5 points, IQ = 2 points; post training – 9 points, IQ = 2 points; p < 0.0001. Conclusion: The conduction of theoretical-practical classes was followed by an increase in correct answers to the BLS questionnaire. The results suggest that simple educational strategies might aid in the training of lay young people to respond correctly to CRP scenarios.


Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S4-S5
Author(s):  
Anne Marie Roust Aaberg ◽  
Caroline Brenner Larsen ◽  
Bodil Steen Rasmussen ◽  
Jacob Moesgaard Larsen

2015 ◽  
Vol 6 (3) ◽  
pp. 186 ◽  
Author(s):  
Hyung Soo Choi ◽  
Dong Hoon Lee ◽  
Chan Woong Kim ◽  
Sung Eun Kim ◽  
Je Hyeok Oh

2016 ◽  
Vol 3 (2) ◽  
pp. 170-174
Author(s):  
Ning Arti Wulandari

The state of emergency can happen anytime, anywhere and to anyone. This situation requiresthe public to know how is the first aid to the victims who are in an emergency situation (Diklat PPNIJawa Timur, 2015). In Indonesia, Junior and Senior High School students joined in the Youth Red Crossorganizations have received materials to provide basic life support to Survivour of cardiac arrest andstopped breathing by the Indonesian Red Cross. The researchers’ goal was to identify the knowledge ofstudents in Senior High schools to provide basic life support. Methods: The research design was descriptive.The research sample was 96 respondents, taken by purposive sampling. This research conductedon May 5, 2016 in STIKes Patria Husada Blitar before training basic life support to Senior HighSchool by Student Executive Organitation STIKes Patria Husada Blitar. The data was collected byquestionnaire. Results: The results showed that 73 respondents (76%) have less knowledge, 17 respondents(17%) have enough knowledge and 6 respondents (7%) have good knowledge of basic lifesupport. Discussion: Health education Institutions can perform community service by providing trainingin basic life support with a more attractive method by theory and simulation.


Resuscitation ◽  
2014 ◽  
Vol 85 (5) ◽  
pp. e67-e68
Author(s):  
José Javier García del Águila ◽  
Elia López-Rebollo ◽  
Mariluz García-Sánchez ◽  
Itziar Vivar-Díaz ◽  
Angel Alba Resina ◽  
...  

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
J Coutinho Cordeiro ◽  
M Oliveira De Deus ◽  
S Sousa Pinheiro ◽  
L Aparecida De Sousa Pereira ◽  
MC Souto Lucio De Oliveira

Abstract Funding Acknowledgements Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): The researchers themselves. Background Cardiorespiratory Arrest (CRP) is a medical emergency that requires urgent aid as well as technical skills to initiate Cardiopulmonary Resuscitation (CPR) maneuvers, primarily among the lay population, seeing as the majority of CRP episodes take place in community environments. Purpose: The purpose of this study is to compare the Basic Life Support (BLS) skills of high school students before and after a theoretical-practical approach. Method: A quasi-experimental study was conducted, consisting of theoretical-practical training on BLS running 60 minutes total (20 minutes of theory and 40 minutes of practice), addressing various steps in layman’s out-of-hospital BLS. Evaluations were conducted before and after training. The instrument was developed by the researchers themselves and underwent a previous validation process. The statistical software employed for the purpose of analyzing the data was SPSS version 21.0 for Windows. At the outset, descriptive statistics were employed to present the data, as well as the Wilcoxon test to compare the results of questionnaires taken before and after the intervention. Results: The sample consisted of 322 students from private institutions in Belo Horizonte, Brazil. The median age was 16.0 years, with an interquartile interval (IQ) of 2 years, with 181 (56.2%) students being female and 141 (43.8%) male. The before and after results revealed statistically significant differences in performance: pre-training – median = 5 points, IQ = 2 points; post training – 9 points, IQ = 2 points; p < 0.0001. Conclusion: The conduction of theoretical-practical classes was followed by an increase in correct answers to the BLS questionnaire. The results suggest that simple educational strategies might aid in the training of lay young people to respond correctly to CRP scenarios.


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