Abstract
Following either in-hospital or out-of-hospital cardiac arrest, irreversible brain damage followed by death will occur if no action is taken within 4–5 minutes [1]. The chances of survival depend on the timely application of the “chain of survival”: this symbolic phrase represents the sequence of four interdependent interventions that maximize the odds of successful resuscitation: early access, early CPR-BLS, early defibrillation, and early advanced cardiac life support [2]. The average 7% survival rate to out-of-hospital cardiac arrests is affected in a stepwise fashion by the availability of each link of the chain of survival: for example, in cases of witnessed out-of-hospital ventricular fibrillation, the provision of BLS only has been reported to result in a 12% survival to discharge, the addition of defibrillation to increase survival to 17% and the further addition of advanced life support to lead to a 29% survival rate [1,2].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Eisenberg MS, Horwood BT, Cummins RO et al (1990) Cardiac arrest and resuscitation: a tale of 29 cities. Ann Emerg Med 19:179–186
Cummins RO, Ornato JP, Thies WH et al Advanced Cardiac Life Support Subcommittee and Emergency Cardiac Care Committee of the American Heart Association (1991) Improving survival from sudden cardiac arrest: the “chain of survival concept”. Circulation 154:2426–2432
Hergenroeder P, Berk W (1989) Levels of prehospital providers. In: Kuehl AE (ed) EMS Medical Directors’ Handbook. Mosby Company, St Louis, Missouri, pp 39–48
American Heart Association (1992) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care. JAMA 268:2171–2302
BLS & ALS Working Parties of the European Resuscitation Council (1992) Guidelines for basic & advanced life support. Resuscitation 24:103–123
Ballew KA, Philbrick JT (1995) Causes of variation in reported in-hospital CPR survival: a critical review. Resuscitation 30:203–215
Tunstall-Pedoe H, Bailey L, Chamberlain DA et al (1992) Survey of 3765 cardiopulmonary resuscitations in British hospitals (the BRESUS study): methods and overall results. Br Med J 304:1346–1351
American Heart Association (1980) Standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care. JAMA 244:453–509
Morris F, Tordoff SG, Wallis D et al (1991) Cardiopulmonary resuscitation skills of preregis-tration house officers: five years on. Br Med J 302:626–627
Kuhnigk H, Sefrin P, Paulus TH (1994) Skills and self-assessment in cardio-pulmonary resuscitation of the hospital nursing staff. Eur J Emerg Med 1:193–198
Weaver FJ, Ramirez AG, Dorman SB et al (1979) Trainees retention of cardiopulmonary resuscitation: how quickly do they forget? JAMA 241:901–903
Tweed W, Wilson E, Isfeld B (1980) Retention of cardiopulmonary resuscitation skills after initial overtraining. Crit Care Med 8:651–653
Berden HJM, Willems FF, Hendrick JMA et al (1993) How frequently should basic cardiopulmonary resuscitation training be repeated to maintain adequate skills? Br Med J 306:1576–1577
Cappelle C, Paul RI (1996) Educating residents: the effects of a mock code program Resuscitation 31:107–111
Kaye W, Rallis S, Mancini M et al (1991) The problem of poor retention of cardio-pulmonary resuscitation skills may lie with the instructor, not the learner or the curriculum. Resuscitation 21:67–88
Moser DK, Coleman S (1992) Recommendations for improving cardiopulmonary resuscitation skills retention. Heart Lung 21:372–380
Flint LS, Billi JE, Kelly K (1993) Education in adult Basic Life Support training programs Ann Emerg Med 22:468–474
Billi JE, Membrino GE (1993) Education in Adult Advanced Cardiac Life Support training programs: changing the paradigm. Ann Emerg Med 22:475–483
Sanders AB, Berg RA, Burress M et al (1994) The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community. Ann Emerg Med 23:56–59
Birnbaum ML, Robinson NE, Kuska BM et al (1994) Effect of advanced cardiac life support training in rural community hospitals. Crit Care Med 22:741–749
Bernard WN, Tundorf H, Cotrell JE et al (1979) Impact of cardiopulmonary resuscitation training on resuscitation. Crit Care Med 7:257–262
Kaye W, Mancini ME (1996) Improving outcome from cardiac arrest in the hospital with a reorganized and strengthened chain of survival: an American view. Resuscitation 31:181–186
Royal College of Physicians Working Party on Resuscitation (1987) Resuscitation from cardiopulmonary arrest: training and organization. J R Coll Phys London 21:175–181
Quiney NF, Gardner J, Brampton W (1995) Resuscitation skills among anesthetists Resuscitation 29:215–218
Parise G, Palmussi G, Lagana D et al (1994) Neolaureato e nozioni di pronto soccorso: indagine conoscitiva su un campione di 1497 medici. Federazione Medica 30:318–319
Cerchiari EL, Carettoni D, Zangheri P et al (1992) CPR training for health professionals Resuscitation 24:FP027 (abstract)
Cerchiari EL, Cremonese F, Conti L et al (1994) A system for widespread CPR training of health professionals. Resuscitation 28:S3 (abstract)
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer-Verlag Italia
About this paper
Cite this paper
Cerchiari, E.L., Ruffini, C., Fagnoni, L. (1997). The CPR Continuing Education Programme and Its Goals. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2296-6_87
Download citation
DOI: https://doi.org/10.1007/978-88-470-2296-6_87
Publisher Name: Springer, Milano
Print ISBN: 978-3-540-75032-1
Online ISBN: 978-88-470-2296-6
eBook Packages: Springer Book Archive