INCREASING THE BYSTANDERINITIATED CPR FOR PEOPLE WITH AN

OUT-OF-HOSPITAL CARDIAC ARREST

Tim Merriam & Tim Honegger

OVERVIEW
Introduction & Background
Methods
Results
Conclusion & Discussion

INTRODUCTION & BACKGROUND:

CARDIAC ARREST

Cardiac arrest it can happen anytime

Causes
> heart arrythmia
> electromechanical decoupling
> heart attack

First Aid what help is most effective?

INTRODUCTION & BACKGROUND:

THE IMPORTANCE OF EARLY CPR
Analysis of more than 30000 cases
51% CPR before the arrival of emergency medical services
(EMS)
30-day survival rates:
CPR before EMS
10.5%
no CPR before EMS
4%

INTRODUCTION & BACKGROUND:

THE STUDY

METHODS

RESULTS
More than 1800 cases of out-of-hospital cardiac arrests
306 of them were included in the intervention group
alarming a trained lay person
361 were included in the control group
no allocation of a lay person

RESULTS
In 81% of all cases of an out-of-hospital cardiac arrest, at least
one trained lay person was located within 500m of the patient
65% of them tried to reach the patient
23% actually reached the patient before EMS arrived
13% initiated CPR before the arrival of EMS

RESULTS
61.6 % of the patients in the intervention
group received CPR before the arrival of EMS
Only 47.8 % of the patients in the control
group received CPR before the arrival of EMS

difference of 13.8 percentage points!

CONCLUSION & DISCUSSION