Acessibilidade / Reportar erro
Editorials • Clinics 79 • 2024 • https://doi.org/10.1016/j.clinsp.2024.100355   copy

It is time to spread the message of high-quality layperson cardiopulmonary resuscitation all over the world

Authorship SCIMAGO INSTITUTIONS RANKINGS

The World Restart a Heart (WRAH) initiative of the International Liaison Committee on Resuscitation is saving more lives by spreading the message of two important themes ‒ “ALL CITIZENS CAN SAVE A LIFE!” and “IT ONLY TAKES TWO HANDS TO SAVE A LIFE!” ‒ to more than 50 million citizens of the world.

The number of laypeople who undertake Cardiopulmonary Resuscitation (CPR) training has increased considerably since 2018, when the WRAH initiative was first launched,11 Böttiger B.W., Lockey A. World Restart a Heart initiative: all citizens of the world can save a life. Lancet. 2018;392(10155):1305. engaging 13 million people worldwide. In 2021, 200 million individuals (including social media reach) were involved.22 Tiwari L., Lockey A., Böttiger B.W., Rott N., Hoover A., Chakra R., Garg R., Edara L., et al. More than 302 million people reached and over 2,200,000 trained in cardiopulmonary resuscitation worldwide: the 2021 ILCOR World Restart a Heart initiative. Resusc Plus. 2023;14:100375. In 2022, WRAH engaged over 50 million citizens from 194 countries (Table 1). This was achieved by including over 630,000 face-to-face training, participation in witnessed live in-person demos, and attending webinars, as online readers, written readers, and television and radio audiences (Table 2). This data, which by its nature will be an approximation, has been reported and verified by national resuscitation councils from around the world. Social media campaign networks had a significant additional impact on sudden cardiac arrest and CPR awareness.

Thumbnail
Table 1
World Restart a Heart collaborators, related institutions and countries.
Thumbnail
Table 2
World Restart a Heart: approximate numbers of people achieved in 2022.

Initiatives that combine awareness, hands-on CPR training, and the use of an external automated defibrillator may optimize bystander CPR timing, performance, and the overall quality of CPR.33 Myat A., Song K.J., Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;391:970-9. The target groups for face-to-face or remote CPR training are diverse and include all age groups and people from many different professional backgrounds. With specific regard to the training of children, adjustments should be made according to age range because of different physical abilities and cognitive aspects. For instance, the main objective for young children (4 years and older) would be recognition of a situation where the person does not respond and thereafter calls for help. They should know the emergency telephone number and give essential information.44 Schroeder D.C., Semeraro F., Greif R., Bray J., Morley P., Parr M., et al. KIDS SAVE LIVES: basic life support education for schoolchildren: a narrative review and scientific statement from the International Liaison Committee on Resuscitation. Circulation. 2023;147(24):1854-68 For children aged above 10‒12 years old, high-quality CPR and the use of a defibrillator can be achieved.44 Schroeder D.C., Semeraro F., Greif R., Bray J., Morley P., Parr M., et al. KIDS SAVE LIVES: basic life support education for schoolchildren: a narrative review and scientific statement from the International Liaison Committee on Resuscitation. Circulation. 2023;147(24):1854-68

High-quality bystander CPR in out-of-hospital cardiac arrest may significantly reduce the risks of brain damage, nursing home admission, or death of all causes.55 Kragholm K., Wissenberg M., Kragholm K., Wissenberg M., Mortensen R.N., Hansen S.M., Hansen C.M., Thorsteinsson K., Rajan S., Lippert F., et al. Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest. N Engl J Med 2017;376(18):1737-47. In this context, every year WRAH plays a relevant role as an annual awareness campaign worldwide of sudden cardiac arrest and CPR. And now, by reaching more citizens of the world, WRAH thus aims to save more lives with high-quality layperson CPR.

References

  • 1
    Böttiger B.W., Lockey A. World Restart a Heart initiative: all citizens of the world can save a life. Lancet. 2018;392(10155):1305.
  • 2
    Tiwari L., Lockey A., Böttiger B.W., Rott N., Hoover A., Chakra R., Garg R., Edara L., et al. More than 302 million people reached and over 2,200,000 trained in cardiopulmonary resuscitation worldwide: the 2021 ILCOR World Restart a Heart initiative. Resusc Plus. 2023;14:100375.
  • 3
    Myat A., Song K.J., Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;391:970-9.
  • 4
    Schroeder D.C., Semeraro F., Greif R., Bray J., Morley P., Parr M., et al. KIDS SAVE LIVES: basic life support education for schoolchildren: a narrative review and scientific statement from the International Liaison Committee on Resuscitation. Circulation. 2023;147(24):1854-68
  • 5
    Kragholm K., Wissenberg M., Kragholm K., Wissenberg M., Mortensen R.N., Hansen S.M., Hansen C.M., Thorsteinsson K., Rajan S., Lippert F., et al. Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest. N Engl J Med 2017;376(18):1737-47.

Publication Dates

  • Publication in this collection
    24 June 2024
  • Date of issue
    2024

History

  • Received
    19 Mar 2024
  • Accepted
    19 Mar 2024
Creative Common - by 4.0
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Faculdade de Medicina / USP Rua Dr Ovídio Pires de Campos, 225 - 6 and., 05403-010 São Paulo SP - Brazil, Tel.: (55 11) 2661-6235 - São Paulo - SP - Brazil
E-mail: clinics@hc.fm.usp.br
Acompanhe os números deste periódico no seu leitor de RSS