131x Filetype PPTX File size 0.07 MB Source: www.aub.edu.lb
Introduction • Survival of out-of-hospital cardiac arrest victims in Lebanon is 4.8% - 5.5%, with only 45.4% presenting good neurologic outcomes (El Sayed et al., 2014, 2017) • Globally, survival is ~ 10%. Half of the arrests are witnessed by a bystander. ~ 70% occur at home, 20% in public places and 10% in nursing homes (Eisenberg et al., 2015; El Sayed, 2017). (ايملاع %10ب ةنراقم) %5.5 – 4.8 نانبل يف بلقلا فقوتب نيباصملا ةاجن ةبسن .ذاقنلا ةيلمع دعب مهطاشن اوعجرتسيب فصنلا نم لقأو زكارم يف %10و ةماعلا نكاملا يف %20 ،تيبلا يف لصحت اتلاحلا نم %70 نينسملا • The chain of survival of out-of-hospital cardiopulmonary resuscitation (CPR) starts with the witness/bystander who calls for help and starts CPR . • High quality CPR is associated with improved survival outcomes (AHA, 2018) • Early bystander CPR and early defibrillation are also important factors in improving patient outcomes (Chan et al., 2014) باصمملا ةاجن ةبسن ةدايز ىلا ميدؤي ةحيحصلا ةقيرطلابو ةعرسب مشاعنلا أدب Why Train the Community in CPR? • Resuscitation Academy )2008( in Seattle, ةيكيرملا اتايلولا يف شاعنلاب سانلا بيردت • Washington, USA, to improve cardiac arrest شاعنلا ةسراممو اتارضاحم قيرط نع survival. :ىلا ىدأ يبلقلا • Offered didactic lectures, demonstrations, hands- نم شاعنلا يف سانلا ةكراشم ةدايز • on breakout sessions, and workshops, in addition %75 ىلا%62 to providing AEDs in public places. The results were: %46 ىلا%36 نم نيباصملا ةاجن ةبسن ةدايز • • Bystander CPR increased from 62% in 2011 to %46 ىلا %32 نم ماتلا ءافشلا ةبسن ةدايز • 75% in 2014 • Survival to discharge of arrest victims increased from 36% to 46% :يلي امك جئاتنلا تناك كرامندلا يف • • Intact survival increased from 32% to 43% نم شاعنلا يف سانلا ةكراشم ةدايز • • In Denmark bystander CPR increased from %65 ىلا%19 19% to 65% and survival from 4% to 12% between 2001 and 2013 following initiation %12 ىلا%4 نم نيباصملا ةاجن ةبسن ةدايز • of community CPR training. Do we Need to Train the Community in CPR in Lebanon? يف نولمعي بيبط 75 ةسارد Survey of 75 emergency physicians. ئراوطلا مسق • What must be done to improve out-of- hospital resuscitation survival? نم ةاجنلا ةبسن نيسحتل حرتقت اذام • • Provision of automated external ؟بلقلا فقوت defibrillators (AEDs) in public places: 26.6% :ةماعلا نكاملا يف AED لا نيمأت • • Provision of community training in CPR: %26.6 25.3% • Organizing awareness campaigns for the :شاعنلا يف عمتجملا بيردت • recognition and management of cardiac %25.3 arrest (20.3%) • Developing a national policy on out-of- ةجلاعمو ضراوع نع ةيعوت جمارب • hospital resuscitation that explains the %20.3 بلقلا فقوت اتلاح duty of lay people (15.1%). (Noureddine, Avedissian, Isma’eel, & El Sayed, 2016) • دهاشلا رود ددحت ةيحص ةسايس :بلقلا فقوتب مهدحا ةباصا ىلع %15.1 Do we Need to Train the Community in CPR in Lebanon? ( Haidar, Noureddine, Osman, Isma’eel & El Sayed, 2018) بط يف ينقت 258ل ةسارد Survey of 258 emergency medical technicians. ئراوطلا • What must be done to improve out-of- ةاجنلا ةبسن نيسحتل حرتقت اذام hospital resuscitation care and ؟بلقلا فقوت نم survival? • Training citizens in resuscitation: 79.1% يف عمتجملا بيردت • Developing a policy on out-of-hospital %79.1:شاعنلا CPR that addresses the duty of lay دهاشلا رود ددحت ةيحص ةسايس persons in resuscitation: 73.2% :بلقلا فقوتب مهدحا ةباصا ىلع • Adjusting traffic laws: 52.0% %73.2 • Developing a policy that addresses liability/legal aspects: 41.5% %52 :ريسلا نيناوق ليدعت بناجلل قرطتت ةيحص ةسايس %41.5 :ينوناقلا Is the Lebanese Community Willing to Perform CPR-The view of Nurses? ( Noureddine, Avedissian, Al Khatib and Irani, 2019) نولمعي (ة)ضرمم 691ل ةسارد Survey of 691 nurses who work in ةياعرلا زكارمو تايفشتسملا يف hospitals and primary health care centers ةيلولا ةيحصلا • 95.9% received CPR training, but %56.5 نكل ، بيردتلا اوقلت 95.9% 56.5% had it up to 3 times only, and طقف اتارم 3 ىلا ةرم نم بيردتلا اوقلت 21.9% had their most recent نم رثكأ ذنم ةرم رخآ اوبردت %21.9و training over 2 years ago. نيتنس فقوتب باصم شاعناب اوكراش 78% • When asked how often did they ىفشتسملا جراخ بلقلا participate in CPR in an out of امئاد 16.8% hospital arrest that they witnessed, 78% reported having participated, اتاقولا مظعم 25.2% including 16.8% always, 25.2% most اتاقولا ضعب 36% of the times and 36% sometimes.
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