It has been observed that the states abiding by laws needing CPR training in the schools do have much higher rates of “bystander CPR”. This observation comes from researchers at CHOP (Children’s Hospital of Philadelphia). The findings were published in the JACC (Journal of the American College of Cardiology).
As per Victoria L. Vetter (MD, a cardiologist in Cardiac Center at Children’s Hospital of Philadelphia and Medical Director of Youth Heart Watch), one of the lead authors of the above-mentioned research paper, the communities in the US witnessing higher rates of the bystander CPR do have higher chances of survival post-cardiac arrest. As such, Cardiopulmonary Autotransfusion Devices have found their way through various healthcare centers.
Over 377K adults and 23K children are found to experience an out-of-hospital cardiac arrest every single year in the US, with merely 11.3% children and 10.5% adults surviving after that. Cardiac Point-of-Care (POCs) is the need of the hour. Herein, if a trained bystander gets to perform CPR, it improves outcomes on a significant note. Resuscitation Devices have made a beeline to 39/50 states of North America, as they have passed laws that need CPR and AED (Automated External Defibrillator) training for the higher secondary school students. However, as of now, correlation between rates of bystander CPR and mandated CPR education has not been established.
Researchers have discovered that rates of the bystander CPR were much higher in the states that need CPR education in the high school as against the ones who didn’t; i.e. 41.6% against 39.5% respectively.
Heart blocks treatment devices and heart valve repair replacement will also come on time with CPR and AED being provided right on time.
Early CPR (Cardiopulmonary Resuscitation), early advanced care, and therapeutic hypothermia do play a crucial role in managing OHCA. It needs to be known that each and every minute lost in the initiation of CPR decreases the victim’s survival rate by 10%.
Chain of Survival
Guidelines by the AHA (American Heart Association) for cardiopulmonary resuscitation and emergency cardiovascular care does describe a “chain of survival” for reducing mortality and improving survival. This “chain of survival” consists of 5 elements such as immediate recognition and rapid access, rapid CPR, rapid defibrillation, effective advanced care, and integrated post cardiac arrest care. This chain of survival needs to be initiated with immediate effect to witness effective outcomes. As far as developing countries (struggling with low resource settings) are concerned, early initiation of the above-mentioned chain of survival could be achieved in the best possible manner by training community in early initiation and identification of the CPR. This is how bystander CPR would act as a savior.
There are evidences that bystander initiated basic life support could increase the chances of survival twofold or threefold. However, the countries like India are still at the nascent stage on the account of execution of bystander CPR. This could be attributed to the lack of awareness amongst the youth herein. Also, the mentality that “Doctors will take care of everything” is disturbing. It’s high time things are set right.
In a nutshell, better the benevolence about bystander CPR, more the survival rates of those suffering from cardiac ailments.