History of CPR • 1740 : Recommended mouth-to-mouth resuscitation • 1891 : The first documented chest compression • 1960 : Cardiopulmonary resuscitation (CPR) • 1992 : International Liaison Committee on Resuscitation • (ILCOR) • American Heart Association (AHA) • European Resuscitation Council (ERC) • Heart and Stroke Foundation of Canada (HSFC) • Australian and New Zealand Committee on Resuscitation (ANZCOR) • Resuscitation Councils of Southern Africa (RCSA) • Inter American Heart Foundation (IAHF) • Resuscitation Council of Asia (RCA)
• 2000 – 2005 – 2010 - 2015
Number of Events • 475,000 Americans die/year • > 325,000 cardiac arrests occur outside of the hospital/year (2015) • ± 90% out-of-hospital cardiac arrest die • ± 45% of out-of-hospital cardiac arrest victims received when bystander CPR • OHCA occurs at public settings (39,5%), mostly homes/residences (27,5%) & nursing homes (18,2%) Early Early Early Early Access CPR Defibrillation Advanced Care
Call for help Chest Defibrillation Advanced Post-Cardiac
Compression Life Support arrest Care Summary CPR 2015
Incidence : 326.000 45,9% received bystander CPR 10,6% Survival “Stayin Alive” by Bee Gees
“Work It” by Missy Elliott
Summary CPR 2015 Summary CPR 2015 Summary CPR 2015 Algoritma DWS Summary CPR 2015 Algoritma Dws NARKOBA Summary CPR 2015 Algoritma PDT 1 Penolong Summary CPR 2015 Algoritma PDT 2 Penolong Impedance Threshold Device (ITD) & Mechanical Chest Compression Impedance Threshold Device (ITD) & Mechanical Chest Compression Mobile-Phone CPR Update • CPR yang didampingi operator (T-CPR) • Penggunaan kompresi dada yang terus menerus vs terputus-putus oleh penyedia layanan medis darurat (EMS) • Penggunaan CPR kompresi dada saja (Tangan Saja) vs CPR menggunakan kompresi dada dengan ventilasi Penolong tidak terlatih : 1. Tidak terlatih (sekolah, umum) 2. Terlatih untuk CPR kompresi dada saja 3. Terlatih untuk CPR menggunakan kompresi dada & ventilasi (napas buatan) Penolong/ EMS (pelatihan/ RQI/ update <3 bln) Update Update Update Update
Virtual Reality CPR Project
CONCLUSION • Prevent the arrest • Lay rescuer care save lifes • Focus on high quality CPR and early defibrillation • Avoid excessive ventilation • Stay tuned for updates on CPR ! Team Work