RESUMO
Consensus on Science and Treatment recommendations aim to balance the benefits of early resuscitation with the potential for harm to care providers during the COVID-19 pandemic. Chest compressions and cardiopulmonary resuscitation have the potential to generate aerosols. During the current COVID-19 pandemic lay rescuers should consider compressions and public-access defibrillation. Lay rescuers who are willing, trained and able to do so, should consider providing rescue breaths to infants and children in addition to chest compressions. Healthcare professionals should use personal protective equipment for aerosol generating procedures during resuscitation and may consider defibrillation before donning personal protective equipment for aerosol generating procedures.
Assuntos
Reanimação Cardiopulmonar/normas , Infecções por Coronavirus/terapia , Parada Cardíaca/terapia , Pandemias/estatística & dados numéricos , Pneumonia Viral/terapia , Guias de Prática Clínica como Assunto , Comitês Consultivos , COVID-19 , Reanimação Cardiopulmonar/tendências , Consenso , Infecções por Coronavirus/epidemiologia , Estado Terminal/terapia , Desfibriladores/estatística & dados numéricos , Feminino , Saúde Global , Humanos , Internacionalidade , Masculino , Avaliação das Necessidades , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Análise de SobrevidaAssuntos
Fármacos Cardiovasculares/administração & dosagem , Serviços Médicos de Emergência/métodos , Parada Cardíaca , Massagem Cardíaca , Serviços de Saúde Militar/estatística & dados numéricos , Ferimentos e Lesões/complicações , Administração Intravenosa , Adulto , Reanimação Cardiopulmonar/métodos , Reanimação Cardiopulmonar/estatística & dados numéricos , Feminino , Parada Cardíaca/etiologia , Parada Cardíaca/mortalidade , Parada Cardíaca/terapia , Massagem Cardíaca/métodos , Massagem Cardíaca/mortalidade , Massagem Cardíaca/estatística & dados numéricos , Humanos , Escala de Gravidade do Ferimento , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Sistema de Registros/estatística & dados numéricos , Análise de Sobrevida , Estados Unidos/epidemiologia , Ferimentos e Lesões/diagnósticoRESUMO
"All citizens of the world can save a life". With these words, the International Liaison Committee on Resuscitation (ILCOR) is launching the first global initiative - World Restart a Heart (WRAH) - to increase public awareness and therefore the rates of bystander cardiopulmonary resuscitation (CPR) for victims of cardiac arrest. In most of the cases, it takes too long for the emergency services to arrive on scene after the victim's collapse. Thus, the most effective way to increase survival and favourable outcome in cardiac arrest by two- to fourfold is early CPR by lay bystanders and by "first responders". Lay bystander resuscitation rates, however, differ significantly across the world, ranging from 5 to 80%. If all countries could have high lay bystander resuscitation rates, this would help to save hundreds of thousands of lives every year. In order to achieve this goal, all seven ILCOR councils have agreed to participate in WRAH 2018. Besides schoolchildren education in CPR ("KIDS SAVE LIVES"), many other initiatives have already been developed in different parts of the world. ILCOR is keen for the WRAH initiative to be as inclusive as possible, and that it should happen every year on 16 October or as close to that day as possible. Besides recommending CPR training for children and adults, it is hoped that a unified global message will enable our policy makers to take action to address the inequalities in patient survival around the world.
