Bohn Andreas, Lukas Roman P, Breckwoldt Jan, Böttiger Bernd W, Van Aken Hugo
aCity of Münster Fire Department bDepartment of Anaesthesiology Intensive Care and Pain Medicine, Münster University Hospital, Münster, Germany cOffice of the Dean, Faculty of Medicine, University of Zurich, Zurich, Switzerland dDepartment of Anaesthesiology and Intensive Care, Cologne University Hospital, Cologne, Germany.
Curr Opin Crit Care. 2015 Jun;21(3):220-5. doi: 10.1097/MCC.0000000000000204.
Quick initiation of basic life support (BLS) by laypersons is one of the most successful strategies in the fight against sudden cardiac death. In developed countries, cardiac arrest is still a major contributor to avoidable death, and despite the fact that more than 50% of all cardiac arrests are witnessed, layperson BLS is performed in less than 20%. To improve this situation, BLS training in schools has been established.
Cardiopulmonary resuscitation (CPR) instruction including the use of automatic external defibrillators (AEDs) has shown to be feasible even for young schoolchildren, and there is an indication that respective programmes are effective to enhance patient outcome on a population basis. Earlier training may even lead to more sustainable results; however, it is reasonable to implement adjusted curricula for different child ages. The programme 'Kids Save Lives' recently endorsed by the WHO will help promoting school-based BLS training worldwide demanding education on CPR for all pupils starting at least at age 12.
Resuscitation training in schools can help to increase the amount of BLS-trained population. Social skills of pupils can be improved and training can be successfully implemented independently of the pupils' age and physique.
非专业人员快速启动基础生命支持(BLS)是对抗心源性猝死最成功的策略之一。在发达国家,心脏骤停仍是可避免死亡的主要原因,尽管超过50%的心脏骤停是有目击者的,但只有不到20%的情况是非专业人员进行了BLS。为改善这种情况,已在学校开展BLS培训。
心肺复苏(CPR)指导,包括使用自动体外除颤器(AED),已证明即使对年幼的学童也是可行的,并且有迹象表明相应的项目在总体上对改善患者预后是有效的。更早的培训甚至可能带来更可持续的结果;然而,为不同年龄段的儿童实施调整后的课程是合理的。世界卫生组织最近认可的“儿童拯救生命”项目将有助于在全球推广以学校为基础的BLS培训,要求至少从12岁起对所有学生进行CPR教育。
学校的复苏培训有助于增加接受BLS培训的人群数量。学生的社交技能可以得到提高,并且培训可以独立于学生的年龄和体格成功实施。