Tweed W A, Wilson E
Can Med Assoc J. 1977 Dec 17;117(12):1399-403.
One approach to reducing avoidable mortality from coronary artery disease is to provide resuscitation capability in the community. In Manitoba this is the function of the Heart-Alert program, sponsored by the Manitoba Heart Foundation. The program is based on public and professional education dealing with the recognition and immediate care of cardiac emergencies, including cardiopulmonary resuscitation (CPR). The three components to the program are (a) training in basic CPR for all health care and community rescue groups; (b) training in definitive CPR for physicians, critical care nurses and advanced emergency medical technicians; and (c) education of the public to recognize the signs of impending or actual cardiac emergencies and to take appropriate action to summon quickly an emergency rescue team.The initial emphasis of the program has been on developing an organizational structure and a training network for basic CPR. A corps of instructor-trainers and instructors has been certified to implement CPR training in the medical and community target groups. Developmental problems include problems of quality control, of providing for self-sustaining and continued expansion, and of evaluation of the overall results.It is suggested that widespread implementation of CPR training is facilitated by the incorporation of CPR into existing training activities, particularly those of the medical, nursing and other health care disciplines, those of community protection agencies such as police, fire and ambulance departments, and those of volunteer groups concerned with rescue work and first-aid. If the impetus, organizational structure and instructor training are provided by a strategic agency, wide dissemination of CPR training is then possible at relatively modest cost.
降低冠状动脉疾病可避免死亡率的一种方法是在社区提供复苏能力。在曼尼托巴省，这是由曼尼托巴心脏基金会赞助的心脏警报计划的功能。该计划基于公众和专业教育，内容涉及心脏紧急情况的识别和即时护理，包括心肺复苏术（CPR）。该计划的三个组成部分是：（a）为所有医疗保健和社区救援团体提供基本心肺复苏术培训；（b）为医生、重症护理护士和高级急救医疗技术人员提供高级心肺复苏术培训；（c）教育公众识别即将发生或实际发生的心脏紧急情况的迹象，并采取适当行动迅速召唤紧急救援团队。该计划最初的重点是为基本心肺复苏术建立组织结构和培训网络。已经认证了一批培训教员和教员，以便在医疗和社区目标群体中实施心肺复苏术培训。发展问题包括质量控制问题、提供自我维持和持续扩展的问题以及对总体结果的评估问题。有人建议，将心肺复苏术纳入现有培训活动，特别是医学、护理和其他医疗保健学科的培训活动、警察、消防和救护部门等社区保护机构的培训活动以及与救援工作和急救有关的志愿者团体的培训活动，有助于广泛实施心肺复苏术培训。如果由一个战略机构提供动力、组织结构和教员培训，那么以相对较低的成本广泛传播心肺复苏术培训是可能的。
