Laienreanimation – Kann wirklich jeder ein Leben retten?

Öffentliche Kampagnen thematisieren oft die Gesundheitsprävention von malignen und infektiösen Erkrankungen. Vielfach unbekannt bleibt, dass der plötzliche Herztod eine der häufigsten Todesursachen in Deutschland ist. Würden Laien, die einen Herzkreislauf-Stillstand beobachten, öfter mit einer Herzdruckmassage beginnen, ließen sich die Überlebensraten deutlich steigern.

• Literatur

• 1 Holmberg M, Holmberg S, Herlitz J. Effect of bystander cardio-pulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation 2000; 47: 59-70
• 2 Koster RW, Baubin MA, Bossaert LL et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation 2010; 81: 1277-1292
• 3 Van Hoeyweghen RJ, Bossaert LL, Mullie A et al. Quality and efficiency of bystander CPR. Belgian Cerebral Resuscitation Study Group. Resuscitation 1993; 26: 47-52
• 4 Böttiger BW, Grabner C, Bauer H et al. Long term outcome after out-of-hospital cardiac arrest with physician staffed emergency medical services: the Utstein style applied to a midsized urban/suburban area. Heart 1999; 82: 674-679
• 5 Elliott VJ, Rodgers DL, Brett SJ. Systematic review of quality of life and other patient-centred outcomes after cardiac arrest survival. Resuscitation 2011; 82: 247-256
• 6 Lundgren-Nilsson A, Rosen H, Hofgren C et al. The first year after successful cardiac resuscitation: function, activity, participation and quality of life. Resuscitation 2005; 66: 285-289
• 7 Stiell I, Nichol G, Wells G et al. OPALS Study Group. Health-related quality of life is better for cardiac arrest survivors who received citizen cardiopulmonary resuscitation. Circulation 2003; 108: 1939-1944
• 8 Neukamm J, Graesner JT, Schewe JC et al. The impact of response time reliability on CPR incidence and resuscitation success – a benchmark study from the German Resuscitation Registry. Crit Care 2011; 15
• 9 Kretz F-J, Schäffer J, Eyrich K. Anästhesie Intensivmedizin Notfallmedizin Schmerztherapie. 2. Aufl. Heidelberg: Springer; 1995
• 10 Breckwoldt J, Schloesser S, Arntz HR. Perceptions of collapse and assessment of cardiac arrest by bystanders of out-of-hospital cardiac arrest (OOHCA). Resuscitation 2009; 80: 1108-1113
• 11 Lindner TW, Soreide E, Nilsen OB et al. Good outcome in every fourth resuscitation attempt is achievable – an Utstein template report from the Stavanger region. Resuscitation 2011; 82: 1508-1513
• 12 Lorem T, Palm A, Wik L. Impact of a self-instruction CPR kit on 7th graders' and adults' skills and CPR performance. Resuscitation 2008; 79: 103-108
• 13 Stromsoe A, Andersson B, Ekstrom L et al. Education in cardio-pulmonary resuscitation in Sweden and its clinical consequences. Resuscitation 2010; 81: 211-216
• 14 Berdowski J, Blom MT, Bardai A et al. Impact of onsite or dispatched automated external defibrillator use on survival after out-of-hospital cardiac arrest. Circulation 2001; 124: 2225-2232
• 15 Kouwenhoven WB, Jude Jr, Knickerbocker GG. Closed-chest cardiac massage. JAMA 1960; 173: 1064-1067
• 16 Gräsner JT, Meybohm P, Lefering R et al. ROSC after cardiac arrest – the RACA score to predict outcome after out-of-hospital cardiac arrest. Eur Heart J 2011; 32: 1649-1656
• 17 Kuisma M, Holmström P, Repo J et al. Prehospital mortality in an EMS system using medical priority dispatching: a community based cohort study. Resuscitation 2004; 61: 297-302
• 18 Lawson L, March J. Automated external defibrillation by very young, untrained children. PrehospEmerg Care 2002; 6: 295-298
• 19 Uray T, Lunzer A, Ochsenhofer A et al. Feasibility of life-supporting first-aid (LSFA) training as a mandatory subject in primary schools. Resuscitation 2003; 59: 211-220
• 20 Maurer H, Gütte K, Seewald S et al. Erhebung des Kenntnisstandes von Notfallbasismaßnahmen in der Bevölkerung – Erste Ergebnisse zur Hilfsbereitschaft. AnästhIntensivmed 2013; 54
• 21 Wissenberg M, Lippert FK, Folke F et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA 2013; 310: 1377-1384
• 22 Nielsen N, Wetterslev J, Friberg H et al. Targeted temperature management after cardiac arrest. N Engl J Med 2014; 370: 1360-1360
• 23 Rucker G. Thieme Teaching Award 2011 – Wiederbelebungstraining für Siebtklässler und Playmobil-Krankenhaus für Grundschüler. AnasthesiolIntensivmedNotfallmedSchmerzther 2011; 46: 534-535
• 24 Rucker G. Wiederbelebungsunterricht bei Schülern: Ab der siebten Klasse sinnvoll. DtschÄrztebl 2010; 107
• 25 Bohn A, Van Aken H, Mollhoff T et al. Teaching resuscitation in schools: annual tuition by trained teachers is effective starting at age 10. A four-year prospective cohort study. Resuscitation 2012; 83: 619-625
• 26 Breckwoldt J, Beetz D, Schnitzer L et al. Medical students teaching basic life support to school children as a required element of medical education: a randomised controlled study comparing three different approaches to fifth year medical training in emergency medicine. Resuscitation 2007; 74: 158-165
• 27 Burghofer K, Schlechtriemen T, Lackner CK. Konsequenzen aus der Altruismusforschung für die Ausbildung in Erster Hilfe. NotfallRettungsmed 2005; 8: 408-411
• 28 Bohn A, Van Aken H, Lukas RP et al. Schoolchildren as lifesavers in Europe – training in cardiopulmonary resuscitation for children. Best Practice & Research: Clinical Anaesthesiology 2013; 27: 387-396
• 29 Hallstrom A, Cobb L, Johnson E, Copass M. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med 2000; 342: 1546-1553
• 30 Ogawa T, Akahane M, Koike S et al. Outcomes of chest compression only CPR versus conventional CPR conducted by lay people in patients with out of hospital cardiopulmonary arrest witnessed by bystanders: nationwide population based observational study. BMJ 2011; 342
• 31 Gräsner JT, Meybohm P, Caliebe A et al. Postresuscitation care with mild therapeutic hypothermia and coronary intervention after out-of-hospital cardiopulmonary resuscitation: a prospective registry analysis. Critical Care 2011; 15