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ERC Newsletter December 2019

General News:
 
ERC Introduces New CEO

We are happy to announce Olivier Hoogmartens as the new CEO of the European Resuscitation Council, starting on 2nd January 2020. Olivier Hoogmartens lives in Belgium. He trained as a nurse where he worked in cardiology intensive care and the emergency department. He is undertaking a PhD in biomedical science. He is currently Chief Operating Officer with Ambuce Rescue Team in Belgium.

We thank Kathleen Pitches for her tireless effort as the Interim CEO during the past year and a half. 

Both Olivier and Kathleen (in her new role as Office Director) will be very busy co-ordinating the activities of the ERC in 2020 –  the New Guidelines Year.

 
World Restart A Heart wins Ian Jacobs award

At the Resuscitation Science Symposium (ReSS) organised by the American Heart Association, World Restart A Heart was awarded the prestigious Ian G. Jacobs award for International Group Collaboration.

World Restart A Heart, which started out as an initiative of the European Resuscitation Council, held its second global edition this year. More than 800.000 people were trained in CPR on and around 16 October!

Read more

 
CPR Standards Now Available

Healthcare organisations throughout Europe are obliged to provide a high-quality resuscitation service, and to ensure that staff are trained and updated regularly.

This new resuscitation standards document was written originally by the Resuscitation Council (UK) but has been modified and made more generic so that it can be used throughout Europe. It provides quality standards for cardiopulmonary resuscitation practice and training in the acute care setting.

Read the CPR Standards here

Should you wish to advertise in this space, please download the rules and pricing by clicking on the image and then fill in this form to send us your advertisement.
Interesting Reading:
This section of the newsletter is to highlight articles that we found interesting. If you are an ERC member you can access the entire texts of Resuscitation journal articles by first logging in on CoSy and then following the links below. With thanks to
Walter Renier for providing the selection.
Each month you can download one free Article of the Month and an Editorial of the Month from Resuscitation.

Editorial of the Month:
Putting it all together: Important links between team performance and CPR quality

Article of the Month
2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
How does compression release velocity influence patient outcomes?

Former studies demonstrated that higher chest compression release velocity (CCRV) has been associated with better outcomes after out-of-hospital cardiac arrest (OHCA), and patient factors have been associated with variations in chest wall compliance and compressibility. This observational study also observed an association of patient sex, age, weight, and time in resuscitation with CCRV during pre-hospital resuscitation from OHCA. CCRV declines over the course of resuscitation and men exhibited greater mean CCRV than women.

Comments: This and previous studies underpin the importance of chest release and release velocity during pre-hospital resuscitation and is important for all BLS providers, basic and advanced. This is also an incentive for instructors to be attentive to all factors of chest release during courses. Although the study observed a significant difference in mean CCRV between males and females, the association CCRV with outcome only cannot explain the difference in outcome when resuscitation is performed by men or women. 

Beger S, Sutter J, Vadeboncoeur T, Silver A, Hu C, Spaite DW and Boprow B. Chest compressions release velocity factors during out-of-hospital cardiac resuscitation. Resuscitation. 145(2019):37-42

Read the full article
Recognising cardiac arrest with the Hand On Belly method

To enhance the detection of cardiac arrests by dispatchers, an original technique called "Hand On Belly" (HoB) was introduced in Paris, France. The proportion of correctly identified cardiac arrest and the rate of telephone CPR increased. Over the study period the time to answering calls and the time to sending BLS teams were shorter. Times to out-of-hospital cardiac arrest recognition and starting t-CPR delivery were longer but the HoB technique achieved very high performance levels.

Comments: As reported in the recently published ‘2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations’ (Resuscitation. 145(2019):95-150), this study can add information on one of the mentioned knowledge gaps, i.e. optimal dispatcher training in recognising OHCA. Unfortunately, investigators did not report an association of this method with outcome, which should be the next step.

Derkenne C, Jost D, Thabouillot O, Briche F, Travers S, Frattini B, Lesaffre X et alii. Improving emergency call detection of Out-of-Hospital Cardiac Arrests in the Greater Paris area: Efficiency of a global system with a new method of detection. 2019 Nov 14;146:34-42.


Read the full article
Optimal Locations for Automatic External Defibrillators

Authors reported that, between 2011 and 2017, the rate of good neurological outcome at discharge was higher when patients received Target Temperature Management (TTM). Bystander CPR increased from 55% to 73% and the number of patients with a no-flow time longer than 3 min decreased from 53% to 38%. There was also a progressive decrease in the use of TTM in post-cardiac arrest patients, but neurological outcome remained stable, despite an increase in bystander-initiated resuscitation and a decrease in "no flow" duration.

Comments: Decrease in TTM use did not negatively influence the out outcome, as was already proven in other studies. One should expect that outcome should be positively influenced by the increase if bystander CPR and the decrease of “no flow” time. Authors reported no change in overall neurological outcome (19% in 2011 – 23% in 2017 – p=0,76). There is no clear explanation for this. As suggested, further studies aiming to assess the relationship between OHCA treatment and outcome should be adjusted on these variables.

Lascarrou JB, Dumas F, Bougouin W, Chocron R, Beganton F, Legriel S, Aissaoui N et alii. Temporal trends in the use of targeted temperature management after cardiac arrest and association with outcome: insights from the Paris Sudden Death Expertise Centre. Crit Care. 2019 Dec 3;23(1):391.


Read the full article here
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