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ERC Newsletter June 2019

General News:
Guidelines Scope Documents Now Available

In 2020, ERC is publishing a new version of its Guidelines. Our writing groups are already hard at work to produce these guidelines and have created scope documents for each of the chapters. These documents are now available for public comment over at our Guidelines website. 

We very much appreciate your input in making the 2020 Guidelines the best product they can be!

Read the scope documents and leave your comments!
Upgrades for CoSy

On June 4th, our CoSy course system will be getting a complete overhaul. This update is a big step in improving user-friendliness and convenience of the platform. 

Our IT team will be hard at work to migrate all information. This means that CoSy will be unavailable on June 3rd. We thank you for your support and patience and we hope you will enjoy working with this new version of CoSy!
World Restart A Heart 2019

2019 sees the arrival of the second global edition of World Restart A Heart. You can now download promotional posters and flyers in 26 languages on our ERC World Restart a Heart page. 

Keep an eye on this space as we keep you updated on all events taking place across the globe!

Find our posters and flyers here
Congress News:
Resuscitation App now available

Our Resuscitation 2019 app is now available for download. In our app, you will find the up-to-date programme with all speakers and faculty members, as well as numerous tools to customise your congress experience!

Download the app:
Around Europe:
Greece and North Macedonia make cities heartsafe

In a new Interreg project, Greece and the Republic of North Macedonia work together to contribute to the effective management of out-of-hospital cardiac arrest incidents, as well as to provide first aid within cities. 

The project aims to boost awareness, improve response readiness and boost the cooperation between both countries. 

Find out more on our ERC website!
Turkish Resuscitation Council holds Symposium
On 13 and 14 April, the Turkish Resuscitation Council held its TURRC Symposium and Instuctors' day, with 9 speakers and participation of professor Uwe Kreimeier and professor Gamal Abbas.

See more pictures on our ERC website

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:
Man vs. machine? The future of emergency medical dispatching

Article of the Month
A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children
How does ventilation affect cardiac arrest outcomes? 

To determine the association between bioimpedance-detected ventilation and out-of-hospital cardiac arrest (OHCA) outcomes, this retrospective, observational study compared 2 groups having interrupted 30:2 chest compressions with bag-valve-mask ventilation and ≥2 minutes of recorded cardiopulmonary resuscitation. The group with ventilation waveforms in ≥50% of pauses had an improved ROSC at any time, prehospital and in the emergency department, and an improved survival to hospital discharge compared to the group with <50% ventilation waveforms.

Comments: this study may point in the direction of a better outcome in OHCA when high-quality ventilation is performed during CPR 30:2. A comparative study between CPR 30:2 and CPR only is not ethically justified, but this study nevertheless supports strongly the idea of ERC that adult ventilation is needed.

Chang MP, Lu Y, Leroux B, Aramendi Ecenarro E, Owens P, Wang HE, Idris AH. Association of Ventilation with Outcomes from Out-of-Hospital Cardiac Arrest. Resuscitation. 2019 May 18. pii: S0300-9572(19)30174-1.

Read the full article
Smartwatch-assisted CPR

An app providing real-time audiovisual feedback was developed for a smartwatch. Emergency Department (ED) professionals were recruited and randomly allocated to either the intervention group wearing a smartwatch with the preinstalled app (40 participants), or to a control group (40 participants). All participants were asked to perform a two-minute CPR 30:2 on a manikin. Compression rate and depth were significantly better in the intervention group compared to the control group, and so was high quality CPR also.

Comments: This study provides a feedback system (an app) that can easily be worn by everybody and improves the quality of CPR. ED professionals were involved: therefore, a similar study should be done with lay people in a group with the app compared to a group without the app. Should this feedback system also improve CPR in bystanders not trained.

Lu TC, Chang YT, Ho TW, Chen Y, Lee YT, Wang YS, Chen YP et al. Using a smartwatch with real-time feedback improves the delivery of high-quality cardiopulmonary resuscitation by healthcare professionals. Resuscitation. 2019 May 9;140:16-22. doi: 10.1016/j.resuscitation.2019.04.050. [Epub ahead of print]

Read the full article
Resuscitation attempts in women suffering cardiac arrest

In this population-based cohort-study, identifying 5717 EMS-treated OHCAs (28.0% female), authors observed that women with OHCA were less likely than men to receive a resuscitation attempt by a bystander, even when OHCA was witnessed. When resuscitation is attempted, women have lower survival rates at each successive stage of care. This was explained by a lower rate of shockable initial rhythm in women.

Comments: Authors identified sex gaps in resuscitation. An important observation is that resuscitation attempts are less frequently started in women. Authors could not identify the reasons why. Survival was lower because women were older, suffered OHCA less often at a public location, had less often witnessed OHCA and had lower rates of shockable initial rhythm.

Blom MT, Oving I, Berdowski J, van Valkengoed IGM, Bardai A, Tan HL. Women have lower chances than men to be resuscitated and survive out-of-hospital cardiac arrest. Eur Heart J. 2019 May 21. pii: ehz297.

Read the full article here
Copyright © 2019 European Resuscitation Council, All rights reserved.

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