Δημοσίευση στο Resuscitation Plus Journal
Τα αποτελέσματα των δράσεων μας για την ενεργοποίηση του SYSTEM SAVING LIVES στην Ελλάδα δημοσιεύτηκαν πρόσφατα στο Resuscitation Plus Journal!
Για την δημοσίευση αυτή ήταν μεγάλη τιμή για εμάς να συνεργαστούμε με τον καθηγητή Bernd W. Böttiger και την Dr Nadine Rott!
Ευχαριστούμε επίσης την Εβίτα Σιγάλα και τον Θοδωρή Καλύβα, εθελοντές του προγράμματος, που ανέλαβαν την επιστημονική σύνταξη του κειμένου.
Η προσπάθεια συνεχίζεται και ελπίζουμε να έρθουν ακόμη περισσότερες ιστορίες αναζωογόνησης από πολίτες με αίσιο τέλος αλλά και να υλοποιηθούν όλοι μας οι στόχοι!
To the Editor,
Greece is among the countries with the lowest survival rate for out-of-hospital cardiac arrest (OHCA) victims in Europe, largely due to a low rate of lay resuscitation and a significant deficit in Cardiopulmonary Resuscitation (CPR) – First Responders (FRs).1
This fact prompted the founding of the Humanitarian Organization “KIDS SAVE LIVES – Ta Paidia Sozoun Zoes” (https://kidssavelives.gr/en/home/) in Greece (2016, Scientific Directors A. Stefanakis and A. Samaras). The organization (with pilot action since 2010) has created community-level programs aimed at providing continuous education in CPR and a national lifesaving network aligned with the System Saving Lives guidelines.2 Greek schools have been a key area for this and after having received approval from the Ministry of Education (2017), we have started CPR training under the umbrella of the international movement KIDS SAVE LIVES (KSL).3 To date, 53.793 students and teachers have been trained. Also, 27.000 pupils received online training during the COVID-19 pandemic. These goals were achieved through the contribution of 826 volunteer European Resuscitation Council (ERC) instructors and the collaboration with the “Hellenic Society of Emergency Prehospital Care” (https://eeepf.gr/). Also, in 2021, the “KSL Lab Skills” were activated throughout the country. These concerned the training of students by their teachers, preparing the ground for the institutionalization of CPR in Greek schools in the official curriculum (2019, a proposal submitted to the Ministry of Education for approval). The next program soon to be implemented in Greek and European schools is LIFEFORCE (Learning Initiative For Elementary school Fun-Oriented Resuscitation Coaching Europewide), which enables pre-training of 6–10 year old school children in Basic Life Support and first aid).
Another area that received emphasis was the proliferation of Automated External Defibrillators (AEDs), with >300 AEDs placed in schools and communities by KSL-students. A National AED Map was created, which includes 1,233 verified operational AEDs (https://kidssavelives.gr/en/aed/). These are part of a community-implemented “FIRST RESPONDER SYSTEM” program that activates nearby certified volunteers in the event of a life-threatening situation. Also, the organization has been actively participating (2018) in the World Restart a Heart Day (WRAH) action, conducting several nationwide trainings simultaneously, an action that is also reflected in the System Saving Lives algorithm.4, 5 Within this framework, citizens and a large part of the student body are continuously trained in CPR at our official ERC training center. As a result, 97.000 children and adults have been trained, 5.650 and 456 of which have become Basic Life Support providers (BLS) and BLS Instructors (BIC), respectively. The latest innovation is the development and launch of the free iSAVElives application (https://kidssavelives.gr/en/isavelives/) which contains all the information needed to help in an emergency and to notify the Ambulance Service and FRs within a 10 km radius.
Our actions (Fig. 1) had a positive impact on survival: 28 people who were in OHCA were successfully resuscitated and >300 life-saving situations were successfully treated. Efforts continue towards institutionalization of CPR as an official course in Greek schools.
1J.T. Gräsner, R. Lefering, R.W. Koster, et al.EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in EuropeResuscitation, 105 (2016), pp. 188-195, 10.1016/j.resuscitation.2016.06.004Epub 2016 Jun 16. Erratum in: Resuscitation. 2016 Dec;109 :145-146. PMID: 27321577ArticleDownload PDFView Record in ScopusGoogle Scholar2F. Semeraro, R. Greif, B.W. Böttiger, et al.Systems saving livesResuscitation, 161 (2021), pp. 80-97, 10.1016/j.resuscitation.2021.02.008Epub 2021 Mar 24. PMID: 33773834ArticleDownload PDFView Record in ScopusGoogle Scholar3B.W. Böttiger, F. Semeraro, K.H. Altemeyer, et al.KIDS SAVE LIVES: School children education in resuscitation for Europe and the worldEur J Anaesthesiol., 34 (2017), pp. 792-796, 10.1097/EJA.0000000000000713PMID: 29087993 View PDFView Record in ScopusGoogle Scholar4B.W. Böttiger, A. Lockey, R. Aickin, et al.“All citizens of the world can save a life” – The World Restart a Heart (WRAH) initiative starts in 2018Resuscitation, 128 (2018), pp. 188-190, 10.1016/j.resuscitation.2018.04.015Epub 2018 Apr 19 PMID: 29679697ArticleDownload PDFView Record in ScopusGoogle Scholar5B.W. Böttiger, A. Lockey, R. Aickin, et al.Up to 206 Million People Reached and Over 5.4 Million Trained in Cardiopulmonary Resuscitation Worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart InitiativeJ Am Heart Assoc, 9 (2020), p. e017230, 10.1161/JAHA.120.017230Epub 2020 Jul 30. Erratum in: J Am Heart Assoc. 2020 Dec 15;9(24):e014622. PMID: 32750297; PMCID: PMC7792236