Социально ориентированные программы, KIDS SAVE LIVES (Дети спасают жизни), World Restart a Heart (Перезапусти сердце) и другие кампании для повышения выживаемости при внебольничной остановке сердца

Sudden out-of-hospital cardiac arrest (OHCA) is the third leading cause of death in industrialized nations.While educating lay bystanders in CPR is clearly the most important way to increase survival in this third leading cause of death and the community programs are helpful, it is less easy to reach the entire population if programs are not obligatory. Therefore experts see the need for obligatory inclusion of CPR education in schools. And this is exactly our clear expectation to all politicians involved in health care and school politics worldwide. Until this is reality in all countries, we invite everyone to help to convince the responsible politicians and to take part in campaigns like KIDS SAVE LIVES and WRAH.Внезапная внебольничная остановка сердца (ВОС) — третья по частоте причина смерти в развитых странах.Обучение основам СЛР лиц без медицинского образования — наиболее важная стратегия повышения выживаемости при остановке сердца. Программы, включающие такое обучение, весьма эффективны, однако полного охвата населения достичь очень трудно вследствие их необязательного статуса. В связи с этим, по мнению экспертов, СЛР необходимо ввести в школьную программу в качестве обязательного предмета. Именно этого мы ждем от политиков, ответственных за систему здравоохранения и образование, во всех странах. Пока наша цель не достигнута, мы призываем всех помочь нам убедить ответственных лиц и принять участие в таких кампаниях, как KIDS SAVE LIVES и World Restart a Heart

ERC-ESICM guidelines on temperature control after cardiac arrest in adults

The aim of these guidelines is to provide evidence‑based guidance for temperature control in adults who are comatose after resuscitation from either in-hospital or out-of-hospital cardiac arrest, regardless of the underlying cardiac rhythm. These guidelines replace the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). The guideline panel included thirteen international clinical experts who authored the 2021 ERC-ESICM guidelines and two methodologists who participated in the evidence review completed on behalf of the International Liaison Committee on Resuscitation (ILCOR) of whom ERC is a member society. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations. The panel provided suggestions on guideline implementation and identified priorities for future research. The certainty of evidence ranged from moderate to low. In patients who remain comatose after cardiac arrest, we recommend continuous monitoring of core temperature and actively preventing fever (defined as a temperature > 37.7 °C) for at least 72 h. There was insufficient evidence to recommend for or against temperature control at 32–36 °C or early cooling after cardiac arrest. We recommend not actively rewarming comatose patients with mild hypothermia after return of spontaneous circulation (ROSC) to achieve normothermia. We recommend not using prehospital cooling with rapid infusion of large volumes of cold intravenous fluids immediately after ROSC

Harmonizing and improving European education in prescribing: An overview of digital educational resources used in clinical pharmacology and therapeutics

Aim: Improvement and harmonization of European clinical pharmacology and therapeutics (CPT) education is urgently required. Because digital educational resources can be easily shared, adapted to local situations and re-used widely across a variety of educational systems, they may be ideally suited for this purpose. Methods: With a cross-sectional survey among principal CPT teachers in 279 out of 304 European medical schools, an overview and classification of digital resources was compiled. Results: Teachers from 95 (34%) medical schools in 26 of 28 EU countries responded, 66 (70%) of whom used digital educational resources in their CPT curriculum. A total of 89 of such resources were described in detail, including e-learning (24%), simulators to teach pharmacokinetics and/or pharmacodynamics (10%), virtual patients (8%), and serious games (5%). Together, these resources covered 235 knowledge-based learning objectives, 88 skills, and 13 attitudes. Only one third (27) of the resources were in-part or totally free and only two were licensed open educational resources (free to use, distribute and adapt). A narrative overview of the largest, free and most novel resources is given. Conclusion: Digital educational resources, ranging from e-learning to virtual patients and games, are widely used for CPT education in EU medical schools. Learning objectives are based largely on knowledge rather than skills or attitudes. This may be improved by including more real-life clinical case scenarios. Moreover, the majority of resources are neither free nor open. Therefore, with a view to harmonizing international CPT education, more needs to be learned about why CPT teachers are not currently sharing their educational materials

Community Programmes, KIDS SAVE LIVES, World Restart a Heart and Other Campaigns to Increase Survival After Out-of-Hospital Cardiac Arrest

Sudden out-of-hospital cardiac arrest (OHCA) is the third leading cause of death in industrialized nations.While educating lay bystanders in CPR is clearly the most important way to increase survival in this third leading cause of death and the community programs are helpful, it is less easy to reach the entire population if programs are not obligatory. Therefore experts see the need for obligatory inclusion of CPR education in schools. And this is exactly our clear expectation to all politicians involved in health care and school politics worldwide. Until this is reality in all countries, we invite everyone to help to convince the responsible politicians and to take part in campaigns like KIDS SAVE LIVES and WRAH