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Journal Resuscitatio Balkanica -godina V • broj 14. | Introducing the Crimean Out-of-Hospital Cardiac Arrest and Resuscitation Registry (COHCARR): rationale, design and 6-month baseline dataSažetak Uvod:Postoji potreba za uspostavljanjem registara za vanbolnički srčani zastoj (OHCA) u zemljama bivšeg Sovjetskog Saveza. Ovaj članak ima za cilj pružiti obrazloženje i opisati metodologiju krimskog registra vanbolničkog srčanog zastoja i oživljavanja (COHCARR), te izvijestiti osnovne podatke o epidemiologiji OHCA i hitnoj medicinskoj službi (EMS) u Republici Krim. Metode: COHCARR je zamišljen kao potencijalni populacijski registar svih slučajeva OHCA-e koji su prisustvovali EMS-u sa pokušajima oživljavanja koji se događaju u Republici Krim. Pokrivenost stanovništva je 1,91 miliona (100% stanovnika republike). Osnovna opisna analiza OHCA s pokušajem reanimacije (1. siječnja-30. lipnja 2018.) provedena je po Utstein metodologiji kako bi se dao sažetak problema OHCA u regiji. Rezultati:U tom periodu, EMS je prisustvovalo ukupno 6391 OHCA. S tim je reanimacija pokušana samo u 196 slučajeva (3,1%; srednja dob 65 godina, muškarci 56%, šokantna 16%). Većina (95%) svjedočila je EMS ili prolaznik. Od slučajeva svjedoka koji su prolazili (24%, n = 47), pokušaj reanimacije pokušao je u 19% (n = 9). Povratak spontane cirkulacije (ROSC) postignut je u 6,6% bolesnika, a 5,6% je preživelo prijem u bolnicu. Zaključci:Niske stope pokušaja oživljavanja, ROSC i preživljavanje do prijema u bolnicu nalažu priliku za poboljšanje ishoda OHCA na Krimu. Registar će pomoći ciljanju razumnih isplativih intervencija i procjeni njihove učinkovitosti u regiji. COHCARR može poslužiti kao osnovni model za izradu registra OHCA na drugim postsovjetskim teritorijama. Abstract Introduction:There is an urgent unmet need for establishing out-of-hospital cardiac arrest (OHCA) registries in the former Soviet Union countries. This article aims to provide a rationale and describe methodology of the Crimean out-of-hospital cardiac arrest and resuscitation registry (COHCARR), and report baseline information on OHCA epidemiology and emergency medical service (EMS) performance in the Republic of Crimea. Methods: COHCARR is designed to be a prospective population-based registry of all EMS-attended OHCA cases with resuscitation attempts, occurring in the Republic of Crimea. The population coverage is 1.91 million (100% inhabitants of the republic). The baseline descriptive analysis of OHCA with attempted resuscitation (January 01-June 30, 2018) has been performed following the Utstein methodology to provide a snapshot of OHCA problem in the region. Results:During the period, a total of 6,391 OHCA were attended by EMS. With that, resuscitation was attempted only in 196 cases (3.1%; median age 65 years, male 56%, shockable 16%). Most (95%) were witnessed by EMS or a bystander. Out of the bystander-witnessed cases (24%, n=47), bystander resuscitation was attempted in 19% (n=9). Return of spontaneous circulation (ROSC) was achieved in 6.6% patients, and 5.6% survived ...

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Кафедра общей хирургии, анестезиологии-реаниматологии и скорой медицинской помощи 1 ФГАОУ ВО «Крымский федеральный университет им. В.И. Вернадского», Институт «Медицинская академия им. С.И. Георгиевского» Российская Федерация, 295051, Симферополь, бульвар Ленина, д. 5/7 2 ГБУЗ Республики Крым «Крымский республиканский центр медицины катастроф и скорой медицинской помощи» Российская Федерация, Симферополь, ул. 60 лет Октября, д. 30 * Контактная информация: Биркун Алексей Алексеевич, кандидат медицинских наук, доцент; доцент кафедры общей хирургии, анестезиологии-реаниматологии и скорой медицинской помощи Института «Медицинская академия им. С.И. Георгиевского» ФГАОУ ВО «Крымский федеральный университет им. В.И. Вернадского».

Introduction. To reduce mortality from out-of-hospital cardiac arrest it is necessary to maximally involve lay public into the process of first aid (FA) provision. Whereas teaching staff constitute an extensive group of potential FA providers, little is known about real coverage of teachers with training in first aid for cardiac arrest and about efficiency of such training. Purpose. To investigate coverage with training in FA for cardiac arrest, evaluate knowledge and readiness to get trained among teachers of general education institutions on the level of a constituent unit of the Russian Federation. Materials and methods. An anonymous online survey of teaching staff of general education institutions was carried out in the Republic of Crimea in February-March 2021 with the assistance of the Ministry of Education of the Crimea. Results. The final sample consisted of five thousand nine hundred twenty one respondent (35.7% of the whole general education teaching staff of the Republic). Of all survey participants, 90.8% were females, 68.4% - individuals aged below 50 years, 67.7% - currently working in a rural area. The median work experience as a teacher was 14 years. 63.6% respondents had ever received some training in basic cardiopulmonary resuscitation (CPR). Of them, 54.8% completed CPR training more than one year ago. 36.4% surveyed teachers had never been trained in CPR. The level of knowledge regarding CPR was low. The choice of correct answers to the test questions and a higher self-rating of knowledge were associated with the experience of previous CPR training and less time interval since last CPR training (p < 0.001). 53.7% respondents stated that they would like to attend CPR training. Limitations. The survey methodology excluded the possibility of randomized selection of participants, which limits the representativeness of the study sample. Conclusions. The existing system of FA training does not provide proper coverage of teachers with training and retraining in CPR. Coordinated managing adjustments are necessary to increase readiness of the teaching staff to provide help in cardiac arrest. These adjustments should be primarily focused on improvement of legal regulation in the area of FA training, increase in availability and accessibility of the training and implementation of procedures for overseeing the effectiveness of the training.