TAKE10: A community approach to teaching compression-only CPR to high-risk zip codes

Assessment of Community Interventions for Bystander Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

“…Previous systematic reviews have reported that training of targeted populations, such as family members of patients with cardiac disease, 37 and certain communities with low bystander CPR rates, may be a useful way to improve bystander CPR rates and outcomes of OHCA. 10 While the evidence synthesis in this review may contribute to a better understanding of the possibilities of community interventions, the findings suggest several challenges and barriers to implementing community interventions in large populations. Knowledge decay, panic, and lack of motivation are obstacles for laypeople in performing bystander CPR.…”

“…5 Early recognition and initiation of cardiopulmonary resuscitation (CPR) by bystanders are key links in this chain and, in observational studies, have been associated with a 2-to 4-fold increase in survival and favorable outcomes. 6,7 In the past decade, various innovative initiatives and interventions have been implemented in many nations and regions to improve bystander CPR rates, including the Take Heart America program, 8 HeartRescue Project, 9 TAKE10 program, 10 Lifesavers campaign in England, 11 and World Restart a Heart initiative. 12 Also in the past decade, novel approaches and technologies have been introduced to facilitate the learning of CPR skills among laypeople, such as hands-only CPR, brief video kits, mobile applications, or social media broadcasting.…”

Regions With Low Rates of Bystander Cardiopulmonary Resuscitation (CPR) Have Lower Rates of CPR Training in Victoria, Australia

“…The Community CPR Take 10 Program conducted in the United States, for example, targeted CPR education in high‐risk regions and saw a subsequent increase in CPR rates 20. More recent programs are now using different training strategies, (eg, classes, self‐instruction, online)21 to overcome the barriers of time and cost, and the promotion of hands‐only (or compression‐only) CPR is now encouraged internationally, especially for bystanders who are not trained in CPR 22, 23…”

“…19 The Community CPR Take 10 Program conducted in the United States, for example, targeted CPR education in high-risk regions and saw a subsequent increase in CPR rates. 20 More recent programs are now using different training strategies, (eg, classes, selfinstruction, online) 21 to overcome the barriers of time and cost, and the promotion of hands-only (or compression-only) CPR is now encouraged internationally, especially for bystanders who are not trained in CPR. 22,23 Despite a lack of promotion in our region, there was reasonable awareness of hands-only CPR in our population (50%), including regions with low bystander CPR; however, we did note a difference in the source of this information, with respondents from low CPR regions more likely to hear of hands-only CPR via media or word of mouth rather than through formalized training, where they could practice.…”

Community saves lives

“…Nekoliko inicijativa je sprovedeno sa ciljem povećanja angažmana zajednice. Glavne identifikovane inicijative zajednice grupisane su u tri kategorije: obuke koje vode instruktori KPR-a u zajednici 45 , uloga mas-medija 46 i grupne intervencije 47 . Jedini ishod koji je procenjen u gotovo svim obuhvaćenim studijama bio je stopa KPR-a kod slučajnih prolaznika i skoro sve studije su pokazale korist od primene inicijativa zajednice.…”