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How to develop and execute a public health agenda: From grass roots to legislation

Published online by Cambridge University Press:  13 January 2017

Stuart Berger
Stuart Berger*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University School of Medicine, Chicago, Illinois, United States of America
*
Correspondence to: S. Berger, Department of Pediatrics, Division of Pediatric Cardiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University School of Medicine, 225 E. Chicago Ave., Chicago, IL 60611, United States of America. Tel: 312 227 4100; Fax: 312 227 9640; E-mail: [email protected]
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Abstract

Recent experiences with lay public cardiopulmonary resuscitation and use of ambulatory external defibrillators have been demonstrated to improve survival from out-of-hospital cardiac arrests from an abysmal 10% or less to as high as 30%. Though rare, sudden cardiac arrest in presumably healthy young people have been highly publicised over the last 25 years and have motivated the institution of school- and community-based programmes that facilitate first-responder resuscitation, including defibrillation. These efforts often begin at a grass roots level (usually parent-inspired advocacy groups) and through collaborative activities involving the schools, local businesses, and local administrative agencies are now having a meaningful impact in selected communities. The current focus of these activities is on school- and sports venue-based ambulatory external defibrillator programmes and formal cardiopulmonary resuscitation education in high schools. The extension of these programmes to the level of state mandates has been slower, and even when enacted, public funding has usually not been approved.

Keywords

Sudden cardiac arrestcardiopulmonary resuscitationambulatory external defibrillator
Type
Original Articles
Information
Cardiology in the Young , Volume 27 , Supplement S1: Sudden Cardiac Arrest in the Young: A Contemporary Perspective , January 2017 , pp. S101 - S103
Copyright
© Cambridge University Press 2017 

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References

1. Savastano, S, Kiersy, C, Raimondi, M. Positive trend in survival to hospital discharge after out-of-hospital cardiac arrest: a quantitative review of the literature. J Cardiovasc Med 2014; 15: 609–615.CrossRefGoogle ScholarPubMed
2. Hazinski, MF, Idris, AH, Kerber, RE, et al. American Heart Association Emergency Cardiovascular Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Clinical Cardiology. Lay rescuer automated external defibrillator (“public access defibrillation”) programs: lessons learned from an international multicenter trial: advisory statement from the American Heart Association Emergency Cardiovascular Committee; the Council on Cardiopulmonary, Perioperative, and Critical Care; and the Council on Clinical Cardiology. Circulation 2005; 111: 3336–3340.CrossRefGoogle Scholar
3. McNally, B, Robb, R, Mehta, M, et al. Centers for Disease Control and Prevention. Out-of-hospital cardiac arrest surveillance – Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005–December 31, 2010. MMWR Surveill Summ 2011; 60: 1–19.Google Scholar
4. Drezner, JA, Rao, AL, Heistand, J, et al. Effectiveness of emergency response planning for sudden cardiac arrest in United States high schools with automated external defibrillators. Circulation 2009; 120: 518–525.CrossRefGoogle ScholarPubMed
5. Drezner, JA, Toresdal, BG, Rao, AL, et al. Outcomes from sudden cardiac arrest in US high schools: a 2-year prospective study from the National Registry for AED Use in Sports. Br J Sports Med 2013; 47: 1179–1183.CrossRefGoogle Scholar
6. Nakahara, S, Tomio, J, Ichikawa, M, et al. Association of bystander interventions with neurologically intact survival among patients with bystander-witnessed out-of-hospital cardiac arrest in Japan. JAMA 2015; 314: 247–254.CrossRefGoogle ScholarPubMed
7. Malta Hansen, C, Kraigholm, K, Pearson, DA, et al. Association of bystander and first-responder intervention with survival after out-of-hospital cardiac arrest in North Carolina, 2010–2013. JAMA 2015; 314: 255–264.CrossRefGoogle ScholarPubMed
8. Jayaram, N, McNally, B, Tang, F, et al. Survival after out-of-hospital cardiac arrest in children. J Am Heart Assoc 2015; 4: 1–8.CrossRefGoogle ScholarPubMed
9. Hasselqvist-Ax, I, Riva, G, Herlitz, J, et al. Early cardiopulmonary resuscitation in out of hospital cardiac arrest. N Engl J Med 2015; 372: 2307–2315.CrossRefGoogle ScholarPubMed