26th ICIM in Kyoto

MIGAKU KIKUCHI 2002.05.30

Migaku Kikuchi1), Kenji Ueshima2), Yoshimi Mizunuma3), Katsuhiko Hiramori3)

Dept of Critical Care Medicine1), Memorial Heart Center2), Second Dept of Internal Medicine3), Iwate Medical Univ., Morioka, Japan

An effective strategy to save more people from sudden cardiac arrest (SCA) out-of-hospital strengthens the Chain of Survival in the community. An effort should be made to educate early cardiopulmonary resuscitation (CPR) and early defibrillation to the general population. The Iwate CPR Propagation Committee founded in 1993, and is cooperated by the Iwate Medical Association, the Iwate Fire Department, the Iwate Red Cross, the Iwate Commercial Association, the Iwate Board of Education, the Iwate Prefectural Office and IMU. This　Committee has instructed a total of 250,000 people on CPR for 9 years. The rate of bystander CPR in SCA victims transported to the CCMC increased from 13.2 % in 1993 to 41.1 % in 1999 (p < 0.01). While the survival rate of the patients after hospitalization increased from 5.1 % to 14.6 %, this is not statistically significant. Accordingly, involvement of the public access defibrillation in this propagating program during the movement should be continued. In Iwate, a large and sparsely populated country area, with insufficient emergency medical service personnel and prolonged patient transport, public access to automated external defibrillator would improve the survival rate of SCA patients. Public education for pre-hospital CPR and defibrillation would be as indispensable as enlightening and training medical stuff in advanced cardiovascular life support.

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