Foreword
To pre-hospital cardiac arrest ( Out-OFF Hospital Cardiac Arrest, OHCA ) is a very important issue Gonggongweisheng, from Taiwan about 20000 cases of sudden cardiac arrest each year, for such patients, only early shock and early cardiopulmonary resuscitation (CPR) have a chance to improve the prognosis of patients with survival in case of an accident, about a quarter of OHCA patients shockable rhythm, if we can get an electric shock in automated external heart defibrillators in one minute device (AED) and given electric shocks immediately, there are chances that allows up to ninety percent of patients with heart rhythm back to normal. And every minute, the survival rate of patients fell by 10% .
2013 Nian 5 Yue Wei Fukube specification than 3,000 people out of public places and eight industries should be set up AED , currently Taiwan's AED density of about 44.5 units / one hundred thousand people, in public places is about 7000 units, but is worried about only about 40 people heard AED, eighty percent of people do not know how to operate the AED , AED machine will not save, only the operating AED people who can save, relevant training Shu its necessity.
US aid education and training Shu
“CPR is a skill that our children need to take with them from school into the rest of their lives.”
In the United States, each year about 35 million cases of sudden cardiac arrest cases, of which 90% of the patients died, studies indicate that happens in the moment, if bystanders perform CPR , can increase 2-3 times the survival rate, and therefore the American Heart Association(AHA)recommends that schools should count on students and school staff members, the implementation ofCPR-related aid education and training Shu, to increase bystanderCPRimplementation rates. Even some US states require, before graduating from high school, are required participated inCPR-related aid education and training Shu. AHAand recommended that each school should stop for sudden heart may occur on campus events, there is a rapid response team(Cardiac emergency team),which contains, quickly arrived at the scene, the scene confirmed the safety of the patient to distinguish whether the sudden cardiac arrest, immediately after the implementation of the right of first aid to identify, started the chain of first aid, get first aid equipment on campus(AED,first aid kits), to guide the emergency rescue system(EMS)to reach the scene of the incident, and should be simulated emergency drills at least once a year. At the time of the incident, according to existing processes before rapid response.
Ø campus Shu rapid response team training should include CPR + AED use in the learning campus CPR + AED during the course, there are two major points:
1. How to quickly identify patients to stop patients heartbeat starts EMS system, start the correct CPR chest compression action, understand the AED function and manner of use.
2. CPR 's effect depends on the degree of implementation of the right, and the accuracy with Xi Shu Shu is proportional to the time when training with listening CPR is not saving lives.
Ø Japan aid education and training Shu
In Japan, every year about 6 million cases of sudden cardiac arrest cases, Japan's AED highest density of countries around the world (393 units / one hundred thousand ) , which is about ten times in Taiwan, and Japan's aid education and training from Shu primary school as a standard textbook on physical education courses to administer first aid education and training Shu, all school staff are sure to learn CPR + AED courses. From 2012 onwards, the Japanese system that is to promote campus CPR + AED education and training, and even each Difangzhengfu curriculum planning for emergency schools at all levels of education also have their own guidelines. Osaka, Japan, the statistics of 2005/01/01 ~ 2009/12/31 within five years, schools at all levels take place under the non-traumatic sudden cardiac arrest the injured have 34 people, schoolchildren have 14 people, staff of 6 people, the general public 14 people, the 34 people, 14 people (41%) after one month is still alive, in which 11 people live a good neurological outcome can take care of themselves. In short, Japan Zhongyangzhengfu ( MHLW ) planning under the age of 18Before the age of the Japanese people should receive at least 3 times a CPR + AED education and training. The first was in elementary school 5-6 grade, the second was in high school, while the third was in high school. As an adult, if citizens want to obtain a driver's license should accept the first 4 times CPR + AED education and training. The only way to reach everyone have encountered using the AED to aid long-range goals.
in conclusion
2015 Nian World Health Organization declared that countries should aid education into the national education, every citizen should receive at least two hours first aid education and training. In Taiwan, according to managers at all levels of the school Jiaoyu Bu emergency injury treatment guidelines 6 Article, the school should assist faculty and students regularly receive basic life support training courses at least four hours and emergency care situations exercise, but in fact it can not implement the operation implementation, only small began to take root, to aid education and training Shu life, set all kinds of first aid training courses in different Shu school age. Through education and training related to the promotion of the campus first aid skills, in order to reduce the lack of first aid knowledge which led to the campus Yiwaishijian not processed immediately, or delay the case even loss of life condition occurs, thus achieving the goal of self-help to save people. And the current study pointed out that the general public after basic education CPR, first aid knowledge and technical ability to drop very fast, the majority found that 3-6 months significantly decreased, so every six months to a year of re-training its necessity. Therefore, we will TECO hospital terminal as a base to engage Zhubei 31 offers in and around the school (Cornell Er kindergarten, Cornell Er schools, Hsinchu County American School), CPR + AED integrated training Shu plans to improve the overall Hsinchu counties to pre-hospital enthusiastic rescue who perform cardiopulmonary resuscitation and patient survival rates.
To pre-hospital cardiac arrest ( Out-OFF Hospital Cardiac Arrest, OHCA ) is a very important issue Gonggongweisheng, from Taiwan about 20000 cases of sudden cardiac arrest each year, for such patients, only early shock and early cardiopulmonary resuscitation (CPR) have a chance to improve the prognosis of patients with survival in case of an accident, about a quarter of OHCA patients shockable rhythm, if we can get an electric shock in automated external heart defibrillators in one minute device (AED) and given electric shocks immediately, there are chances that allows up to ninety percent of patients with heart rhythm back to normal. And every minute, the survival rate of patients fell by 10% .2013 Nian 5 Yue Wei Fukube specification than 3,000 people out of public places and eight industries should be set up AED , currently Taiwan's AED density of about 44.5 units / one hundred thousand people, in public places is about 7000 units, but is worried about only about 40 people heard AED, eighty percent of people do not know how to operate the AED , AED machine will not save, only the operating AED people who can save, relevant training Shu its necessity.
US aid education and training Shu
“CPR is a skill that our children need to take with them from school into the rest of their lives.”
In the United States, each year about 35 million cases of sudden cardiac arrest cases, of which 90% of the patients died, studies indicate that happens in the moment, if bystanders perform CPR , can increase 2-3 times the survival rate, and therefore the American Heart Association(AHA)recommends that schools should count on students and school staff members, the implementation ofCPR-related aid education and training Shu, to increase bystanderCPRimplementation rates. Even some US states require, before graduating from high school, are required participated inCPR-related aid education and training Shu. AHAand recommended that each school should stop for sudden heart may occur on campus events, there is a rapid response team(Cardiac emergency team),which contains, quickly arrived at the scene, the scene confirmed the safety of the patient to distinguish whether the sudden cardiac arrest, immediately after the implementation of the right of first aid to identify, started the chain of first aid, get first aid equipment on campus(AED,first aid kits), to guide the emergency rescue system(EMS)to reach the scene of the incident, and should be simulated emergency drills at least once a year. At the time of the incident, according to existing processes before rapid response.
Ø campus Shu rapid response team training should include CPR + AED use in the learning campus CPR + AED during the course, there are two major points:
1. How to quickly identify patients to stop patients heartbeat starts EMS system, start the correct CPR chest compression action, understand the AED function and manner of use.
2. CPR 's effect depends on the degree of implementation of the right, and the accuracy with Xi Shu Shu is proportional to the time when training with listening CPR is not saving lives.
Ø Japan aid education and training Shu
In Japan, every year about 6 million cases of sudden cardiac arrest cases, Japan's AED highest density of countries around the world (393 units / one hundred thousand ) , which is about ten times in Taiwan, and Japan's aid education and training from Shu primary school as a standard textbook on physical education courses to administer first aid education and training Shu, all school staff are sure to learn CPR + AED courses. From 2012 onwards, the Japanese system that is to promote campus CPR + AED education and training, and even each Difangzhengfu curriculum planning for emergency schools at all levels of education also have their own guidelines. Osaka, Japan, the statistics of 2005/01/01 ~ 2009/12/31 within five years, schools at all levels take place under the non-traumatic sudden cardiac arrest the injured have 34 people, schoolchildren have 14 people, staff of 6 people, the general public 14 people, the 34 people, 14 people (41%) after one month is still alive, in which 11 people live a good neurological outcome can take care of themselves. In short, Japan Zhongyangzhengfu ( MHLW ) planning under the age of 18Before the age of the Japanese people should receive at least 3 times a CPR + AED education and training. The first was in elementary school 5-6 grade, the second was in high school, while the third was in high school. As an adult, if citizens want to obtain a driver's license should accept the first 4 times CPR + AED education and training. The only way to reach everyone have encountered using the AED to aid long-range goals.
in conclusion
2015 Nian World Health Organization declared that countries should aid education into the national education, every citizen should receive at least two hours first aid education and training. In Taiwan, according to managers at all levels of the school Jiaoyu Bu emergency injury treatment guidelines 6 Article, the school should assist faculty and students regularly receive basic life support training courses at least four hours and emergency care situations exercise, but in fact it can not implement the operation implementation, only small began to take root, to aid education and training Shu life, set all kinds of first aid training courses in different Shu school age. Through education and training related to the promotion of the campus first aid skills, in order to reduce the lack of first aid knowledge which led to the campus Yiwaishijian not processed immediately, or delay the case even loss of life condition occurs, thus achieving the goal of self-help to save people. And the current study pointed out that the general public after basic education CPR, first aid knowledge and technical ability to drop very fast, the majority found that 3-6 months significantly decreased, so every six months to a year of re-training its necessity. Therefore, we will TECO hospital terminal as a base to engage Zhubei 31 offers in and around the school (Cornell Er kindergarten, Cornell Er schools, Hsinchu County American School), CPR + AED integrated training Shu plans to improve the overall Hsinchu counties to pre-hospital enthusiastic rescue who perform cardiopulmonary resuscitation and patient survival rates.
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