Update on cardiopulmonary resuscitation: guidelines for volunteers

  • E. Cerchiari
  • G. Sesana
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


The response to cardiac arrest has been well standardised and is widely accepted throughout the world as a stepwise response represented by the “chain of survival” [1], in which different actors play different roles according to their level of proficiency and training.


Basic Life Support Emergency Medical System Skill Retention Early Defibrillation European Resuscitation Council Guideline 
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  1. 1.
    Cummins RO, Ornato JP, Thies WH, Pepe PE (1991) Improving survival from sudden cardiac arrest: the “chain of survival” concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 83:1832–1847.PubMedCrossRefGoogle Scholar
  2. 2.
    Handley AJ, Becker LB, Allen M, van Drenth A, Kramer EB, Montgomery WH (1997) Basic Life Support Working Group of the International Liaison Committee on Resuscitation — ILCOR. Single rescuer adult basic life Support. Resuscitation 34:101–108.PubMedCrossRefGoogle Scholar
  3. 3.
    Handley AJ, Bahr J, Baskett P, Bossaert L, Chamberlain D, Dick W, Ekstrom L, Juchems R, Kettler D, Marsden A, Moeschler O, Monsieurs K, Parr M, Petit P, Van Drenth A (1998) Working Group on Basic Life Support. The 1998 European Resuscitation Guidelines for Adult Single Rescuer Basic Life Support. Resuscitation 37:67–800.PubMedCrossRefGoogle Scholar
  4. 4.
    Cummins RO, Eisenberg MS (1985) Pre-hospital cardiopulmonary resuscitation. Is it effective? J Am Med Assoc 253:2408–2412.CrossRefGoogle Scholar
  5. 5.
    Gallagher ED, Lombardi G, Gennis P (1995) Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of hospital cardiac arrest. J Am Med Assoc 274:1922–1925.CrossRefGoogle Scholar
  6. 6.
    Litwin PE, Eisenberg MS, Hallstrom AP, Cummins RO (1987) The location of collapse and its effect on survival from cardiac arrest. Ann Emerg Med 16:787–791.PubMedCrossRefGoogle Scholar
  7. 7.
    Goldberg JJ, Gore JM, Love DG, Ockene JK, Dalen JE (1984) Layperson CPR — are we training the right people? Ann Emerg Med 13:701–704.PubMedCrossRefGoogle Scholar
  8. 8.
    Brennan RT, Braslow A (1995) Skill mastery in cardiopulmonary resuscitation training classes. Am J Emerg Med 13:505–508.PubMedCrossRefGoogle Scholar
  9. 9.
    Kaye W, Rallis S, Mancini ME et al (1991) The problem of poor retention of cardiopulmonary resuscitation skills may lie with the instructor not the learner or the curriculum. Resuscitation 21:67–87PubMedCrossRefGoogle Scholar
  10. 10.
    Emergency Cardiac Care Committee and Subcommittees, American Heart Association (1992) Guidelines for cardiopulmonary resuscitation and emergency cardiac care Part II. Adult Basic Life Support. J Am Med Assoc 268:2184–2198CrossRefGoogle Scholar
  11. 11.
    Basic Life Support Working Party of the European Resuscitation Council (1992) Guidelines for basic life support. Resuscitation 24:103–110CrossRefGoogle Scholar
  12. 12.
    Italian Resuscitation Council (1997) Raccomandazioni per la formazione al basic life support. Minerva Anestesiol 63:93–98.Google Scholar
  13. 13.
    Wik L, Brennan RT, Braslow A (1995) A peer training model for instruction of basic life support. Resuscitation 29:119–128.PubMedCrossRefGoogle Scholar
  14. 14.
    Flint LS, Billi JE, Kelley K, Mandel L, Newell L, Stapleton ER (1993) Education in adult basic life support training programs. Ann Emerg Med 22:466–474.CrossRefGoogle Scholar
  15. 15.
    Weaver FJ, Ramirez AG, Drofman SB, Raizner AE (1979) Trainee’s retention of car-diopulmonary resuscitation: how quickly do they forget. J Am Med Assoc 241:901–903.CrossRefGoogle Scholar
  16. 16.
    Wilson E, Brooks B, Tweed WA (1983) CPR skills retention of lay basic rescuers. Ann Emerg Med 12:482.PubMedCrossRefGoogle Scholar
  17. 17.
    Handley JA, Handley AJ (1998) Four step CPR — improving skill retention. Resuscitation 36:3–8.PubMedCrossRefGoogle Scholar
  18. 18.
    Braslow A, Brennan RT, Newman MM, Bircher NG, Batcheller AM, Kaye W (1997) CPR training without an instructor: development and evaluation of a video self-instructional for effective performance of cardiopulmonary resuscitation. Resuscitation 34:207–220PubMedCrossRefGoogle Scholar
  19. 19.
    EMS National Association of EMS physicians (1989) In: Kuehl AE (ed) EMS medical director handbook. Mosby, St Louis, pp 39–48.Google Scholar
  20. 20.
    Bossaert L(1991) The complexity of comparing different EMS systems: a survey of EMS systems in Europe. Ann Emerg Med 22:99–102.Google Scholar
  21. 21.
    Gallaehr JE, Vukov LF (1993) Defining the benefits of rural emergency medical technicians defibrillation. Ann Emerg Med 22:108–112.CrossRefGoogle Scholar
  22. 22.
    Larsen M, Eisemberg M, Cummins L, Hallstrom A (1993) Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med 22:1652–1658.PubMedCrossRefGoogle Scholar
  23. 23.
    Weaver WD, Cobb LA, Hallstrom AP et al (1986) Factors influencing survival after out-of-hospital cardiac arrest. J Am Coll Cardiol 7:752–757.PubMedCrossRefGoogle Scholar
  24. 24.
    Weaver WD, Cobb LA Hallstrom AP et al (1986) Considerations for improving survival from out-of-hospital cardiac arrest. Ann Emerg Med 15:1181–1186PubMedCrossRefGoogle Scholar
  25. 25.
    Advanced Life Support Working Group of the International Liasion Committee on Resuscitation — ILCOR (1997) Early defibrillation. An advisory statement by the Advanced Life Support Working Group of the International Liasion Committee on Resuscitation. Resuscitation 34:113–115.CrossRefGoogle Scholar
  26. 26.
    Bossaert L, Handley A, Marsden A et al (1998) Early defibrillation. Task force European Resuscitation Council guidelines for the use of automated external defibrillators by EMS providers and first responders. Resuscitation 37:91–94.PubMedCrossRefGoogle Scholar
  27. 27.
    Weisfeldt ML, Kerber RE, McCormick P et al (1995) Public access defibrillation. A statement for the healthcare professionals from the American Heart Association Task force on automatic external defibrillation. Circulation 92:2763.PubMedCrossRefGoogle Scholar
  28. 28.
    Decreto Presidente delia Repubblica 27 Marzo 1992.Google Scholar
  29. 29.
    Martens P, Calle P, Vanhaute O and the Belgian Cardio Pulmonary Cerebral Resuscitation Study Group (1998) Theoretical calculation of maximum attainable benefit of public access defibrillation in Belgium. Resuscitation 36:161–163.PubMedCrossRefGoogle Scholar
  30. 30.
    Fromm RE, Varon J (1997) Automated external versus blind manual defibrillation by untrained lay rescuers. Resuscitation 33:219–221.PubMedCrossRefGoogle Scholar
  31. 31.
    Parise G, Palmussi G, Laganà D et al (1994) Neolaureato e nozioni di pronto soccorso: indagine conoscitiva su un campione di 1497 medici. Federazione Medica 20:318–319.Google Scholar
  32. 32.
    Weaver FJ, Ramirez AG, Dorman SB et al (1979) Trainees retention of cardiopulmonary resuscitation: how quickly do they forget? J Am Med Assoc 241:901–903.CrossRefGoogle Scholar
  33. 33.
    Kuhnig KH, Sefrin P, Paulus TH (1994) Skills and self-assessment in cardiopulmonary resuscitation of the hospital nursing staff. Eur J Emerg Med 1:193–198.Google Scholar
  34. 34.
    Bernard WN, Tundorf H, Cotrell JE et al (1979) Impact of cardiopulmonary resuscitation training on resuscitation. Crit Care Med 22:741–749Google Scholar

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© Springer-Verlag Italia 1999

Authors and Affiliations

  • E. Cerchiari
  • G. Sesana

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