CPR

CPR (Cardiopulmonary resuscitation) Training

A brief overview of the basic CPR project for the developing Bangladesh

Over View: Heart disease is becoming one of the leading causes of death all around the world and it is often called the “silent killer” due to its sudden onset. In a cardiac arrest the heart stops completely. In the recent year cardiac arrest rapidly increases in our Bangladesh. After a cardiac arrest a person can die within 8 to 10 mins but through CPR we can maintain the flow of oxygen rich blood to the brain and other vital organs until more definitive medical treatment can restore the heart. That’s why, Desh Foundation team ran awareness campaigns and workshops across Bangladesh in order to empower youth to take an active interest in CPR training and healthcare delivery. As a matter of fact, CPR (cardiopulmonary resuscitation) training is very expensive in Bangladesh. That’s why, Desh Foundation & Grow Foundation has stepped forward to make a collaborating CPR training without any cost (100 % free) under the guidance of Dr. Tapas Mondal (Department of Pediatrics at the McMaster Children’s Hospital, Canada)

Background

The first few minutes after a cardiac arrest and the kind of medical assistance a patient receives in that time have a big impact on the survival rate of the patient. Cardiac arrests can happen to anyone at any time, but statistics indicate that they mostly occur out of the hospital. Thus, as a bystander, it is important to know what to do during a cardiac emergency. In developing countries, where resources are scarce and emergency medical services are not always readily available, a simple, effective and inexpensive tool that can be used to increase survival rates of patients experiencing a cardiac arrest is bystander cardiopulmonary resuscitation (CPR). CPR manually maintains blood circulation and breathing until further medical aid is available.

Medical Team leader of Desh Foundation, Dr.Md.Mamatazul Hasan (Shimul) MBBS,DA,BCS(Health),Special Trained in ICU & CCU Dept. Of Anaesthesia, Analgesia and Intensive Care Unit. Dhaka Medical College & Hospital .

Issue

In some developing and underdeveloped regions of the world, individuals hold the belief that cardiopulmonary resuscitation can only be performed by doctors in the hospital as that is the standard of practice they usually witness. However, it is important to note that cardiopulmonary resuscitation can be performed by anybody, (preferably) after acquiring the necessary training, on individuals experiencing a cardiac arrest. Thus, it is important to rectify this misleading belief as most (88%) of the cardiac arrests in North America happen outside the hospital. From this statistics, we can expect that an equal or greater proportion of cardiac arrests occur in the underdeveloped regions of the world, making these areas of interest to us for knowledge translation interventions and public health education.

Goal

Our primary goal is to demystify the concept that medical professionals in hospitals are the only individuals who need to know about and are capable of performing basic CPR. Our secondary goal is to address the myth that one should wait on providing medical aid in the eventuality that a patient is in distress. Waiting might cause the patient to pass away – it is better to perform some sort of intervention (e.g. start CPR) instead of doing nothing. We also want to empower them with the knowledge that you should not worry about causing harm in this scenario. Personally I feel it gives a sense of being part of health system, sharing and of course being helpful.

Md. Mashuk Hasan Shohag (Founder and Chairperson of Desh Foundation)

Other Clarifications: Until recently, people thought that the “ABC” (airway, breathing, circulation) method of performing CPR should be used at all times. Lately, the world bodies (e.g. Heart and Stroke Foundation and the American Heart Association) have established that unless a patient is choking or drowning, in case of a cardiac arrest (e.g. during sports), maintaining cardiac functionality should be the prime focus of intervention. Therefore, in cases of cardiac arrest, the most recent recommendation for first-aid providers involves performing a cardiac massage as fast as possible, at a rate of  100 beats/minute. This technique is known as compressions-only cardiopulmonary resuscitation (i.e. hands-only CPR).

 

Project Synopsis: To achieve the established goal in Bangladesh Desh Foundation & Grow foundation has taken a initiative with Dr. Tapas Mondal (Department of Pediatrics at the McMaster Children’s Hospital) to create a multilingual web-based training  system. This system is a knowledge translation strategy for skills development aimed to raise awareness and change practice over time in our country. This cost-effective, community-based initiative aims to empower the general public and increase the efficiency of delivery of emergency medical services to patients with a cardiac arrest. We hope that, over time, local governments, voluntary organizations will endorse this initiative and help us expand its reach.

To-date accomplishments of our group:

  • Created online educational/training tools in the form of videos to educate individuals on cardiac arrests and CPR
  • Created questionnaires to evaluate the effectiveness of our educational/training tools and initiative as a whole
  • Presented our work at the Partners in Health Canada’s annual conference in Toronto (Conference title: Spotlight on Global Health) where the initiative was received well by students and public health professionals
  • Ran awareness campaigns and workshops in Bangladesh in order to empower youth to take an active interest in CPR training and healthcare delivery.

 

Created a website as a resource to promote easy access of educational materials and to collect data regarding the breadth of our project

The website contains the training videos with the audio translated in many languages.

We are establishing core groups in Bangladesh.

We are actively collaborating with 45 organizations from various parts of Bangladesh.

Future Directions:

Develop portable, inexpensive mannequins (we have applied for a patent for an improvisation)

  • Create interventions that promote use of automatic defibrillators with ease
  • Develop a mobile phone application that can guide a person on how to perform CPR as well as provide instantaneous performance feedback .
  • Provide mass training at public events like health fairs, sport events, conferences, cultural festivities (we are holding one in Bangladesh this December)
  • Continue the translation efforts of the training videos

 

Obstacles:

We know that mannequins so much expensive & currently, most developing countries do not have access to mannequins. Although we may have a limited number of mannequins to give training but, if any team would like to learn the concept and procedure of hands only CPR, they can organize a training event and invite us.  Our CPR team would be happy to help train people around the Bangladesh so that we can all come lifesavers and can rescue help our friends and family when needed.

Soumen Sen gupta , (Chief advisor of Desh Foundation & Name of the inspiration of Desh foundation)

Dr. Tapas Mondal (Department of Pediatrics at the McMaster Children’s Hospital)