Since the introduction around 1960 of external cardiopulmonary resuscitation (CPR) basic life support (BLS) without equipment, i.e. steps A (airway control) - B (mouth-to-mouth breathing) - C (chest (cardiac) compressions), training courses by instructors have been provided, first to medical personnel and later to some but not all lay persons.
At present, fewer than 30% of out-of-hospital resuscitation attempts are initiated by lay bystanders.
The numbers of lives saved have remained suboptimal, in part because of a weak or absent first link in the life support chain.
This review concerns education research aimed at helping more lay persons to acquire high life supporting first aid (LSFA) skill levels and to use these skills.
In the 1960s, Safar and Laerdal studied and promoted self-training in LSFA, which includes :
call for the ambulance (without abandoning the patient) (now also call for an automatic external defibrillator) ;
CPR-BLS steps A-B-C ;
external hemorrhage control ;
and positioning for shock and unconsciousness (coma).
LSFA steps are psychomotor skills.
Organizations like the American Red Cross and the American Heart Association have produced instructor-courses of many more first aid skills, or for cardiac arrest only-not of LSFA skills needed by all suddenly comatose victims.
Self-training methods might help all people acquire LSFA skills.
Implementation is still lacking. (...)
Mots-clés Pascal : Secours première urgence, Soin intensif, Réanimation cardiocirculatoire, Enseignement, Education santé, Recommandation
Mots-clés Pascal anglais : First emergency care, Intensive care, Intensive cardiocirculatory care, Teaching, Health education, Recommendation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0417045
Code Inist : 002B27B15. Création : 22/03/2000.