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This document evaluates and reports on the science behind first aid and resuscitation. The International First Aid and Resuscitation Guidelines (referred to as the guidelines) have been produced with the main goal of fostering harmonization of first aid practices among the Red Cross Red Crescent National Societies and provide a true evidence-base to these practices. It is part of quality assurance to ensure that the general public and volunteers receive first aid training in accordance with IFRC standards and to establish, in due course, the IFRC International First Aid Certifcation. These guidelines do not replace first aid manuals and associated educational materials but serve as the basis for developing and updating first aid manuals, resuscitation programmes, apps, public information and associated educational materials. National Societies should adapt these guidelines as needed for their local contexts (culture, language, habits etc.), legal context, local prevalence of injuries or illnesses and their own capacities (see Local adaptation). In addition, these guidelines and evidence review serve as an excellent reference for first aid instructors, emergency responders and their agencies.
INTERNATIONAL FIRST AID, RESUSCITATION, AND EDUCATION GUIDELINES 2020, 2020
These guidelines evaluate and report on the latest science and good practice behind first aid, resuscitation and education and replace earlier guidelines produced in 2016. They were developed to support first aid programme designers across our global network in updating their first aid materials, education, and skills. These guidelines do not replace first aid manuals and associated educational materials but serve as the basis for developing and updating first aid manuals, resuscitation programmes, apps, public information and associated educational materials. National Red Cross & Red Crescent Societies should adapt these guidelines as needed for their local contexts (culture, language, habits etc.), legal context, local prevalence of injuries or illnesses and their own capacities. In addition, these guidelines and evidence review serve as an excellent reference for first aid instructors, emergency responders and their agencies.
Resuscitation, 2021
The European Resuscitation Council has produced these first aid guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics include the first aid management of emergency medicine and trauma. For medical emergencies the following content is covered: recovery position, optimal positioning for shock, bronchodilator administration for asthma, recognition of stroke, early aspirin for chest pain, second dose of adrenaline for anaphylaxis, management of hypoglycaemia, oral rehydration solutions for treating exertion-related dehydration, management of heat stroke by cooling, supplemental oxygen in acute stroke, and presyncope. For trauma related emergencies the following topics are covered: control of life-threatening bleeding, management of open chest wounds, cervical spine motion restriction and stabilisation, recognition of concussion, cooling of thermal burns, dental avulsion, compression wrap for closed extremity joint injuries, straightening an angulated fracture, and eye injury from chemical exposure.
2000
Background Since their initial publication in 1974, 1 the Guidelines on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC) have earned the reputation of an authoritative document. The reputation of the guidelines has been enhanced by the gradual move toward evidence-based recommendations, which provide information about the strength of the scientific evidence behind each recommendation. If the scientific basis for a recommendation is weak and based mainly on accepted practice, it is hoped that the clear indication of a paucity of scientific evidence will stimulate research. The initial impetus for the ECC Guidelines was resuscitation of the victim of a cardiac event. It immediately became evident that in emergency situations it was not always clear which events were cardiac in origin. Furthermore, many emergency events, if left unattended, would eventually become cardiac events. Recommendations for the immediate care of the choking victim, the so-called “café coron...
Resuscitation, 2007
Aim: Our objectives were to determine the most effective, safe, and feasible first aid (FA) techniques and procedures, and to formulate valid recommendations for training. We focussed on emergencies involving few casualties, where emergency medical services or healthcare professionals are not immediately present at the scene, but are available within a short space of time. Due to time and resource constraints, we limited ourselves to safety, emergency removal, psychosocial FA, traumatology, and poisoning. Cardiopulmonary resuscitation (CPR) was not included because guidelines are already available from the European Resuscitation Council (ERC). The FA guidelines are intended to provide guidance to authors of FA handbooks and those responsible for FA programmes. These guidelines, together with the ERC resuscitation guidelines, will be integrated into a European FA Reference Guide and a European FA Manual. ଝ A Spanish translated version of the summary of this article appears as Appendix in the final online version at . . . ଝଝ Guidelines are not a substitute for the caregiver's own judgment of a specific medical or health condition. Casualties should consult a qualified health-care professional for advice about a specific condition. The authors disclaim any liability to any party for any damages arising out of the use or non-use of this material and any information contained therein, and all warranties, expressed or implied. RESUS-3163; No. of Pages 12 2 S. Van de Velde et al.
Resuscitation, 2015
The International Liaison Committee on Resuscitation (ILCOR) First Aid Task Force first met in June 2013. Comprising nominated members from around the globe appointed by each ILCOR member organization, the task force members first agreed to the goals of first aid and produced a definition of first aid as it might apply to the international setting. Task force members considered an agreed-upon definition essential for the subsequent development of research questions, evidence evaluation, and treatment recommendations.
Resuscitation, 2015
Imperial College Healthcare NHS Trust, London, UK Centre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA Global First Aid Reference Centre, International Federation of Red Cross and Red Crescent Societies, Paris, France National and Kapodistrian University of Athens, Medical School, MSc “Cardiopulmonary Resuscitation”, Athens, Greece Hellenic Society of Cardiopulmonary Resuscitation, Athens, Greece Wellington Hospital, Wellington Place, London, UK Department of General Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria Colchester University Hospitals NHS Foundation Trust, Colchester, UK French Red-Cross, Paris, France Austrian Red Cross, National Training Center, Vienna, Austria Belgian Red Cross-Flanders, Mechelen, Belgium Department of Public Health and Primary Care, Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium Fac...
In the autumn of 2012, ILCOR approved the First Aid Task Force as a fully participating task force in the 2015 ILCOR international evidence evaluation and appointed 2 international co-chairs. In the spring of 2013, each member council of ILCOR nominated individuals for membership in the First Aid Task Force. In addition to the co-chairs, 11 task force members were appointed, representing the ILCOR member organizations of the American Heart Association (AHA), the European Resuscitation Council (ERC), the Heart and Stroke Foundation of Canada, the Australian Resuscitation Council, the InterAmerican Heart Foundation, and the Resuscitation Council of Asia. Members included physicians specializing in anesthesia, critical care/resuscitation, emergency medicine, cardiology, internal medicine, and pediatric emergency medicine, as well as paramedics specializing in prehospital care guideline development, specialists in first aid course education (Circulation. 2015;132[suppl 1]:S269-S311.
Circulation
This is the summary publication of the International Liaison Committee on Resuscitation’s 2020 International Consensus on First Aid Science With Treatment Recommendations . It addresses the most recent published evidence reviewed by the First Aid Task Force science experts. This summary addresses the topics of first aid methods of glucose administration for hypoglycemia; techniques for cooling of exertional hyperthermia and heatstroke; recognition of acute stroke; the use of supplementary oxygen in acute stroke; early or first aid use of aspirin for chest pain; control of life-threatening bleeding through the use of tourniquets, hemostatic dressings, direct pressure, or pressure devices; the use of a compression wrap for closed extremity joint injuries; and temporary storage of an avulsed tooth. Additional summaries of scoping reviews are presented for the use of a recovery position, recognition of a concussion, and 6 other first aid topics. The First Aid Task Force has assessed, di...
Circulation, 2020
additional treatment when needed, such as activating emergency medical services or seeking other medical assistance (emergency services). 1 The present document incorporates systematic reviews conducted by the First Aid Task Force of the International Liaison Committee on Resuscitation (ILCOR). 2 Systematic reviews and Consensus on Science With Treatment Recommendations (CoSTR) conducted by ILCOR provide upto-date science for international use. After formulation of the ILCOR systematic reviews and CoSTRs, a North American team with representatives appointed by the American Heart Association (AHA) and the American Red Cross (Red Cross) then applies the science within these documents to update existing first aid guidelines for use in curriculum and protocol development. Beginning in 2015, the ILCOR evidence evaluation process transitioned to a continuous evidence evaluation, with systematic reviews performed as new published evidence emerges or when an ILCOR task force prioritizes a topic. In 2020, the ILCOR First Aid Task Force conducted systematic reviews on the topics of recognizing stroke, providing supplemental oxygen for individuals suspected of stroke, when to offer aspirin for those with chest pain, methods of providing glucose for individuals suspected of hypoglycemia, means to stop life-threatening bleeding, use of compression wraps for the recovery from closed extremity joint injuries, mediums to store avulsed teeth, and cooling techniques for exertional hyperthermia or heatstroke. This focused update includes new and updated recommendations for first aid organizations and providers, but written for curriculum designer and educator use.
Circulation, 2015
In the autumn of 2012, ILCOR approved the First Aid Task Force as a fully participating task force in the 2015 ILCOR international evidence evaluation and appointed 2 international co-chairs. In the spring of 2013, each member council of ILCOR nominated individuals for membership in the First Aid Task Force. In addition to the co-chairs, 11 task force members were appointed, representing the ILCOR member organizations of the American Heart Association (AHA), the European Resuscitation Council (ERC), the Heart and Stroke Foundation of Canada, the Australian Resuscitation Council, the InterAmerican Heart Foundation, and the Resuscitation Council of Asia. Members included physicians specializing in anesthesia, critical care/resuscitation, emergency medicine, cardiology, internal medicine, and pediatric emergency medicine, as well as paramedics specializing in prehospital care guideline development, specialists in first aid course education (Circulation. 2015;132[suppl 1]:S269-S311.
Circulation, 2010
Resuscitation, 2005
Singapore medical journal, 2011
The implementation of guidelines released by the National Resuscitation Council in 2006 involved all the main areas of resuscitation, especially basic life support and defibrillation. The emphasis was on community training, creation of simplified programmes, combining cardiopulmonary resuscitation (CPR) and defibrillation, and using simpler training devices. As a result, public access defibrillation programmes have been increasingly implemented together with the CPR + automated external defibrillator programmes. A large number of instructors have also been trained.
World Journal of Surgery, 2015
Introduction Over half of prehospital deaths in low-income countries are the result of airway compromise, respiratory failure, or uncontrolled hemorrhage; all three conditions can be addressed using simple first-aid measures. For both hospital personnel and laypersons, a basic trauma resuscitation training in modified ABCD (airway, breathing, circulation, disability) techniques can be easily learned and applied to increase the number of first responders in Mozambique, a resource-challenged country. Methods A trauma training session was administered to 100 people in Mozambique: half were hospital personnel from 7 district medical centers and the other half were selected laypersons. This session included a pre-test, intervention, and post-test to evaluate and demonstrate first response skills. Results Eighty-eight people completed both the pre-and post-tests. Following the education intervention, both groups demonstrated an improvement in test scores. Hospital personnel had a mean post-test score of 60 % (SD = 17, N = 43) and community laypeople had a mean score of 51 % (SD = 16, N = 45). A t test for equal variances demonstrated significant difference between the post-intervention scores for the two groups (p = 0.01). All 100 participants were able to open an airway, externally control hemorrhage, and transport a patient with appropriate precautions. Conclusion The trauma training session served as new information that improved knowledge as well as skills for both groups, and increased the number of capable responders in Mozambique. This study supports WHO recommendations to utilize the strengths of a developing nation-population-as the first step in establishing an organized trauma triage system. A. Merchant (&) Á M. Outhay
Continuing Medical Education, 2007
This review highlights and explains the rationale for major changes that have evolved in the development of new international guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care. 1
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