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Vol. 79. (In progress)
(January - December 2024)
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Vol. 79. (In progress)
(January - December 2024)
Editorials
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It is time to spread the message of high-quality layperson cardiopulmonary resuscitation all over the world
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Naomi Kondo Nakagawaa,
Corresponding author
naomi.kondo@fm.usp.br

Corresponding author.
, Andrew Lockeyb, Maria José Carvalho Carmonac, Amber Hooverd, Prama Nandae, Bernd Walter Böttigerf, WRAH collaborators #
a Education, Assessment and Intervention in Cardiovascular Group, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
b Calderdale and Huddersfield NHS Trust, Halifax, United Kingdom
c Divisão de Anestesia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
d American Heart Association, Texas, United States of America
e European Resuscitation Council, Antwerp, Belgium
f Department of Anesthesiology and Operative Intensive Care Medicine, Faculty of Medicine, University of Cologne, Cologne, Germany
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Appendix. World Restart a Heart collaborators, related institutions and countries.
Table 1. World Restart a Heart: approximate numbers of people achieved in 2022.
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The World Restart a Heart (WRAH) initiative of the International Liaison Committee on Resuscitation is saving more lives by spreading the message of two important themes ‒ “ALL CITIZENS CAN SAVE A LIFE!” and “IT ONLY TAKES TWO HANDS TO SAVE A LIFE!” ‒ to more than 50 million citizens of the world.

The number of laypeople who undertake Cardiopulmonary Resuscitation (CPR) training has increased considerably since 2018, when the WRAH initiative was first launched,1 engaging 13 million people worldwide. In 2021, 200 million individuals (including social media reach) were involved.2 In 2022, WRAH engaged over 50 million citizens from 194 countries (Appendix). This was achieved by including over 630,000 face-to-face training, participation in witnessed live in-person demos, and attending webinars, as online readers, written readers, and television and radio audiences (Table 1). This data, which by its nature will be an approximation, has been reported and verified by national resuscitation councils from around the world. Social media campaign networks had a significant additional impact on sudden cardiac arrest and CPR awareness.

Appendix.

World Restart a Heart collaborators, related institutions and countries.

WRAH Contributors  Institutions  Countries 
Abdulmajeed Khan  Heraa General Hospital/PARC  Saudi Arabia 
Aldus Smith  Resuscitation Council of Southern Africa  South Africa 
Allan de Caen  University of Alberta  Canada 
Amber V. Hoover  AHA/ILCOR  USA 
Andrew Lockey  Resuscitation Council UK/ERC/ILCOR  UK 
Antonieta ValderramaResuscitation Committee  Chile
Chilean Society of Anaesthesia 
Baljit Singh  IRCF  India 
Barbara Kelly  HSFC  Canada 
Bassinte Ossama  Global First Aid Reference centre/IFRC  France 
Bernd W. Böttiger  Medical Faculty of the University and University Hospital of Cologne/ILCOR/ERC/GRC  Germany 
Farhan Bhanji  Faculty of Medicine and Health Sciences, McGill University  Canada 
Federico Semeraro  Department Anaesthesia, Intensive Care and Emergence Medical System, Maggiore Hospital, Bologna/Co-Chair, ERC  Italy 
Gavin Perkins  University of Warwick/Co-Chair, ILCOR/ERC  UK 
George Woods  St John Ambulance  England 
Jacopo Pagani  Azienda Ospedaliero-Universitaria Sant'Andrea  Italy 
Jan Van Dooren  CEO, ERC  Belgium 
Koen Monsieurs  Antwerp University Hospital and University of Antwerp/Chair, ERC  Belgium 
Kevin Nation  New Zealand Resuscitation Council/ILCOR  New Zealand 
Laurin Paris  AHA  USA 
Lokesh R Edara  Western Michigan University School of Medicine/IRCF  USA 
Lokesh Tiwari  All India Institute of Medical Sciences Patna /IRCF  India 
Ludhmila Abrahão Hajjar  Faculty of Medicine, São Paulo University/KSLB  Brazil 
Maria José Carvalho Carmona  Faculty of Medicine, São Paulo University/KSLB  Brazil 
Marios Georgiou  American Medical Center Cyprus  Cyprus 
Maaret Castrén  Karolinska Institute/ILCOR Honorable Secretary  Finland 
Monica Sales  AHA  USA 
Maureen O'Connor  San Diego Project Heart Beat  USA 
Mukul Kapoor  IRCF  India 
Nadine Rott  University Hospital of Cologne/GRC  Germany 
Naomi Kondo Nakagawa  Faculty of Medicine, São Paulo University /KSLB  Brazil 
Nilmini Wijesuriya  Resuscitation Council ‒ College of Anaesthesiologists and Intensivists of Sri Lanka  Sri Lanka 
Pascal Cassan  IFRC  France 
Peter Morley  University of Melbourne Royal Melbourne Hospital/ILCOR Honorable Treasurer  Australia 
Prama Nanda  ERC  Belgium 
Raffo Escalante-Kanashiro  Instituto Nacional de Salud del Niño/IAHF  Peru 
Rakesh Garg  All India Institute of Medical Sciences New Delhi/IRCF  India 
Rasesh Diwan  Indian Resuscitation Council Federation  India 
Robert Neumar  University of Michigan/Co-Chair, ILCOR  USA 
Shelley Parker  HSFC  Canada 
Siddha SC Chakra Rao  IRCF  India 
Syed Moied Ahmed  Aligarh Muslim University/IRCF  India 
Swee Han Lim  Singapore General Hospital/RCA  Singapore 
Teghan Mear  New Zealand Resuscitation Council/ILCOR  New Zealand 
Tzong-Luen Wang  Fu-Jen Catholic University/Resuscitation Council of Asia  Taiwan 
Vinay Nadkarni  University of Pennsylvania Perelman School of Medicine  USA 
Zehra Al-Hilali  Arab Resuscitation Council  UAE 

AHA, American Heart Association; ERC, European Resuscitation Council; GRC, German Resuscitation Council; HSFC, Heart and Stroke Foundation of Canada; IAHF, Inter-American Heart Foundation; IFRC, International Federation of Red Cross and Red Crescent Societies; ILCOR, International Liaison Committee on Resuscitation; IRCF, Indian Resuscitation Council Federation; KSLB, Kids Save Lives Brazil; PARC, Pan Arab Resuscitation Council; RCA, Resuscitation Councils of Asia; UAE, United Arab Emirates; UK, United Kingdom; USA, United States of America.

Table 1.

World Restart a Heart: approximate numbers of people achieved in 2022.

  Face-to-face trainings  Witnessed live-in-person demos  Attending webinars  TV audience  Radio audience  Journals and magazines readers 
American Heart Association      409,688       
Arab Resuscitation Council  18,322  51,415  505  10,000  5,000   
German Resuscitation Council  1,700      1,000,000     
Heart & Stroke – Canada  82,588  3,064         
Indian Resuscitation Council Federation  322,570  79,627  13,773  842,350  500,000   
International Federation of Red Cross  5,588           
Italian Resuscitation Council  2,000  3,000  600  5,000,000  500,000  6,183,240 
Kids Save Lives Brazil  4,641    2,298  191,900     
Korean Association of Cardiopulmonary Resuscitation  731           
New Zealand Resuscitation Council, Australian St John Ambulance  13,000    11,628       
Pan Arab Resuscitation Council  22,361           
Resuscitation Council of Southern Africa  67,404      7,000     
Resuscitation Council UK  87,266  30  12,000    35,000,000   
Singapore Resuscitation and First Aid Council  67  2,150         
Srilanka Resuscitation Council  5,287    456  84,137     
TOTAL  633,525  139,286  450,948  7,135,387  36,005,000  6,183,240 

Initiatives that combine awareness, hands-on CPR training, and the use of an external automated defibrillator may optimize bystander CPR timing, performance, and the overall quality of CPR.3 The target groups for face-to-face or remote CPR training are diverse and include all age groups and people from many different professional backgrounds. With specific regard to the training of children, adjustments should be made according to age range because of different physical abilities and cognitive aspects. For instance, the main objective for young children (4 years and older) would be recognition of a situation where the person does not respond and thereafter calls for help. They should know the emergency telephone number and give essential information.4 For children aged above 10‒12 years old, high-quality CPR and the use of a defibrillator can be achieved.4

High-quality bystander CPR in out-of-hospital cardiac arrest may significantly reduce the risks of brain damage, nursing home admission, or death of all causes.5 In this context, every year WRAH plays a relevant role as an annual awareness campaign worldwide of sudden cardiac arrest and CPR. And now, by reaching more citizens of the world, WRAH thus aims to save more lives with high-quality layperson CPR.

References
[1]
B.W. Böttiger, A. Lockey.
World Restart a Heart initiative: all citizens of the world can save a life.
[2]
L. Tiwari, A. Lockey, B.W. Böttiger, N. Rott, A. Hoover, R. Chakra, R. Garg, L. Edara, et al.
More than 302 million people reached and over 2,200,000 trained in cardiopulmonary resuscitation worldwide: the 2021 ILCOR World Restart a Heart initiative.
Resusc Plus, 14 (2023),
[3]
A. Myat, K.J. Song, T. Rea.
Out-of-hospital cardiac arrest: current concepts.
[4]
D.C. Schroeder, F. Semeraro, R. Greif, J. Bray, P. Morley, M. Parr, et al.
KIDS SAVE LIVES: basic life support education for schoolchildren: a narrative review and scientific statement from the International Liaison Committee on Resuscitation.
Circulation, 147 (2023), pp. 1854-1868
[5]
K. Kragholm, M. Wissenberg, K. Kragholm, M. Wissenberg, R.N. Mortensen, S.M. Hansen, C.M. Hansen, K. Thorsteinsson, S. Rajan, F. Lippert, et al.
Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest.
N Engl J Med, 376 (2017), pp. 1737-1747

All the members of the WRAH collaborators are listed in the Appendix.

Copyright © 2024. HCFMUSP
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