Australian Resuscitation Advisory Network | Non-profit organisation

Australian Resuscitation Advisory Network

Phone: +61 435 862 042

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24.01.2022 The US has figured out what is important for the general public.

23.01.2022 In Australia, this training is considered by Governments to be "unnecessary" and "not a life skill". How dumb are we? Generational change cannot happen without training the next generation to consider CPR+AED part of common knowledge.

22.01.2022 The ERC continues to provide sensible and detailed advice for resuscitation and resuscitation training during the pandemic...our own ARC has provided no advice, other than "dont do any training until we think it is OK". There has been no guidance for BLS and ALS in the field and no effort to support those it professes to be the "authority" for. Even endorsing the ILCOR advice for COVID19 was too hard for the ARC as it challenges their rhetoric. https://www.erc.edu/covid

22.01.2022 The evidence is clear, what is missing is government will and commitment. ConclusionsApplication of an AED in communities is associated with nearly a doubling of survival after out-of-hospital cardiac arrest. These results reinforce the importance of strategically expanding community-based AED programs.... https://www.dropbox.com//Survival_After_Application_of_Aut

21.01.2022 Keep up Australia!

21.01.2022 https://www.youtube.com/watch?v=fHdxF-lOky0&feature=youtu.be

21.01.2022 An Australian woman has spoken out after she suffered a cardiac arrest on a rowing machine last year and spent three days in a coma. Emily Counter was at Anytime Fitness in Noosa in October when she went into cardiac arrest. Gym owner Aaron Peterson reacted quickly and started to perform CPR on Ms Counter, while another gym member Ben Duffy fetched the defibrillator. Mr Peterson told the Courier Mail he was in shock but the defibrillator was easy to use. "You learn how to us...e those things in your first aid course, but you never really use it," he told the Courier Mail. Australian woman Emily Counter is calling for defibrillators to be compulsory in gyms. Ms Counter was in a coma for three days and was diagnosed has having a rare heart condition called Bland-White-Garland Syndrome (BWGS). While Anytime Fitness has decided to install defibrillators in their gyms, there are curently no rules, codes, legislation or laws in Australia that make defibrillators necessary in any industry, business or public place (not even a General Practice). ARAN has made formal submissions to Safework NSW (the Governement WHS Authority) and the Australian Building and Construction Commission (in charge of making the rules in regard to necessary equipment for building compliance) and both have stated that defibrillators "are not their responsibility" and referred ARAN back to each other. As there are more that 33,500 sudden cardiac arrests (like the one in this story) happen every year and most die without early defibrillation (i.e. before Ambulance arrival. If these two bodies are "not responsible" can someone in Government please inform the public (and ARAN), who is???!!!

21.01.2022 Once again evidence wins over opinions and rhetoric. Turns out the two-thumb technique has always been superior to the two-finger method of compressions on infants. ARAN has been asserting this for years based on the lack of evidence supporting the two-finger technique. https://doi.org/10.1016/j.resuscitation.2019.12.039

20.01.2022 English and Scottish children will learn CPR as part of the curriculum from 2020. In Australia, it is still considered to be "unnecessary" and "not a life-skill". Please explain?

19.01.2022 Has the efficacy of BLS really advanced since this?

18.01.2022 What a pity and so hypocritical. Restart a Heart Day teaches the only 3 things that make a difference in first response to Sudden Cardiac Arrest (SCA represents up to 85% of all arrest anywhere and not drownings in young people). This important message of this campaign is based on the science i.e. that particularly in the case of witnessed SCA active ventilations (rescue breathing) almost double the death rate long-term. However in Australia as soon as these people who read this message go and do face-to-face CPR course they are taught that all patients will benefit from ventilation (regardless of the cause), while the ARC gives tacit support the Restart a Heart Day.

17.01.2022 There are two myths in BLS resuscitation that we operate under in Australia. Firstly that all rescuers are capable of effective compressions on an actual adult casualty and secondly that most cardiac arrests occur in young healthy people who drown. Bystander assisted compressions helps solve one of these problems and is particularly appropriate for the weak, frail and small rescuers and bystanders that witness a cardiac arrest. Please bear in mind we are discussing BLS pract...ice in this forum and not ALS by professionals who have to demonstrate fitness in order to maintain their qualifications. BLS does not have the same requirements nor are the treatment recommendations as rigorous in evidence base or development. and much of the current recommendations and guidelines are largely subjective opinion. In BLS "competence" is tested on adult CPR manikins that are not subject to any national or international standard. Testing by ARAN has found that most adult CPR manikins used in Australia are anatomically representative of large children in chest depth and resistance and therefore most "certification" and "competency assessment" in Australia is not in Adult resuscitation. ARAN has long held that this fact (along with other widely held misconceptions) is a (not the only)contributing factor in poor outcomes.

17.01.2022 We need you to ensure CPR education is part of the English secondary school curriculum. Learn more: http://bit.ly/2OU0DJu

17.01.2022 AEDs in schools considered "unnecessary" by Government and Education Departments. Events such as these will continue to occur until there is a recognition by Government that they have a responsibility in reducing the death rate from Sudden Cardiac Arrest. a condition that kills approx. 30,000 Australians each year (of all ages) . In NSW, schools are actively discouraged from purchasing a defibrillator (AED) by the Education Department! https://www.dailymail.co.uk//Schoolboy-15-dies-Ormeau-Wood

16.01.2022 A breakthrough for ARAN and common sense! After a lot of debate, lobbying and support from other groups passionate about improving cardiac arrest survival rates, NSW has changed its messaging to reflect worlds best-practice for the initial response to suspected cardiac arrest. The traditional and largely redundant DRSABCD advice for the public has been replaced with a simple message that is supported by the international evidence: CALL-PUSH-SHOCK i.e. the only 3 things that have proven to improve cardiac arrest survival rates in Sudden Cardiac Arrest (SCA - 85% of all arrests). Well done NSW Health this has shown leadership and resolve to implement this regime in the face of biased resistance from certain quarters. https://www.health.nsw.gov.au/cardiacarrest//resources.aspx

16.01.2022 ARAN has been pushing for hands-only CPR kiosks in Australia but has faced resistance from many quarters (especially those who still think ventilations are essential in SCA). The AHA has evaluated the kiosks and found them equivalent to a 30 minute face-to-face CPR session and have trained 100,000 travellers in the US. It is disappointing in Australia that politics and the need to cling to power is more important than saving lives, science and the evidence. It is no wonder w...e have such abysmal survival rates. For a developed nation we are severely underdeveloped when it comes to our attitude, commitment and political will in regards to out of hospital cardiac arrest. Organisations in Australia who are reluctant to support initiatives to save lives or worse still actively white-ant others initiatives by the abuse of their connections and influence should be held accountable for the numbers of lives lost unnecessarily by inaction and obstruction.

13.01.2022 In Australia we have the same number of cardiac arrests and we have 1/4 of the population. Move to the UK or make sure those around you know how to do effective compressions and there is a defibrillator close.

12.01.2022 ARC- An organisation that rejects the detailed evidence review by ILCOR and rejects the international consensus and treatment recommendations on the management on choking and actively white-ants any evidenced measures; sanctions its own member organisations to promote any unevidenced, dubious, home-spun, method that they feel like. One-handed chest thrusts (now included in Guideline 4 Airway), along with other anecdotal and unproved inventions are now joined by a method, pr...omoted by St John Ambulance on a national television morning program (Channel 7) of abdominal slaps (blows). We are not talking here of evidenced-based abdominal thrusts (with a controlled application of force) but straight-out strikes to a choking child’s abdomen. Apparently, as long as member organisations pay the ARC membership fees, anyone can just make up stuff, regardless of evidence, safety or efficacy; and it will be supported. See more

11.01.2022 We see these success stories everyday using Abdominal Thrusts in countries that actually read the evidence. We have not seen one since the start of Facebook about the success of the ARC's unevidenced methods.

11.01.2022 ILCOR re-enforces the evidence around the relief of upper airway obstruction, and it does not support the divergent recommendations in Australia. https://costr.ilcor.org//removal-of-foreign-body-airway-ob. In summary, the ILCOR treatment recommendations are: 1. We suggest that back slaps are used initially in patients with a FBAO and an ineffective cough (weak recommendation, very low certainty of the evidence).... 2. We suggest that abdominal thrusts are used in adults and children with a FBAO and an ineffective cough where back slaps are ineffective (weak recommendation, very low certainty of the evidence). 3. We suggest that rescuers consider the manual extraction of visible items in the mouth (weak recommendation, very low certainty of the evidence). 4. We suggest against the use of blind finger sweeps in patients with a FBAO (weak recommendation, very low certainty of the evidence). 5. We suggest that appropriately skilled individuals consider the use of Magill forceps to remove FBAO in OHCA patients with a FBAO (weak recommendation, very low certainty of the evidence). 6. We suggest that chest thrusts are used in unconscious patients with a FBAO (weak recommendation, very low certainty of the evidence). 7. We suggest that bystanders undertake interventions to support FBAO removal as soon as possible after recognition (weak recommendation, very low certainty of the evidence). See more

10.01.2022 No solutions if those making the decisions benefit from the problem. Once an employee admits a problem they are destroyed and blamed for personal failure rather than an institutional problem. ASNSW has had many opportunities to change but has chosen the easy path consistently and will not listen to external advice.

10.01.2022 Our new newsletter Resuscitation Views is out now! https://www.dropbox.com/s//Resuscitation%20Views%20Vol1.pd

10.01.2022 The current BLS Resuscitation Guidelines Is there authentic utility or just ensconced sciencism? Read our latest paper looking at the utility of the current BLS Guidelines at our website www.aran.org.au in our Essential Reading section.

09.01.2022 The problems with utility of the current BLS guidelines in Australia. https://www.dropbox.com//Current%20BLS%20-%20Utility%20or%

08.01.2022 Please read, sign and share a petition to initiate a Royal Commission into NSW Ambulance https://www.change.org/p/premier-of-nsw-royal-commission-in

08.01.2022 ACLS after 6 mins (regardless of BLS) will improve ROSC rate but only has minimal affect on survival to discharge intact. https://www.resuscitationjournal.com//S0300-9572(/fulltext

07.01.2022 Why is Australia so far behind?

04.01.2022 Suggested to Telstra a couple of years back, they said it was a good idea and they would "take it to the team". Apparently, in Australia, our national telco doesn't think AEDs are important. https://www.youtube.com/watch?v=ecVHYg4_vZw

03.01.2022 We are so far behind we think we are in front.