S68 Poster Presentations / Resuscitation 84S (2013) S8–S98

AP148

Preparing events in sport context during thecardiac arrest awareness week “VIVA!” in Italy

Andrea Scapigliati 1,∗, Niccolò Grieco 2, TommasoPellis 3, Giuseppe Ristagno 4, Federico Semeraro 5,Erga L. Cerchiari 5

1 Catholic University of the Sacred Heart, Rome, Italy2 Intensive Cardiac Care Unit & PrehospitalEmergency, Milan, Italy3 Intensive Care and Emergency Medical Service,Santa Maria degli Angeli Hospital, Pordenone, Italy4 Istituto di ricerche farmacologiche “Mario Negri”–IRCCS, Milan, Italy5 Maggiore Hospital, Bologna, Italy

Purpose of the study: On June 14th, 2012, the European Par-liament called for a week of cardiac arrest awareness, to be heldthroughout Europe. The Italian Resuscitation Council (IRC) hasanswered to this call planning a structured project to best organizethe “Viva!” week (that means both “alive” and “long life for”) onOctober 14th–20th 2013 (http://www.viva2013.it). Sport contextis one out of six domains addressed by the project (work, school,sport, healthcare systems, public places, home). Despite excellentprimary prevention, it is estimated that at least 100 persons peryear die in Italy while practicing sport at different levels.

Materials and methods: IRC has established a scientific boardin order to produce educational tools targeting the lay popu-lation. Mass training events have been planned and started insport contexts. Endorsement by National and local sport organiza-tions, teams, media partners and testimonials has been requested.Furthermore “Viva!” is supporting the implementation of a newNational law which makes CPR training and AED availabilitymandatory for each sport society in the Country.

Results: The first “Viva!” public sport related event took placeon 12th April, 2013. A public training event tailored on youngathletes was held in the Rome swimming stadium in the contextof an international conference on swimming pools safety. About100 children and young adults from 10 to 22 years old (swimmingclub pupils and sport sciences students) have been trained inrecognizing a cardiac arrest, alerting the EMS and performinggood quality CPR summoning AED (http://www.viva2013.it/calendario-eventi/9-4-2013/5th-international-conference-swimming-pool-and-spa). Other events are following and part-nerships are ongoing. A roundtable on implementation of AED lawwill be held during IRC national congress.

Conclusions: Sport can be a powerful context to spread CPRawareness to general population.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.173

AP149

Cardiac arrest team role pre-allocation anddebriefing: A policy analysis of West Midlandshospitals

Keith Couper 1, Laura Whitehead 2, TeresaMelody 1, Gavin D. Perkins 2

1 Heart of England NHS Foundation Trust,Birmingham, UK2 Warwick Medical School, University of Warwick,Coventry, UK

Study purpose: Cardiac arrest team role pre-allocation andeducational post-event debriefing are associated with car-

diopulmonary resuscitation quality.1–3 Resuscitation guidelinesrecommend the use of these strategies in clinical practice.4 How-ever, data regarding their uptake is lacking. The aim of this studywas to describe the use of role pre-allocation and debriefing in UKNHS hospitals in the West Midlands.

Materials and methods: Copies of resuscitation practice policydocuments were requested from acute adult NHS trusts in the WestMidlands Strategic Health Authority. We extracted data about theuse of adult cardiac arrest team role pre-allocation and debriefingfor each hospital that provides adult acute care services.

Results: We obtained resuscitation policies from 17 NHS trusts(response rate 100%), which represented 23 acute hospital sites. Allpolicies had been updated since 2010. Two hospitals (8.7%) allocateteam roles during a meeting (pre-briefing) at each shift handover.Thirteen hospitals (56.5%) have a pre-defined team leader. Of these,six (26.1%) hospitals allocate other team roles in the policy docu-ment. Debriefing is provided at eight hospitals (34.8%). It is typicallyprovided ad hoc (n = 6, 26.1%) based on either perceived need fol-lowing a difficult resuscitation (n = 5, 21.7%) or resuscitation officeravailability (n = 1, 4.3%). Two hospitals (8.7%) provide debriefing,led by the team leader, following every cardiac arrest. No hospi-tal used cold debriefing or used objective CPR performance data aspart of the debrief process.

Conclusion: This analysis shows that few hospitals have imple-mented team role allocation or debriefing. Whilst some hospitalsformally allocate team roles, only two hospitals arranged for staffto meet at each shift change. Debriefing is rarely provided follow-ing cardiac arrests. Where it does occur, it is generally provided forperceived psychological, rather than educational, benefit.

References

1. Couper K, Perkins GD. Debriefing after resuscitation. Curr Opin Crit Care2013;19:188–94.

2. Edelson DP, et al. Improving in-hospital cardiac arrest process and outcomes withperformance debriefing. Arch Intern Med 2008;168:1063–9.

3. Ong MEH, et al. Improving the quality of cardiopulmonary resuscitation by train-ing dedicated cardiac arrest teams. Resuscitation 2013;84:508–14.

4. Soar J, et al. Part 12: Education, implementation, and teams: 2010 Inter-national Consensus on Cardiopulmonary Resuscitation and Emergency Car-diovascular Care Science with Treatment Recommendations. Resuscitation2010;81:e288–330.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.174

AP150

Implementation of hyperinvasive approach toout-of hospital cardiac arrest management:Results from presimulation and simulationphases of the “Prague OHCA study”

Jan Belohlavek 1, Hana Skalicka 1, Ondrej Smid 1,Ondrej Franek 2, Milana Pokorna 2, Jiri Danda 2,Karel Kucera 2, Jiri Jarkovsky 3, Jan Rulisek 1,Jaroslav Valasek 2, Zdenek Schwarz 2, AlesLinhart 1

1 General University Hospital, Prague, Czech Republic2 Prague Emergency Service, Prague, Czech Republic3 Masaryk University, Brno, Czech Republic

Background: Out of hospital cardiac arrest (OHCA) bears apoor outcome. While initiating a prospective randomized studycombining prehospital intraarrest hypothermia, mechanicalchest compression device, intrahospital ECLS (extracorporeallife support) and early invasive investigation and treatment weencountered considerable logistic barriers arising into necessityto perform presimulation and simulation phase of the trial. Imple-