Nearly one lakh people in the national Capital will be trained in CPR by the Heart Care Foundation of India by December, 2014.
For every minute that a cardiac arrest victim does not receive CPR, his chances of survival drops by 10%. An effective CPR from a bystander can double a victim's chances of surviving a cardiac arrest. Some doctors say less than 1% Indians know CPR.
Doctors say cardiac death is reversible in the first 10 minutes. In this period, the brain remains alive even though the heart and respiration have stopped.
Cardiologist Dr K K Aggarwal from the Heart Care Foundation said the first 10 minutes are crucial and it is not possible for bystanders to take a victim to a hospital or call a doctor in the time frame available. The only option for the bystanders is to try and save the person by attempting CPR. While several countries across the world are training the aam aadmi — in schools, colleges and even work places — about CPR, the World Heart Federation says the knowledge is abysmally low in India.
Doctors from the Foundation added, "The technique is based on the formula of 10 created by the Foundation — within 10 minutes of death, for the next 10 minutes, compress effectively and continuously the center chest of the victim with a speed of 100 per minutes. With this up to 80% victims of heart attack can be revived." On an average, a doctor spends 12 minutes conducting the CPR to save a patient of cardiac arrest. But a Lancet study announced on Wednesday says that increasing CPR to 30 minutes - very seldom done by doctors can actually save more patients.
Researchers announced on Wednesday that patients at hospitals with longer resuscitation attempts, on average, have higher survival rates.
Practitioners are often reluctant to perform longer attempts - those that can last 30 minutes or longer - because they believe that if patients do not survive early on during cardiac arrest, their overall prognosis is poor.
Several of the city's top cardiologists and cardiac surgeons from the most popular hospitals told TOI that they are ready to teach common people on how to carry out a CPR.
Chairman of Medanta Medicity and cardiac surgeon Naresh Trehan told TOI that his hospital would be glad to teach common people the art of CPR. "If Resident Welfare Associations of Delhi put together teams of 30-40 people, we can teach them CPR in a few hours with demonstrations and hands-on experience for free," Trehan said.
He added, "CPR is invaluable. If a person receives CPR within five minutes of collapsing, his or her chances of survival without any effect to the brain are 70%. If there is nobody around who knows CPR, chances of the person's survival are just 30%. Therefore, it will do tremendous good if students are taught CPR."
The American Heart Association's (AHA) latest advisory says that all high school students should be trained in CPR.
Dr Ashok Seth, chairman of Escorts Heart Centre, said students would be more willing to come forward and help if they see someone collapsing but will also feel good about saving lives without being a doctor.
"We have an AHA accreditated life support programme that goes to crowded places to teach general public ways of delivering emergency life support and CPR. We would be happy to send our teams to schools and colleges to teach students CPR if the school authorities agree," Dr Seth said.
Dr Sujay Shad, cardiac surgeon at Sir Gangaram Hospital, said the brain begins to experience non-reversible damage only two minutes after the heart stops beating. "Simply put, the sooner blood is forced through the body by means of chest compressions, the better the chance of survival. Unless you are trained in this simple but critical skill, there is little you can do. An arrest can occur after a heart attack.
"In such case, the victim still has ample air in the lungs and blood, and chest compressions keep blood flowing to the brain, heart and other organs. Bystander CPR has made a huge difference in the West in helping cardiac arrest patients," Dr Shad added.
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