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World Restart a Heart 2020: How to keep a life-saving awareness campaign alive in a pandemic

2021; Elsevier BV; Volume: 166; Linguagem: Inglês

10.1016/j.resuscitation.2021.06.026

1873-1570

Nadine Rött, Andrew Lockey, Bernd W. Böttiger, Salomé Boucif, Maria José Carvalho Carmona, Pascal Cassan, Siddha S.C. Chakra Rao, Raffo Escalante-Kanashiro, Rakesh Garg, Μάριος Γεωργίου, Amber V. Hoover, Abdulmajeed Khan, Cianna Levi, Swee Han Lim, Hitendra Chandrakant Mahajan, Teghan Mear, Koenraad G. Monsieurs, Vinay Nadkarni, Naomi Kondo Nakagawa, Kevin Nation, Robert W. Neumar, Krista O'Shaughnessy, Monica Sales, Federico Semeraro, Heleen Van Grootven, Tzong-Luen Wang, Nilmini Wijesuriya,

Trauma and Emergency Care Studies

The International Liaison Committee on Resuscitation (ILCOR) World Restart a Heart (WRAH) initiative has become an outstanding success over the last three years. The messaging about the importance of cardiopulmonary resuscitation (CPR) has been spread to more than 200 million people in over 194 countries during this time. In 2020, established activities such as mass training events were not possible due to the COVID-19 pandemic. Therefore, participants had to become creative to keep the campaign alive. "All citizens of the world can save a life". This original mission statement for WRAH continues to be the theme of the global initiative – to increase awareness and therefore the rates of bystander CPR for victims of cardiac arrest.1.Böttiger B.W. Lockey A. Aickin R. et al."All citizens of the world can save a life" - The World Restart a Heart (WRAH) initiative starts in 2018.Resuscitation. 2018; 128: 188-190Abstract Full Text Full Text PDF PubMed Scopus (22) Google Scholar Fundamental to this approach is that an increase in bystander resuscitation rates can increase survival rates up to threefold.2.Wissenberg M. Lippert F.K. Folke F. et al.Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest.JAMA. 2013; 310: 1377https://doi.org/10.1001/jama.2013.278483Crossref PubMed Scopus (697) Google Scholar The first WRAH in 2018 was a huge success. Over 675,000 people were trained in resuscitation and 12.7 million were reached via social media.3.Böttiger B.W. Lockey A. Aickin R. et al.Over 675,000 lay people trained in cardiopulmonary resuscitation worldwide - The "World Restart a Heart (WRAH)" initiative 2018.Resuscitation. 2019; 138: 15-17Abstract Full Text Full Text PDF PubMed Scopus (8) Google Scholar In 2019, with the slogan "iconic places", #worldrestartaheart reached 206 million people on social media. At least 5.4 million people were trained in resuscitation worldwide.4.Böttiger B.W. Lockey A. Aickin R. et al.Up to 206 million people reached and over 5.4 million trained in cardiopulmonary resuscitation worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative.J Am Heart Assoc. 2020; 9: e017230Crossref PubMed Scopus (11) Google Scholar WRAH in 2020 was different due to the worldwide coronavirus pandemic. The motto was "Your two hands can save a life", but mass resuscitation events were not possible in many countries. Thus, our initiative had to become creative and implement new strategies for success. One of the most successful ideas for 2020 was the "#MySongCanSaveLives" campaign. Famous national and international artists whose songs align with the appropriate rate for resuscitation (100–120 BPM) were contacted. They were invited to post the song on social media platforms with the #MySongCanSaveLives hashtag, and thus spread the message to all their followers on and around 16 October 2020. Many world-famous artists such as the Vienna Philharmonic Orchestra, David Garret, and Andrew Lloyd Webber participated. In addition, a new song was composed for the occasion by Greg Page to teach children how to do CPR (Keep the Beat Going).5.Greg Page. Keep the beat going, 2020. (Accessed 07 July 2021, at https://www.youtube.com/watch?v=_kvli78HlRk).Google Scholar Other successful ideas included activities that were easy to do at home. These included instructions for self-made resuscitation manikins, photo and video competitions, and digital resuscitation training. Celebrity videos were created, and livestream online symposiums were organized to teach and promote bystander CPR. Virtual reality apps for learning CPR and blended learning approaches were promoted in several countries and, a WRAH postage stamp was released in India. All seven constituent councils of ILCOR participated and several other key partners (for the full list, see www.ilcor.org/wrah, Table 1). As a result, WRAH 2020 was a success despite the pandemic. The awareness campaign for resuscitation was kept alive and will ultimately help save hundreds of thousands of lives worldwide.Table 1Internationality of the WRAH-Working group – Countries, Institutions and names including the World Restart a Heart Logo.CountryNameInstitutionBelgiumKoenraad MonsieursAntwerp University Hospital and University of AntwerpBelgiumHeleen Van GrootvenEuropean Resuscitation CouncilBrazilNaomi Kondo NakagawaFaculdade de Medicina da Universidade de São PauloBrazilMaria José Carvalho CarmonaFaculdade de Medicina da Universidade de São PauloCanadaKrista O'ShaughnessyHeart & StrokeCyprusMarios GeorgiouAmerican Medical CenterFrancePascal CassanInternational Federation of Red Cross and Red CrescentFranceSalomé BoucifIFRC Global first aid reference centreGermanyBernd W. BöttigerUniversity Hospital of Cologne/German Resuscitation CouncilGermanyNadine RottUniversity Hospital of Cologne/German Resuscitation CouncilIndiaHitendra Chandrakant MahajanAshoka Medicover HospitalIndiaSiddha SC Chakra RaoIndian Resuscitation CouncilIndiaRakesh GargAll India Institute of Medical SciencesItalyFederico SemeraroDepartment Anaesthesia, Intensive Care and EMS, Maggiore Hospital, Bologna, ItalyNew ZealandKevin NationNew Zealand Resuscitation CouncilNew ZealandTeghan MearNew Zealand Resuscitation CouncilPerúRaffo Escalante-KanashiroInstituto Nacional de Salud del NiñoSaudi ArabiaAbdulmajeed KhanHeraa General HospitalSingaporeSwee Han LimSingapore General HospitalSouth AfricaHayley RosenthalResuscitation Council of Southern AfricaSouth AfricaKathy BodmerResuscitation Council of Southern AfricaSri LankaNilmini WijesuriyaWorking Committee on Resuscitation, College of Anaesthesiologists and Intensivists of Sri LankaTaiwanTzong-Luen WangFu-Jen Catholic UniversityUKAndrew LockeyResuscitation Council UK/ERC/ILCORUSAVinay NadkarniUniversity of Pennsylvania Perelman School of MedicineUSACianna LeviAmerican Heart AssociationUSAMonica SalesAmerican Heart AssociationUSARobert NeumarUniversity of MichiganUSAAmber V. HooverAmerican Heart Association Open table in a new tab Conflict of Interest Authors: N Rott is employee of the German Resuscitation Council. A Lockey is Co-chair for ILCOR WRAH and Vice President of Resuscitation Council UK. BW Böttiger is Co-chair for ILCOR WRAH, treasurer of the European Resuscitation Council (ERC); Chairman of the German Resuscitation Council (GRC); Member of the "Advanced Life Support (ALS) Task Force of the International Liaison Committee on Resuscitation (ILCOR); Member of the Executive Committee of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI); Founder of the "Deutsche Stiftung Wiederbelebung"; Co-Editor of "Resuscitation"; Editor of the Journal "Notfall + Rettungsmedizin"; Co-Editor of the Brazilian Journal of Anesthesiology. He received fees for lectures from the following companies: Forum für medizinische Fortbildung (FomF), Baxalta Deutschland GmbH, ZOLL Medical Deutschland GmbH, C.R. Bard GmbH, GS Elektromedizinische Geräte G. Stemple GmbH, Novartis Pharma GmbH, Philips GmbH Market DACH, Bioscience Valuation BSV GmbH. Conflict of Interest Collaborators: A. V. Hoover, M. Sales and C. Levi are paid staff members of AHA. T. Mear is employed by the New Zealand Resuscitation Council. N. K. Nakagawa is National Coordinator of Kids Save Lives Brazil. K. Nation is remunerated by the New Zealand Resuscitation Council as an employee. R. Neumar is ILCOR Co-Chair. F. Semeraro is ILCOR BLS Task Force member, Chair-Elect and BLS co-chair European Resuscitation Council. H. Van Grootven is Communications Officer European Resuscitation Council and Volunteer aid worker Red Cross Flanders. All other Collaborators have no Conflict of Interest to declare. Cordially, we thank all friends, colleagues, ministers, politicians, teachers, women, men, children, organizations, medical societies, and business entities who have supported and will support the International Liaison Committee on Resuscitation (ILCOR) "World Restart a Heart (WRAH)" initiative and other corresponding activities and initiatives all over the world and in space. European activities have been supported by the European Resuscitation Council Research Network. No international funding source is declared. National initiatives may have been supported by local funding to deliver training.