russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2022-5065russjcardiol-5065Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESОпыт внедрения программы базовой сердечно-легочной реанимации и доступной автоматической дефибрилляции в условиях онкологического стационараExperience in implementing a program for basic life support and available automated defibrillation in a cancer centerhttps://orcid.org/0000-0002-5113-9569ЧеркашинМ. А.CherkashinM. A.

Михаил Александрович Черкашин — зам. главного врача по медицинской части, врач-хирург, инструктор ERC и НСР, European Resuscitation Council full member.

Санкт-Петербург

SPIN-код: 7965-2603

St. Petersburg

mikhail.a.cherkashin@gmail.comhttps://orcid.org/0000-0001-7337-2495НиколаевА. А.NikolaevA. A.

Алексей Александрович Николаев — зав. отделением анестезиологии и реанимации, врач-анестезиолог-реаниматолог, инструктор ERC и НСР.

Санкт-Петербург

SPIN-код: 6472-8467

St. Petersburg

nikolaev@ldc.ruhttps://orcid.org/0000-0001-9772-4387БерезинаН. А.BerezinaN. A.

Наталья Александровна Березина — кандидат медицинских наук, главный врач.

Санкт-Петербург

SPIN-код: 8347-5832

St. Petersburg

berezina@ldc.ruhttps://orcid.org/0000-0002-0154-0987БерезинН. С.BerezinN. S.

Никита Сергеевич Березин — преподаватель, инструктор ERC и НСР.

Санкт-Петербург

SPIN-код: 8202-7225

St. Petersburg

berezinik@ldc.ruhttps://orcid.org/0000-0002-0757-4862БольшаковаТ. В.BolshakovaT. V.

Татьяна Викторовна Большакова — врач-детский хирург, инструктор ERC и НСР.

Санкт-Петербург

St. Petersburg

bolshakova@ldc.ruЛечебно-диагностический центр международного института биологических систем им. Сергея Березина, ООО; ЧОУДПО Международный институт биологических системРоссияTreatment and Diagnostic Center of the Sergey Berezin International Institute of Biological Systems; International Institute of Biological SystemsRussian FederationЧОУДПО Международный институт биологических системРоссияInternational Institute of Biological SystemsRussian Federation202213092022273SОбразование50655065Copyright © Черкашин М.А., Николаев А.А., Березина Н.А., Березин Н.С., Большакова Т.В., 20222022Черкашин М.А., Николаев А.А., Березина Н.А., Березин Н.С., Большакова Т.В.Cherkashin M.A., Nikolaev A.A., Berezina N.A., Berezin N.S., Bolshakova T.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/5065

Единые подходы к обеспечению цепи выживания позволяют улучшить прогноз пациента как при внегоспитальной, так и при внутрибольничной остановке сердечной деятельности.

Цель

Цель. Обсуждение практических вопросов внедрения программы доступности автоматической наружной дефибрилляции в условиях онкологического стационара.

Материал и методы

Материал и методы. На протяжении четырех лет в нашей медицинской организации реализуется программа обучения базовой и расширенной реанимации по стандартам Европейского совета по реанимации в сочетании с созданием и развитием инфраструктуры доступности автоматической дефибрилляции. Для внедрения проекта была разработана дорожная карта и инфраструктура.

Результаты

Результаты. За 2018-2022гг по программе базовой сердечно-легочной реанимации обучение прошло 229 сотрудников (114 врачей, 85 медицинских сестер и 30 немедицинских работников). В различных подразделениях было размещено 15 дефибрилляторов. За указанный период первая помощь при внезапной остановке кровообращения с использованием автоматического наружного дефибриллятора до прибытия реанимационной бригады самостоятельно оказывалась врачами и сестрами лечебных и диагностических отделений трижды. Для реализации обучения в системе непрерывного образования учебная программа прошла экспертизу и аккредитацию в системе edu.rosminzdrav.

Заключение

Заключение. Разработка и внедрение подобных инициатив требует значительной организационной и методической работы, включая тесное взаимодействие с системой непрерывного медицинского образования, однако, на наш взгляд, является крайне полезным инструментом для внедрения культуры безопасности и повышения качества оказания медицинской помощи.

Unified approaches to ensuring the chain of survival can improve the patient’s prognosis both in out-of-hospital and in-hospital cardiac arrest.

Aim

Aim. To discuss practical issues of introducing a program for the availability of automated external defibrillation in a cancer center.

Material and methods

Material and methods. For four years, our healthcare facility has been implementing a training program for basic and advanced life support according to the European Resuscitation Council standards, combined with the creation and development of an infrastructure for the availability of automatic defibrillation. A roadmap and infrastructure were developed for the project implementation.

Results

Results. In 2018-2022, 229 employees (114 doctors, 85 nurses and 30 nonmedical workers) were trained under the basic life support program. Fifteen defibrillators were placed in various units. During the specified period, first aid in case of sudden cardiac arrest using an automated external defibrillator before the resuscitation team arrival was independently provided by doctors and nurses of departments three times. To implement training in the continuous education system, the curriculum has passed the examination and accreditation in the edu. rosminzdrav system.

Conclusion

Conclusion. The development and implementation of such initiatives requires significant organizational and methodological work, including continuous education system. However, in our opinion, this is an extremely useful tool for improving the safety and quality of medical care.

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The authors declare that there are no conflicts of interest present.