Erfahrungen mit denKindernotfallkursen

PBLS / PALS Paediatric Basic Life Support / Paediatric Advanced Life Support

nach den Internationalen Richtlinienin

Südtirol / Trentino (Italien) und Spanien

Burkhard J. Wermter – Brixen

Fabio Pederzini, Riccardo Malossi – Neonatologie, Trient

Erminia Monfredini – Intensiv, Trient

Reinhardt Mahlknecht – Weisses Kreuz, Bozen

Andreas Miribung – Weisses Kreuz, Corvara

Pedro Domínguez - Barcelona

CPR

Experiences with

PBLS / PALS Coursesfollowing the International Guidelines:

SOUTH-TYROL/TRENTINO (ITALY)AND SPAIN

Burkhard J. Wermter – Brixen

Fabio Pederzini, Riccardo Malossi – Neonatologie, Trient

Erminia Monfredini – Intensiv, Trient

Reinhardt Mahlknecht – Weisses Kreuz, Bozen

Andreas Miribung – Weisses Kreuz, Corvara

Pedro Domínguez - Barcelona

CPR

ESPAÑA EUREGIO TIROL:

TRENTINO-SÜDTIROL-TIROL

HISTORY ITALY /Südtirol-Trentino

CPR

1987 Experimental PBLS (Signa / Florence-A.Sarti)

Italy

1990 Working Group „Paediatric Emergency Medicine“ of the „Italian Society of Paediatrics“

1994 IRC Italian Resuscitation Council

1997 First PBLS-Trainingscenter „Istituto Gaslini“ Genua (M Lattere)

First PBLS Manual IRC-MUP (A Sarti)

1998 Trainingscenter PBLS IRC-MUP Trentino-Südtirol (-> Genua)

2000 First PBLS Courses and Manual in German

2001 Reference-Trainingscenter Trentino-Südtirol

Trainingscenter Südtirol and Trainingscenter Rovereto

HISTORY

CPR

1987 CPR National PlanSpanish Society of Critcal Care Medicine

1992 Pediatric & Neonatal CPR Spanish GroupSpanish Society of Pediatric Intensive CareSpanish Society of Critcal Care Medicine

1998 CPR Committee of the Catalonian Society of Pediatrics

Working Groups of the CSP: Intensive CareMedicine, Neonatology, Pediatric EmergencyMedicine

Grupo Español de RCP Pediátrica y Neonatal

Pediatric & Neonatal CPR Spanish Group

CPR

COMPOSITION:

· MultidisciplinarySpanish Society of Pediatric Intensive CareSpanish Society of NeonatologySpanish Society of Pediatric Emergency Medicine

Spanish Society of Critcal Care Medicine

· Multicentric

· Statewide

Grupo Español de RCP Pediátrica y Neonatal

RCPRCPPlan Nacional dePlan Nacional de

SEMIUC SEMIUC 19961996

Guidelines and Manuals

CPR

GUIDELINES:

1995 Anales Españoles de Pediatria (First edition)

1999 Anales Españoles de Pediatria (Second edition)

PBLS Manual ITALY 1997-1999-2001 SPAIN 2000

PALS Manual SPAIN 2001 ITALY: experimental 98-02

Pediatric Life Support Courses

CPR

TEACHING:

· Chain

· Courses

· Material

· Accreditation

Pediatric Life Support Courses

CPR

CHAIN OF TEACHING (courses):

• PBLS (Italy>>Spain)

• Instrumental PBLS (Italy>Spain)

• PALS (Spain>Italy)

• PBLS Instructor (only Italy)

• PALS Instructor only Spain

• (Instructor-Director)

PLS Courses

CPR

ACCREDITATION OF COURSES:

• Programs

• Contents

• Teaching materials

• Methodology

SPAIN: Accredited courses (1998-2002)

(40.000.000): - PALS: 138 (3308 providers) - PALS Instructors: 6 (200 instructors)

South-Tyrol/Trentino (<1.000.000): Accredited courses (1998- june 2002): - PBLS: 48 (798 providers) - PBLS Instructors: 4 (ca. 50 instructors) - PBLS population: 73 (ca.1257 providers) - PALS 20 courses (1998-2002)

PLS courses

CPR

TEACHING MATERIALS:

• PBLS manual

• PALS manual

• PBLS instructor manual only Italy

• PALS instructor manual only Spain

• PBLS video (2000) only Spain

P&N CPR-SG

EUROPEAN RESUSCITATION COUNCIL

CPR

• Coordination of the Pediatric Working Party:

Antonio Rodríguez-Núñez (Santiago de Compostela)

• The ERC PALS course

- Verona (July 2002): Pilot experience

- Florence (October 2002): First edition

P&N CPR-SGAUTONOMIC DEVELOPMENT OF CPR PROGRAMS

CPR

CPR PROGRAMof the

CATALONIAN SOCIETY OF PEDIATRICS1998

• 1997 “Promote and coordinate at the autonomic level”

• 2001 Autonomic Council

ESPAÑA

Comitè de RCP

CPR Committee of the CSP

CPR

COMPOSITION:

· Multidisciplinary (Working Groups of the CSP):

- Intensive Care Medicine- Neonatology- Pediatric Emergency Medicine- Regional Hospitals

· Multicentric

· Nationwide

CPR Committee of the CSP

CPR

MAIN ACTIONS:

• Design of the Program (1998)

• Inquiry to members of the CSP

• Agreements with Pediatric Hospitals

• Multicenter epidemiological investigation

• Neonatal Resuscitation Program (with SSN)

• Courses

CPR Committee of the CSP

CPR

ACCREDITED COURSES (1998-2002):

Instrumental PBLS: 17

PALS: 9

PALS Instructors: 2

Neonatal Resuscitation: 1

II CURS D’INSTRUCTORS DE RCP

Comitè de RCP de la SCP - Sabadell 2001

CPR Committee of the CSP

CPR

FUTURE DIRECTIONS:

• Extension of the program

- Catalonia - General public

• PBLS instructor courses

• Consolidation of the NR Program

From Provider to Instructor PBLS (South-Tyrol-Trentino)

PBLS (1 day)-> selection -> PBLS Instructor course (2 day)co-istructor 3-5 xaccreditation (Regional Reference-Center)

Instructors and participants: interdisciplinary and all professionals of: Emergency MedicinePediatrics-Neonatology

Structure:National: IRC Italian Resuscitation Council

Comission PBLS IRC-MUPGuidelines, authorization of new centers

Regional Reference Center (South-Tyrol-Trentino)

accreditation of instructors and courses

Regional group of IstructorsMeeting of Instructors

Local Training-Centers

Important: organization agencies

Regionales Referenzausbildungszentrum für Pädiatrische Notfallmedizin

IRC-MUP

Trentino Südtirol

Koordinator Dr. Fabio Pederzini

Ausbildungszentrum für

Pädiatrische Notfallmedizin PBLS IRC-MUP

SÜDTIROL

Koordinator Dr. Burkhard J. Wermter

WWW.PROVINZ.BZ.IT/SE/PAEDNOTMED

Koordinator : Dr. Burkhard J. Wermter

Verwaltungssitz: Landesrettungsverein Weisses Kreuz

Referat Ausbildung

Lorenz-Böhler-Str. 3 39100 Bozen

Tel.: 0471444395 / -396 Telefax: 0471444355

e-mail: ausbildung@wk-cb.bz.it

Internet:  www.provinz.bz.it/se/PaedNotMed www.wk-cb.bz.it

Ausbildungszentrum für Pädiatrische Notfallmedizin

MUP-IRC

SÜDTIROL

Tagesablauf9.00-10.°° Begruessung, Einfuehrung, Praetest,

Theorie: Ursache und Alarmzeichen

des Herzstillstandes bei Saeugling und Kind;

P-BLS-Sequenz, Fremdkoerperentfernung

Gruppenaufteilung

10.00-10.15 Pause

10.15-11.15 PRAXIS:

PBLS-

Sequenz Säugling oder Kind

11.15-12.15 PBLS-Sequenz bei Kind oder

Säugling

12.15-13.15 Mittagessen und Pause

13.15-14.00 Fremdkörperentfernung Säugling

oder Kind

14.00-14.45 Fremdkörperentfernung Kind oder

Säugling

14.45-15.20 PBLS-Sequenz mit 2 Rettern

Säugling oder Kind

15.20-15.55 PBLS-Sequnez mit 2 Rettern Kind

oder Säugling

15.55-16.00 Pause

16.00-18.00 Abschlußprüfungin Theorie +

Praxis

Kursabschluss

www.provinz.bz.it/se/PaedNotMed