Erfahrungen mit den Kindernotfallkursen PBLS / PALS Paediatric Basic Life Support / Paediatric Advanced Life Support nach den Internationalen Richtlinien in 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 Courses following 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 1987Experimental PBLS (Signa / Florence-A.Sarti) Italy 1990Working Group Paediatric Emergency Medicine of the Italian Society of Paediatrics 1994IRC Italian Resuscitation Council 1997 First PBLS-Trainingscenter Istituto Gaslini Genua (M Lattere) First PBLS Manual IRC-MUP (A Sarti) 1998Trainingscenter PBLS IRC-MUP Trentino-Südtirol (-> Genua) 2000First PBLS Courses and Manual in German 2001Reference-Trainingscenter Trentino-Südtirol Trainingscenter Südtirol and Trainingscenter Rovereto

HISTORY CPR 1987CPR National Plan Spanish Society of Critcal Care Medicine 1992Pediatric & Neonatal CPR Spanish Group Spanish Society of Pediatric Intensive Care Spanish Society of Critcal Care Medicine 1998 CPR Committee of the Catalonian Society of Pediatrics Working Groups of the CSP: Intensive Care Medicine, Neonatology, Pediatric Emergency Medicine

Grupo Español de RCP Pediátrica y Neonatal

Pediatric & Neonatal CPR Spanish Group CPR COMPOSITION: · Multidisciplinary Spanish Society of Pediatric Intensive Care Spanish Society of Neonatology Spanish Society of Pediatric Emergency Medicine Spanish Society of Critcal Care Medicine · Multicentric · Statewide

Grupo Español de RCP Pediátrica y Neonatal

Guidelines and Manuals CPR GUIDELINES: 1995 Anales Españoles de Pediatria (First edition) 1999 Anales Españoles de Pediatria (Second edition) PBLS Manual ITALY 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 ( ) ( ): - PALS: 138 (3308 providers) - PALS Instructors: 6 (200 instructors) South-Tyrol/Trentino (< ): Accredited courses (1998- june 2002): - PBLS: 48 (798 providers) - PBLS Instructors: 4 (ca. 50 instructors) - PBLS population: 73 ( ca.1257 providers) - PALS 20 courses ( )

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-SG AUTONOMIC DEVELOPMENT OF CPR PROGRAMS CPR CPR PROGRAM of the CATALONIAN SOCIETY OF PEDIATRICS 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 ( ): Instrumental PBLS: 17 PALS: 9 PALS Instructors: 2 Neonatal Resuscitation: 1

II CURS DINSTRUCTORS 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 x accreditation (Regional Reference-Center) Instructors and participants: interdisciplinary and all professionals of: Emergency Medicine Pediatrics-Neonatology

Structure: National: IRC Italian Resuscitation Council Comission PBLS IRC-MUP Guidelines, authorization of new centers Regional Reference Center (South-Tyrol-Trentino) accreditation of instructors and courses Regional group of Istructors Meeting 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

Koordinator : Dr. Burkhard J. Wermter Verwaltungssitz: Landesrettungsverein Weisses Kreuz Referat Ausbildung Lorenz-Böhler-Str Bozen Tel.: / -396 Telefax: Internet: Ausbildungszentrum für Pädiatrische Notfallmedizin MUP-IRC SÜDTIROL

Tagesablauf °°Begruessung, Einfuehrung, Praetest, Theorie: Ursache und Alarmzeichen des Herzstillstandes bei Saeugling und Kind; P-BLS-Sequenz, Fremdkoerperentfernung Gruppenaufteilung Pause PRAXIS: PBLS-Sequenz Säugling oder Kind PBLS-Sequenz bei Kind oder Säugling Mittagessen und Pause Fremdkörperentfernung Säugling oder Kind Fremdkörperentfernung Kind oder Säugling PBLS-Sequenz mit 2 Rettern Säugling oder Kind PBLS-Sequnez mit 2 Rettern Kind oder Säugling Pause Abschlußprüfungin Theorie + Praxis Kursabschluss