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JRC Newsletter Volume 2 No 2. (English ed.) May 31, 2018 Japan Resuscitation Council www.japanresuscitationcouncil.org/jrc-newsletter/
JRCNewsletter
Volume 2 No 2. (English ed.) May 31, 2018
Japan Resuscitation Council
www.japanresuscitationcouncil.org/jrc-newsletter/
ContentsMessage from the International Liaison Committee on Resuscitation (ILCOR) . . . . . . . . . . . 2
Gavin D Perkins, Robert Neumar, Co-chairs, ILCOR
Message from the Resuscitation Council of Asia (RCA) . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Swee Han Lim, Treasurer and Immediate Past Chairman, RCA
We wish the Development of the Japan Resuscitation Council . . . . . . . . . . . . . . . . . . . . . 4 Kaneyuki Kawamae, A member of the board of Japanese Society of Anesthesiologists
＜ Pediatric Society Pediatric Emergency Medicine Japan Resuscitation Symposium/ The 11th Japan Resuscitation Science Symposium ＞ Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Greeting for the 11th Japan Resuscitation Science Symposium 2018 . . . . . . . . . . . . . . . . 7Hiroshi Nonogi, President of Japan Resuscitation Council (Shizuoka General Hospital)
Pediatric Society Pediatric Emergency Medicine Japan Resuscitation Symposium
(the 11th Japan Resuscitation Science Symposium) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Shinichi Hirose, Chairman of the Japan Pediatric Society Pediatric Emergency Medicine Resuscitation
Symposium and the 11th Japan Resuscitation Science Symposium(School of Medicine, Fukuoka University)
Resuscitation Science: to Protect Our Country’s “Future” beyond the Academic field
— Towards Developing the 2020 Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Japan Pediatric Society Pediatric Emergency Medicine Committee, J-ReSS Executive Subcommittee
＜ A digest of the JRC 2015 guidelines ＞
Neonatal Cardio-Pulmonary Resuscitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Shigeharu Hosono, Chair of Committee on Neonatal Resuscitation, Japan Society of Perinatal and
Neonatal Medicine(Nihon University School of Medicine)
Editorial Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Masao Nagayama, Secretary-General of the Japan Resuscitation Council
(International University of Health and Welfare Graduate School of Medicine)
the Editorial Board
＜ Editor in chief ＞ Hiroshi Nonogi （Shizuoka General Hospital ）
＜ Members of editorial board ＞ Migaku Kikuchi （Dokkyo Medical University Hospital） Toshiki Sera （Hiroshima Prefectural Hospital） Satoshi Takeda （Jikei University School of Medicine） Masao Nagayama (International University of Health and Welfare Graduate School of Medicine） Eisei Hoshiyama （Dokkyo Medical University Hospital）
2 Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.). p 2, 2018
Message from the International Liaison Committee on Resuscitation (ILCOR)
Gavin D Perkins and Robert Neumar, Co-chairs, ILCOR
TheInternationalLiaisonCommitteeonResuscitation(ILCOR)isapartnershipofregionalresuscitationcouncils fromaround theworld. Itwas established in 1992 and elebrated 25 years of successfulcollaborationlastyear.ILCORwasproudtobejoinedbytheResuscitationCouncilofAsiain2006. ILCOR’svision is tosavemore livesglobally throughresuscitation.Wedeliverthismandatethroughpromoting, disseminating and advocating for international implementation of evidence-informedresuscitationandfirstaid,usingtransparentevaluationandconsensussummaryofscientificdata. Followingrigorousevaluationofpublishedevidence, ILCORhaspublishedConsensusonScienceandTreatmentRecommendations (CoSTR’s)every5yearssince2000. Tomeetdemands foraccess to themostuptodateevidence, ILCORhasmovedtoacontinuousprocessratherthan5-yearcycle. Wearepilotingworkingwith specialistKnowledgeSynthesisUnits andSystematicReviewers toacceleratesummarizingrelevantscience.ThefirstsystematicreviewconductedbyaKnowledgeSynthesisUnit incollaborationwithILCORusingthenewcontinuousevidenceevaluationprocesswaspublishedinSpring2017 followedbytheCoSTR inOctober2017.Ourapproach issummarized in the figurebelowwhichshowsdefiningtheresearchquestionusingPopulation, Intervention,Comparator,Outcome (PICO)style,assessingevidenceinaccordancewithGRADEmethodologyandinterpretingandsummarizingevidencewithexpertinternationaltaskforces. Alongside ourwork in evidenceevaluation, the ILCORnetwork collaborate toproduceScientificAdvisoryStatementsandUtsteinstylereportingguidelinesforcardiacarrestresearch.WearecommittedtoexpandingourglobalmembershipandthusthereachofILCOR.Wehaveakeeninterestinresearchandregistries,underProfTaku Iwami’s leadershipandcollaborators fromtheJapaneseResuscitationCouncil. We lookforwardtotheon-goingsuccessofourcollaborationwiththeResuscitationCouncilofAsiaoverthenext25years.
3Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.). p 3, 2018
Message from the Resuscitation Council of Asia (RCA)
Swee Han Lim, Treasurer and Immediate Past Chairman, RCA Sr Consultant Department of Emergency Medicine and Education Director, Singapore General Hospital
TheResuscitationCouncil ofAsia (RCA) startedoffhumblywith4members in2005 (JapanResuscitationCouncil [JRC],KoreanAssociationofCardiopulmonaryResuscitation,NationalResuscitationCouncilofSingaporeandNationalResuscitationCouncil ofTaiwan).TheCouncil ofCPR,PhilippinesHeartAssociation, theThaiResuscitationCounciloftheHeartAssociationofThailandandtheResuscitationCouncilofHongKongjoinedRCAin2010,2011and2016,respectively.RCAhasgrownto7membersandcurrentlyservesapopulationofabout386millionpeopleinAsia.TheexpansionhasbeenlimitedbytheabsenceofaNationalResuscitationCouncilinmostcountriesintheregion.ThiscanbeattributedtoseveralfactorsincludingthereluctanceofMinistriesofHealthtoregulateresuscitationguidelinesandtraining.Inaddition,thevariousacademicsocietiesinvolvedinresuscitationsciencesuchasanaesthesiology,cardiology,criticalcare,emergencymedicine,internalmedicine,paediatricsetcintheircountries,arenotabletocometogethertoformamulti-disciplineNationalResuscitationCouncil.
ThestrengthoftheRCAisthatwerespecttheindependenceofeachmembercouncilanddonotinterferewithoneanother’sinternalaffairs.WhiletheChairmanofRCAisthepermanentdelegate,themembercouncilstaketurnstobedelegatesrepresentingRCAat theILCORgeneralassembly.RCAdoesnothave itsownscientificmeeting, instead,RCAgeneralassembliesareheld inconjunctionwith local, regionalor internationalscientificconferencesofanaesthesiology,cardiology,criticalcareoremergencymedicine.ThenextRCAGeneralAssemblywillbeheld inconjunctionwithASEANFederationofCardiologyCongress in Bangkok Thailand from28Septemberto1October2018.
SinceRCAbecameamemberof the InternationalLiaisonCommittee ofResuscitation (ILCOR) in 2006,MembersofRCAhavecontributedtotheILCORconsensusofscienceandtreatmentrecommendationprocesseg18servingastaskforcemembers,oneexpertsystemicreviewer(TetsuyaIsayama)plusfivemanteeexpertsystemicreviewers(fourfromJapanandonefromTaiwan)andoneWorkinggroupchair(TakuIwami).MembersofRCAhavealsopublishedmanyhigh impactmanuscriptsonvariousaspectsofresuscitation,especiallyhandsonlyCPR,publicaccessdefibrillation,extracorporalmembraneoxygenation,hypothermiaandperformanceofemergencymedicalsystems. RCAalsoservesasamodelforfutureregionalresuscitationcouncils.RCAhasbeentaskedbyILCORtoassistthePanArabResuscitationCouncil(membersconsistofNationalResuscitationCouncilsofBahrain,Jordan,Oman,SaudiArabiaandUAE)intheapplicationtojoinILCOR.
ItismyhonourandpleasuretopenthismessagetogiveyouashortupdateonRCA.SitbackandenjoyJRCNewsletterNo.3.Unitedwestand,dividedwefall.
4 Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.). p 4, 2018
We wish the Development of the Japan Resuscitation Council
A member of the board of Japanese Society of Anesthesiologists Kaneyuki Kawamae . M .D .
Asaphilosophy,theaimofJSAistoprotectpatient`slivesandtoprovidesafeandcomfortablemedicalcarethroughbiologicalmanagement inemergencyand intensivecare,andwithusingpainmanagementandpalliativemedicalcare fordealingwithdiseaseandsurgery, focusingonbiologicalmanagementofpatientsduringtheperioperativeperiod.Theprocedureofanesthesiahasbeenprogressedmarkedlywithcompareditmorethanhalfacenturyago,andthenumberofspecialanesthesiologistsincreasedmorethan5,000.TheJapaneseanesthesiamedicalcareandmanagementcametobeperformedsafely.Thenumberofaccidentduringtheanesthesiadecreasesdramatically,too.
Insuccessiontoaninsatiatefightfortheresuscitationbytheanesthesiologistofpastpeople,wecouldhavegottheblessedgiftbythosemakinganeffortforeducationandresearchofresuscitation.Intheareaofresuscitationoftheanesthesia,itwasprogressedforwardbasedoncontrolofProf.KazuoOkada.HeisalegendofJSAandtheJapanesesocietyofresuscitationwhereIactedasarepresentativedirectornowwasfounded. He isalsoabigfigureof ResuscitationCouncil(JRC)which is lowerbranchofResuscitationCouncilofAsia,thatissubstructureofInternationalLiasonCommitteeonResuscitation.And JSA ismaking a substantial contribution to developing the basic science and clinical one ofresuscitation. Weadmireandappreciate that thisprogress issupportednotonly fromthe interestofassociativesociety,somegroupsandgovernments,butfromafirmsenseofmission.ThosepassiongiveallpeopletheGospelofhappiness,bringthemembersconcernedatechniqueandknowledgeandbringalookoftrustandrespecttothetaskforce.TheguidelinesfromaJRCaremadebythemembersfromthesocietytoparticipatein,anditisinextremelysubstantialcontents.ItisnowthebaseofthehealthcareofresuscitationinJapan.WewillshowthewillofsincerethankstoJRCandexpectmoreandmoredevelopmentinthefuture.Theroleoftheanesthesiologistprovidesmedicalcareofthereliablesecuritytoallpatientswith the ideaaboveand is tosucceed to furtherstudyandeducation. Knowledgeandtechnicalacquisitionabouttheresuscitationareextremelyimportanttopracticethem.
Therefore theJapaneseSocietyofAnesthesiawillmakeaneffort inorder tomakeacontributionasoneof theassociatedsociety,groupsasan importantpillarof thismeeting.Besides,WestrengthenthecooperationwithJRCandcontribute toprogressdevelopment. Themembersconcerned, thanks inadvanceforyourhelp.
Resuscitation science: to protect our country’s ‘future’ beyond the academic field—towards developing the 2020 guidelines
Pediatric Society Pediatric Emergency Medicine
Japan Resuscitation Symposium
The 11th Japan Resuscitation Science Symposium
Term：19th,April2018Venue：FukuokaConventionCenter4F,411+412President：ProfessorShinichiHirose（The121stAnnualMeetingoftheJapanPediatricSociety）OrgsnizeedbyJapanPediatricSocietyCo-organizedbyJapanResuscitationCouncilCorporatedbyFukuokaprefecturemedical associasion,Buzen-Tikujomedical associasion,Kasuyamedical associasion,Chikushimedical associasion,Kurumemedical associasion,Kitakyushumedical associasion,Yahatamedical associasion,Munakatamedical associasion,Tagawamedicalassociasion,Fukuokacitymedicalassociasion, Itoshimamedicalassociasion,Mojimedicalassociasion,OngaNakamamedicalassociasion,,Kokuramedicalassociasion
6 Japan Resuscitation Council
Pediatric Society Pediatric Emergency Medicine Japan Resuscitation SymposiumThe 11th Japan Resuscitation Science Symposium
Program
9:00~9:05 Opening Remarks Shinichi Hirose(Presidentofthe11thJapanResuscitationScienceSymposium, Professor of the DepartmentofPediatricsFukuokaUniversityFacultyofMedicine）
9:05~9:15 Foreword from the President of the JRC Hiroshi Nonogi (PresidentofJRC,ShizuokaGeneralHospital)
9:15~11:45 Simposium 1 "Long-term neurologic outcomes following resuscitation：updated reports
from prehospital, cardiopulmonary resuscitation and neuro critical care fields" Co-Chairs: Yasuhiro Kuroda (DepartmentofEmergency,Disaster,andCriticalCareMedicine,FacultyofMedicine,KagawaUniversity) Hiroshi Kurosawa(PediatricCriticalCareMedicine,HyogoPrefecturalKobeChildren’sHospital) Presenters: Takaya Ikeyama (AichiChildren’sHealthandMedicalCenter) Osuke Iwata(DepartmentofNeonatologyandPediatrics,NagoyaCityUniversityGraduateSchoolofMedicalSciences） Junichi Takanashi (DepartmentofNeonatologyandPediatrics,TokyoWomen'sMedicalUniversityYachiyoMedicalCenter) Migaku Kikuchi (DepartmentofCardiovascularmedicine,Emergencymedicalcarecenter,DokkyoMedicalUniversityHospital) Shunji Kasaoka (EmergencyandGeneralMedicine,KumamotoUniversityHospital) Shoji Yokobori (EmergencyandCriticalcaremedicine,NipponMedicalSchoolofHospital)＜ Questions and Answers（11：15 ～ 11：45）＞
11:45~12:00 Tea break12:00~13:00 Luncheon Seminar Co-hosted by Masimo Japan Co ., Ltd .
Chair: Satoshi Ibara (DepartmentofNeonatology,PerinatalMedicalCenter,KagoshimaCityHospital) Presenters: Seiki Abe (DepartmentofAnesthesia,NaganoChildren'sHospital) Naoki Shimizu (TokyoMetropolitanChildren'sMedicalCenter/FukushimaMedicalUniversity)
13:00~13:15 Tea break13:15~14:00 Poster session14:00~14:10 Tea break14:10~14:55 Special Lecture "Japan Pediatric Life Support will promote the cardiopulmonary
resuscitation for children in Japan"
Chair: Takao Takahashi (Professor,DepartmentofPediatrics,SchoolofMedicine,KeioUniversity) Presenter: Takashi Igarashi(PresidentoftheNationalCenterforChildHealthandDevelopment)
15:00~16:15 Simposium 2 "Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools"
Co-Chairs: Satoshi Takeda (DepartmentofEmergency,JikeiUniversitySchoolofMedicine) Kunio Ohta (DepartmentofPediatrics,KanazawaUniversityGraduateSchoolofMedicine) Presenters: Satoshi Takeda (DepartmentofEmergency,JikeiUniversitySchoolofMedicine) Yoshihide Mitani(DepartmentofPediatrics,MieUniversityGraduateSchoolofMedicine) Tomoo Kanna (DepartmentofAnesthesandIntensiveCareUnit,St.Mary'sHospital) Tetsuo Hatanaka(EmergencyLife-SavingTechniqueAcademyofKyushu)＜ Questions and Answers（11：15 ～ 11：45）＞
16:15~16:30 JRC Okada Award Ceremony Kazuo Okada（EmeritusPresidentofJRC）
16:30~17:25 Simposium 3 "Towards further prevention of pediatric cardiac arrests based on proactive
investigations into their causes and etiology" Co-Chairs: Masahiko Nitta(DepartmentofEmergencyMedicine,OsakaMedicalCollege) Naoki Shimizu (TokyoMetropolitanChildren'sMedicalCenter/FukushimaMedicalUniversity) Presenters: Fumitake Mizoguchi (MaebashiRedCrossHospita) Masao Yoshinaga (NationalHospitalOrganizationKagoshimaMedicalCenter) Kei Murayama (ChibaChildren'sHospital)
17:25~17:30 Closing remarks Hiroyuki Matsuura(Professor,DepartmentofPediatristic,TohoUniversity)
7Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.).p 7, 2018
Greeting for the 11th Japan Resuscitation Science Symposium 2018
Hiroshi Nonogi President of Japan Resuscitation Council,Shizuoka General Hospital
The11th J-ReSS (JapanResuscitationScienceSymposium) andPediatricEmergencyResuscitationSymposiumwereorganizedbythePresidentShoichiHirose intheJapanPediatricSociety (Presidentofthe121stAnnualMeetingoftheJapanPediatricSociety,ProfessorofDepartmentofPediatrics,FukuokaUniversityFacultyofMedicine) inFukuoka. “Children”arethe futureofourcountryundertheslogan"Protectingchildren". In theprogram,aspecial lectureand threesymposiumswereplanned,coveringissuesfrompreventionofcardiacarrestinallagestothepost-cardiacarrestcare.Iwouldliketoexpressmygratitudetoallmembersoftheexecutivecommitteewhopromotedthissymposium.
TheInternationalLiaisonCommitteeonResuscitation(ILCOR)haschangedtheinternationalconsensus(CoSTR)creationpolicy fromarevisioneveryfiveyearstoconsecutivecreation for importanttopics. Itisan importantyear forJapanthatshouldbeexamined including futurecooperationwithAsiaandthedevelopmentofnewRCAguidelines.CoSTRonadultsandchildrenhasalreadybeenpublishedinthefieldofBLS.InRCA,theworkinggroupofeachresuscitationareawasestablished,andthecreationofcommonguidelinesinAsiahasbeenstarted.Thissymposiumshouldbeaveryimportantacademicmeetinginthatsense.
ThefirstJ-ReSSwasheldinFukuokain2008andthesecondwasheldasanInternational-ReSSattheopportunitytogathertogethertheworld'sresuscitationsspecialists.WhentheAsiaEmergencyMedicalAssociationwasheldinTokyoin2013,itwasheldasAsian-ReSS.ThistimeisthethirdtimeofJ-ReSStobeheldinFukuoka.
FromthebeginningofJRC,pediatriciansintheresuscitationfielddemonstratedleadershipnotonlyinJapanbutalso inILCOR. Therefore,holdingJ-ReSSbytheJapanPediatricSocietywasa long-awaitedreminderforJRCmembers.
IhopethatJ-ReSSwillbeanopportunityforthefutureprogressofJRCandwillbeadrivingforceforresuscitationscienceinourcountry.
8 Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.). p 8, 2018
Pediatric Society Pediatric Emergency Medicine Japan Resuscitation Symposium(The 11th Japan Resuscitation Science Symposium)
Shinichi HiroseChairman of the Japan Pediatric Society Pediatric Emergency Medicine Resuscitation Symposium (The 11th Japan Resuscitation Science Symposium) and Professor in the Departomet of Pediatrics, School of Medicine, Fukuoka University, Fukuoka, Japan
TheJapanPediatricSociety isco-hostingtheJapanPediatricSocietyPediatricEmergencyMedicineResuscitationSymposium [The11thJapanResuscitationScienceSymposium (J-ReSS)]with theJapanResuscitationCouncil (JRC)at theFukuokaInternationalCongressCenteronThursday,April19,2018.ThefirstJ-ReSSwasheld inFukuoka in2008andtheninthJ-ReSSwasalsoheld inthesamevenue in2016. IamdelightedthattheJ-ReSSwillbeheldagain inFukuokaforthethirdtimeandwould liketoexpressmyappreciationtoourmembersforthispreciousopportunity.Inadditionto theJapanPediatricSociety, theJapaneseSocietyofEmergencyPediatrics, theJapaneseSociety ofPediatricAnesthesiologyand the JapaneseSociety of IntensiveCareMedicinePediatricIntensiveCareCommitteealsotookpartintheJRCasleadingorganizationsinthepediatricfield.Theseorganizationshavecontributedtodevelopingresuscitationguidelineswhichcanbeusedworldwidebyeliminatingthedivisionbetweenadultsandchildrenandmakingeffortstointegratethechainofsurvivalandalgorithms.Wehavereceivedawiderangeofsupportandintendtobringsuchenthusiasmtothe11thJ-ReSS. The theme for thisyear’s J-ReSS is “Resuscitationscience: toprotectourcountry’s ʻfuture’beyondtheacademicfield—towardsdevelopingthe2020guidelines—.”Resuscitationeventsarerare inchildrencomparedtoadults.Therefore,variouschallengesremainunsolved.Childrenareourcountry’sfutureandprotectingthe livesof these irreplaceablechildren isoursociety’smission.Thebiggestgoal is toraiseawarenessoftheslogan,“toprotectchildren,”asourcountry’ssharedchallengebyspreadingthemessegethroughresuscitationsciencepresentedbypediatricrelatedorganizations, includingtheJapanPediatricSociety. Wehopethatparticipantswilllearnaboutthelatestresuscitationscienceinthissymposium.FukuokaiswherethedooropenstoKyushuaswellastotheworld.Inadditiontohearingaboutthelatestacademicmatters,delicious food, suchasseafood fromtheGenkaiSea,awaits theparticipants.Weare lookingforwardtowelcomingpeoplefrommanydisciplinestodiscussthefutureofchildrenfromtheviewpointofresuscitationscience.
9Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.). p 9, 2018
Resuscitation Science: to Protect Our Country’s “Future” beyond the Academic Field — Towards Developing the 2020 Guidelines
Japan Pediatric Society Pediatric Emergency Medicine Committee, J-ReSS Executive SubcommitteeChairman: Naoki ShimizuVice chairmen: Kunio Ohta and Masahiko NittaCommittee members: Takanari Ikeyama, Noriyuki Kaku, Hiroshi Kurosawa, Yasuhiro Kuroda, Satoshi Takeda, Hiromichi Taneichi, Yosuke Nakabayashi, and Shigeharu Hosono
TheJapanPediatricSociety ishosting thePediatricEmergencyMedicineResuscitationSymposium[The11th JapanResuscitationScienceSymposium (J-ReSS)] co-sponsoredbyTheJapanResuscitationCouncil(JRC).TheJapanPediatricSocietyPediatricEmergencyMedicineCommittee(Chairman:HiroyukiMatsuura)willtakechargeoftheplanproposalandtheJ-ReSSexecutivesubcommitteehasbeenformed.Thethemefor thisyear’sJ-ReSS is “Resuscitationscience: toprotectourcountry’s ʻfuture’beyondtheacademic field—towardsdevelopingthe2020guidelines—.”Akeynotespeechandseveralsymposiumsareplanned,whichwillprovideopportunities forcomprehensivediscussionsthatarenot limitedto thepediatricfieldbutalsotoadultsaswellasneonates. TheJRChasestablished the “chainof survival”used forbothchildrenandadultsasaconcept forprotectinglivesfromcardiacarrest.Asyouareaware,thechainofsurvivalstartswiththepreventionofcardiacarrest.Whensuchpreventionfails,itisfollowedbyearlyrecognitionandcallsforhelp(calling119)andthenlifesupportandcriticalcareprovidedbasedontheguidelines.Withtheconceptofthechainofsurvivalinmind,wehopetodiscusshowwecanprotectchildren,ourcountry’sfuturetogether. First, forthekeynotespeech,wehaveaskedDr.TakashiIgarashi,theformerJapanPediatricSocietychairmantotalkaboutdevelopingthe“JapanPediatricLifeSupport(JPLS)course,”whichisalsousedasapediatricemergencymedicineresuscitationeducationprogrambasedontheJRCresuscitationguidelines.WehavealsoaskedDr.Igarashitoaddressvariousemergencyresuscitation-relatedchallengesfacedbypediatriciansinJapan.Inaddition,wehaveaskedDr.TakaoTakahashi,thepresentchairmantopreside.InSymposium1,wewilllearnhowtoprotectneurologicalfunctionaftercardiacarrestalongwithothercurrenttopicsanddiscusslong-termoutcomes.InSymposium2,wewilldiscusshowwecansavelivesofschool-agedchildrenfromsuddencardiacarrestinschoolbycooperatingwithresidentsandadults.Suddencardiacarrestinschoolhasgainedsocialattentionbecauseofthehighprobabilityofsavingthelivesfromthistypeofcardiacarrest.Finally,inSymposium3,wewillmainlydiscussinfantcardiacarrestforwhicheffectivemeasureshavenotbeendevelopedexcept forprevention fromtheviewpointofachilddeathreview,whichisessentialintermsofprotectingthenextgeneration. Wecontinuetobelievethat theconceptof “protectingchildren,ourcountry’s future,”willcontributeto theadvancementof resuscitation science inourcountry.Weare looking forward to seeingmanyparticipantsaswellastothelivelydiscussions.
10 Japan Resuscitation Council
JRC Newsletter Volume 2. No 2. (English ed.). pp10-11, 2018
TheNCPRalgorithmisshowninFigure1.● ◆ showassessmentsoftheneonate'sstatus,and■ showactionstakeninresponsetotheresults.
● Todeterminetheresuscitationneedsofaneonateimmediatelyafterbirth,checkforthreecriteria:(1)pretermgestation,(2)weakrespirationorcrying,and (3)weakmuscle tone. If theneonatedoesnotmeetanyof thesecriteria,provide routinecarewhilekeepingtheneonatewiththemother.However,iftheneonatemeetsevenoneofthesecriteria, follow the resuscitation sequence andstarttheinitialsteps.
● Complete the initial stepsandassess twovitalsigns (breathingandheart rate) simultaneouslyafterapproximately30seconds.Iftheneonateisbreathingspontaneouslyandtheheartrate isatleast100/min,determinetheneedforrespiratorysupport by checking for twomore criteria:(1) laboredbreathingand (2) (central) cyanosis.
● If the neonate is not breathing spontaneously(includinggasping)oriftheheartrateislessthan100/min after initial steps, initiate ventilationandattachapulseoximeter.ConsideralsousinganECGmonitor.While providing ventilation,a lways conf irm the e f fect iveness o f theventilationbychecking foran increase inheartrate and chestmovements (Rescue sequence).
A digest of the JRC 2015 Resuscitation Guideline Neonatal Cardio-Pulmonary Resuscitation
Shigeharu HosonoChair of Committee on Neonatal Resuscitation, Japan Society of Perinatal and Neonatal MedicineNihon University School of Medicine Department of Pediatrics and Child Health
●Approximately 30 seconds after start ingventilation, assess breathing and heart rate.If the heart rate is 60 to 100/min, assess theeffectivenessofventilationandconsidercorrectingventilations including endotracheal intubation.Start chest compressions and ventilation ifthe heart rate remains lower than 60/mindespite30secondsormoreofeffectiveventilation.
● Proceed to the drug administration/fluidreplacementstepiftheheartrateremainslowerthan 60/min despite 30 seconds ormore ofcoordinatedchestcompressionsandventilations.
● In summary, allot approximately30 seconds toeachprocedure, assess theeffectivenessof theintervention, and then determinewhether tocontinue to thenext step. It isnotpossible toproceedtothenextstepwithoutcompletingtheprevious one.Therefore, 30 seconds is not anabsolute figure.Forexample, in theventilationstep, it is not possible to proceed to thesubsequent stepof chestcompressionswithoutconfirmationof effectiveventilation, even if 30secondshadpassed.
Reference
Japan Society of Perinatal andNeonatalMedicine."TheNeonatalCardio-PulmonaryResuscitation(NCPR)Project" (English versionwebsite).Available from:http://www.ncpr.jp/eng/
Volume 2. No 2. 2018
11Japan Resuscitation Council
12 Japan Resuscitation Council
Editorial Note
ItisagreatpleasureforusattheJapanResuscitationCouncil(JRC)toknowthatthe“JRCNewsletterEnglishEdition,” launchedonthe15thanniversary lastyear,hasbeenwelcomedbymanyreadersaroundtheworld.Here,thethirdissueofthisnewsletterisbrieflyintroduced. Firstofall,GavinD.PerkinsandRobertNeumar,Co-ChairsoftheInternationalLiaisonCommitteeonResuscitation (ILCOR)contributedagreatmessage,concluding “we lookforwardtotheon-goingsuccessofourcollaboration.” Second,SweeHanLim,TreasurerandImmediatePastChairmanoftheResuscitationCouncilofAsia (RCA)contributedanothergreatmessage,concluding“Unitedwestand,dividedwefall.”Messagesfromgloballeadersinthisfieldwillfollowinsucceedingissues. Third,wehavebeguntopublishaseriesofmessagesfromrepresentativesofeachofthesocietiesandorganizationsthatconstitutetheJRC.Inthisissue,ProfessorKaneyukiKawamaecontributedasaMemberoftheBoardofDirectorsoftheJapaneseSocietyofAnesthesiologists (JSA),whichhasmadean importantcontributiontotheJRCfromitsfoundation. Next,wepublishedtheprogramandgreetings fromtheeleventhJapan-ResuscitationScienceSymposium(J-ReSS),whichwasheldlastApril19thatFukuokaCity. Finally,“AdigestoftheJRC2015ResuscitationGuideline:NeonatalCardio-PulmonaryResuscitation”weresummarizedbyShigeharuHosono. JRCisaninterdisciplinaryacademicsocietyofhighpublicinterestfortheimprovementofclinicalandscientificaffairsoncardiopulmonaryandcerebralresuscitation.Togetherwith the ILCORandRCAandothers, JRC is creating the “2020 JRCResuscitationGuidelines.”Inthenextissue,wewillprovideabriefsketchoftheprogress. Werequestyourfeedbackonthe“JRCNewsletterEnglishEdition”toensureitremainsavaluableresourcefortheglobalanddomesticprogressofresuscitationandresuscitationscience.
Masao Nagayama, MD, PhD, FAAN, FACP Secretary-General, Japan Resuscitation Council (JRC) Professor, Department of Neurology, International University of Health and Welfare Graduate School of Medicine
Members of the Japan Resuscitation Council<MemberSocietiesoftheBoardofDirectors> JapaneseAssociationforAcuteMedicine JapaneseCirculationSociety JapaneseSocietyofAnesthesiologists JapaneseSocietyofIntensiveCareMedicine JapanSocietyofPerinatalandNeonatalMedicine<MemberSocietiesandOrganizations> JapanFirstaidandEmergencycareFoundation JapanFoundationforEmergencyMedicine JapanPediatricSociety JapanSocietyofNeurologicalEmergenciesandCriticalCare JapaneseDentalSocietyofAnesthesiology JapaneseParamedicsAssociation JapaneseRedCrossSociety JapaneseSocietyforEmergencyMedicine JapaneseSocietyofEmergencyPediatrics JapaneseSocietyofInternalMedicine<NonprofitSocietiesandOrganizations> JapanSocietyforInstructionSystemsinHealthcare JapanSocietyforPrehospitalMedicine JapanSocietyofNeurosurgicalEmergency JapaneseAssociationofBrainHypothermiaandTemperatureManagement JapaneseSocietyofPediatricAnesthesiology JapaneseSocietyofReanimatology JapanACLSAssociation OsakaLifeSupportAssociation
JRC Newsletter
Publishedon31thMay,2018
Publisher JapanResucitationCouncil(JRC)
FormerSakakibaraHeartInstitute,JapanResearchPromotionSocietyforCardiovascular Diseases,2-5-4,Yoyogi,2-5-4,Sibuya-ku,Tokyo,151-0053，Japan
Editorial office AcademicResearchCommunications（ARC）
Volume 2. No 2. (English ed.). 2018
© Printed in Japan
http://www.japanresuscitationcouncil.org/jrc-newsletter/
Supporting members of the Japan Resuscitation Council<SupportingOrganization> JapanMedicalAssociation
<SupportingCompanies> IMI.Co.,Ltd AsahiKaseiZOLLMedicalCorporation AthenaKogyoCo.,Ltd. KawasumiLaboratories DaikenMedicalCo.,Ltd. NihonKohdenCorporation Physio-ControlJapan,Inc. PhilipsElectronicsJapan,Ltd. Laerdal®andResusci®areregisteredtrademarksofLaerdalMedicalCorporation.
