Context: This study aimed to provide an overview of cardiopulmonary-CEREBRAL RESUSCITATION ((CPCR)) training methods for nurses in Iran and introduce some innovations in using training methods to improve nurses’,knowledge and skills in clinical settings. Cardiac arrest is one of the most common causes of death worldwide. Evidence shows that despite the support for improving and treating cardiac arrest in recent years, the overall survival rate after it is still low. Thus, an awareness of the latest (CPCR) methods is vital for nursing staff. To this end, nurses’,knowledge and skills can be promoted using effective training interventions and techniques. Evidence Acquisition: In this review study, the English keywords,education, training, cardiopulmonary-CEREBRAL RESUSCITATION, nurses, knowledge, skill, and performance, and their equivalent Persian terms were searched in articles published from 2010 to 2020 in Iranian and international databases including Google Scholar, SID, IranMedex, Magiran, PubMed, Ensani. ir, and CINAHL. A total of 21 articles were identified. After removing duplicate articles and the studies conducted in Iran, ten articles were selected for the final review. Results: In recent years, different conventional and modern training techniques have been used to teach cardiopulmonary RESUSCITATION (CPR) to nurses in Iran to improve one or two areas of learning (knowledge and performance). The combined use of these training methods can enhance nurses’,knowledge, skills, and satisfaction with CPR training. Conclusions: There are many conventional and modern methods for teaching clinical skills. Thus, the most effective methods should be used to teach (CPCR) to nurses. To this end, educational officials and managers should use integrated training methods to improve nurses’,(CPCR) skills.

Aim. The pur pose of this study is to r eview studies that have investigated the effect of Car dioPulmonary CEREBRAL RESUSCITATION ((CPCR)) training on nurses' knowledge and performance. Background. (CPCR) is a systematic pr ocedur e and a set of tar geted measur es have been used by nurses to restore the vital functions of the body's central organs, such as the heart, lungs, and brain. The application of teaching is a suggested method for improving the knowledge and skills of nurses PCPR in most published articles. Method. In this r eview study, a compr ehensive sear ch of scientific databases and sear ch engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc and Magiran using the keywords cardiopulmonary RESUSCITATION, nurses, practice, knowledge in both Persian and English languages was done to find articles published between 2010 and 2022. Results: (CPCR) tr aining in both face-to-face and virtual form can be effective on the knowledge and performance of nurses, and in all studies there was a significant relationship between the scores before and after the training. The implementation of these trainings should be repeated for nurses permanently and every six months. Conclusion: Basic tr aining can lead to incr easing the knowledge of nur ses in the field of basic and advanced cardiopulmonary RESUSCITATION. Based on this, regular theoretical and practical workshops and training courses are recommended.

Abstract Background & Aim: CPR can prevent 25% of deaths especially in out–of–hospital cases. Cases with cardiopulmonary arrest are usually studied from epidemiological aspects. The outcome of this study would be helpful for emergency department and emergency medical services managements. Patients & Methods: In this observational cross-sectional study, 195 patients admitted to emergency department of Rasoul-e-Akram Hospital during 9 months were included. Age, sex, time, place, cause and witness of arrest, BLS/ALS, intubation, transportation vehicle, CPR outcome and final status of patients were gathered in a data registration form. Results: The mean (±SEM) age was 59.43±1.4, and there was a significant difference in mean age between males and females(P=0.003). 41.5% of cases arrested in ED, 14.9% had no witness, 59.4% were transported to hospital by ambulance, 53.3% received no life support before arrival and 13.3% had been intubated out of hospital. The first rhythm checked in ED was Asistol in 73.3%. Cardiovascular problems consisted 42.1% of causes. There was a significant difference in cause between age groups(P=0.000). 59.5% of CPRs were successful. There was no significant difference in sex(P=0.199) and age groups(P=0.746) and different cause categories. Age(P=0.07), sex, time, place, cause of arrest, being witnessed, BLS/ALS, intubation(P=0.76), and transportation vehicle had no effects on patients’ final status. CPR outcome(P=0.000) and the cause of arrest(P=0.009) affected the final status of patients. Conclusion: CPRs were successful in the majority of cases. However, the overal prognosis was poor. The main determining factor of final status was the cause of arrest.

Introduction: Currently, a few percent of Cardiopulmonary CEREBRAL RESUSCITATION ((CPCR)) has been successful which would lead to prolonged survival of the patients. Hence, this study aimed to review the effect of managing in-hospital cardiopulmonary CEREBRAL RESUSCITATION on the RESUSCITATION outcomes.Methods: This was a pre and post quasi-experimental study. In the pre-intervention phase, eighty patients were studied in a selected educational hospital in Tehran who underwent CPR, in terms of short and long term RESUSCITATION outcomes in 2009. The (CPCR) management process was conducted for five months. After stabilization of this new system, the RESUSCITATION outcomes again were reviewed by another eighty patients. For recording short and long term RESUSCITATION outcomes was used standard Utstein form. The statistical analysis was done by SPSS 16 software and descriptive-analytical statistical.Results: The short term outcomes increased after the intervention from 18.8% (pre) to 31.3% (post) and the long term outcomes also were boosted from zero percent (pre) to 2.5% (post). Generally, after the intervention, 66.3% of the RESUSCITATION were unsuccessful, 31.3% were successful in short term and 2.5% brought about the long term survival; and the patients with moderate to good brain function discharged from the hospital. This result had a significant difference with the situation of pre intervention phase (p<0.05).Conclusion: Performing the CPR management process can be applied as a model for performance of the managers of health-treatment centers to increase survival rate of the patients after the CPR.

Aim: The aim of this study was to determine the effect of training cardiopulmonary CEREBRAL RESUSCITATION management on knowledge of nurses working in maternity wards of Ganjavian Hospital, Dezful, Iran, in 2013.Background: Cardiaopulmonary CEREBRAL arrest is one of the most dangerous situations that threats the life and requires immediate and appropriate action to survive and protect life and prevent irreparable/irrecoverable complications of the body vital organs.Method:This is a quasi-experimental pretest-posttest study in which 40 nurses employed in maternal wards of Ganjavian Hospital in Dezful were recruited. The tool used in this study was a researcher-made questionnaire including 20 questions to determine the knowledge of nurses about cardiopulmonary CEREBRAL RESUSCITATION management. After the content validity and reliability of the questionnaire was confirmed, it was distributed among and completed by the participants, before and after intervention. Training workshop was conducted in the form of lecture and practical training on manikin, 8 hours per day for 2 days in both basic and advanced level. The data were analyzed using SPSS 17.Findings: Maximum and minimum scores of pretest were 13 and 5, respectively, with a mean of 9.90 and standard deviation 7.9. Maximum and minimum scores of post-test were 15 and 8, respectively with a mean of 11.25 and standard deviation 1.6. There was a statistically significant difference between scores of nurses’ knowledge, before and after training (P<0.0001).Conclusion:The findings provide strong evidence, supporting the important role of holding continuous in-service training courses of cardiopulmonary CEREBRAL RESUSCITATION to improve scientific qualification of the nurses. It is recommended to put more emphasis on RESUSCITATION management process and standardization of the efforts of RESUSCITATION team during emergency events.

BACKGROUNDAND OBJECTIVE: Several studies have shown that hospitals with trained and designated emergency personnel have improved survival performance and hospital discharge. The aim of this study was to determine the effect of trained team on improving the outcomes of cardiopulmonary RESUSCITATION (CPR) in Imam Khomeini hospital, Tehran, Iran.METHODS: This clinical trial study was performed on 87 patients as control group and 53 as intervention group. In control group, after announcing CPR code, routine team (a nurse, Intern and medical resident) performed CPR. In intervention group CPR team included two trained nurses and an emergency medicine resident that were present in emergency department A checklist was used to evaluate the performance and quality of CPR team that was prepared based on American heart association. Physiologic variables and patient condition was obtained from the file. Data was analyzed by parametric and non-parametric statistical methods and p<0.05 was considered significant.FINDINGS: The results showed that the mean age of resuscitated patients in control group was 58.1±19.6 that in comparison to second group (59.4±19.2), there was no significant difference. Also there was no significant difference in physiologic variables of patients before occurrence of cardiac arrest in two groups. However survival in males was more successful but this difference was not statistically significant There was a significant difference in survival after CPR, between control and intervention group (18.4% versus 30%, p<0.01 and also the mean of hours' survival 28 versus 88.44 hours, p<0.001).CONCLUSION: According to the results of this study, trained and designated emergency personnel have improved event and survival. So CPR team training and continuing education for all nurses and residents should be considered. CPR team should be aware of up to date knowledge of CPR in order to decrease the mortality rate.

Sudden cardiac arrest (SCA) is a leading cause of death in many societies (about 700,000 a year in Europe, and 330,000 in the United States and Canada of which 250,000 have occurred out of hospitals). Most victims of SCA demonstrate ventricular fibrillation (VF) at the first analysis of heart rhythm. Cardiopulmonary RESUSCITATION (CPR) plus defibrillation within 3 to 5 minutes of collapse can produce survival rates as high as %49 to %75. The American Heart Association (AHA) established guidelines for RESUSCITATION in 1974 and has continued to revise CPR and Emergency Cardiovascular Care (ECC) guidelines based on the latest findings. Updates to AHA guidelines are published approximately every 5 year, and are used as a basis for other major organization's RESUSCITATION training. The AHA published new guidelines for CPR and ECC in Nov., 2005. These guidelines were the product of rigorous documentation, analysis and evaluation of existing scientific literature related to emergency care by 380 international experts on RESUSCITATION convened by the International Liaison Committee on RESUSCITATION (ILCOR) over a 3-year period preceding the 2005 consensus conferences on CPR and ECC. The most significant changes in the new guidelines attempt to simplify CPR instruction, to increase the number of chest compressions delivered per minute and to reduce interruptions in chest compressions during CPR. This article reviews the newest recommendations for CPR in individuals at all age groups.