“A journey of a thousand mile starts with a single step”. This organisation is a small step to help the society. This organization dreams of a medically safer society by providing Community Cardiopulmonary Resuscitation (CPR) training to non-medical personnel in the society to strengthen the chain of survival for the victim with sudden cardiac arrest.
It is a matter of pleasure to share this story how the project took shape. When I was traveling abroad in US, Canada, Australia etc, I came to know that community CPR was being taught extensively in the community. So the people there know how to approach a patient with sudden cardiac arrest and bring the patient in a system that would increase the chance of survival of the patient. With this approach survival rate of patient with cardiac arrest in out of hospital scenario increased up to 40% from small figure of 5%. This was a great motivation for me. So we dreamed of similar system here in Nepal too.
In hospitals we frequently witness patients being brought in hospitals who were found unconscious in home or in road, and the patients could not be saved; probably because the time lapse was too long between cardiac arrest and arrival in hospital. If CPR could have been started at the event site, perhaps few lives could have been saved.
As a certified instructor of CPR training program, I was already conducting it regularly for the medical teams. So I thought, with a team we can even train the non medical personnel, who actually witness cardiac arrest more as studies have shown that almost 80% of cardiac arrest occur outside hospital.
Small insight on why we need to start this program in Nepal too. Progressive increase in the incidence of non-communicable diseases (hypertension, heart diseases, diabetes, lungs diseases etc) in the developing world due to change in life-style related to urbanization is an established fact. Heart diseases and its complications (e.g. heart attack, cardiac arrest etc), which were thought to be the diseases of elderly, are now evident in young populations too.
NELISF aims to provide life saving cardiopulmonary resuscitation (CPR) training in the community to non-medical personnel which increases the chance of survival of the victims suffering with cardiac arrest (stopping of the heart function) in out of hospital scenario. This leads to an improvement in the sequence of actions that will increase the chance of survival of many victims with sudden cardiac arrest. After CPR training, everyone can perform this life saving procedure effectively and help to sustain the life of victim, even before the medical team starts treatment.
This organization will also focus on regular training of the medical personnel to help them to perform this life saving maneuver effectively as a team in hospitals.
Nothing is precious in the world than life. A life saved is a family saved. Join us to make a medically safer society. Your assistance in any form is equally valuable for us.
Assoc. Prof. Dr. Bishwas Pradhan
Instructor – Cardiopulmonary Resuscitation (CPR) Training Program
Cardiothoracic & Vascular Anesthesia Unit
Manmohan Cardiothoracic Vascular & Transplant Center
Institute of Medicine, Tribhuvan University