Bystander cardiopulmonary resuscitation in Germany: The National Resuscitation Alliance

Background. Every year in Germany, at least 50,000 people suffer out-of-hospital cardiovascular events, in almost half of the cases in the presence of other persons. Yet, in only 42% of the observed cases do these laypersons begin cardiopulmonary resuscitation (CPR). Other countries report much higher rates. In order to bundle and coordinate the numerous activities in Germany, in 2016, as an initiative of the Federal Ministry of Health at the Federal Center for Health Education (BZgA), the National Resuscitation Alliance (NAWIB) was founded with the expressed aim of providing information and early education nationwide, e.g., in the school context, to increase the bystander CPR rate in Germany. Methods. We first carried out an analysis of the topic of CPR by laypersons. We did a selective search of international literature, focusing on guidelines and reviews, to show the current need for action and research. The NAWIB project is dedicated to this principle at the national level. Results. The bystander CPR rate has improved significantly in recent years because of increased educational activities and training in resuscitation. CPR done according to the scheme "Check, Call, Compress" simplifies the algorithm for medical laypersons and raises the overall acceptance of applying first aid. Conclusion. Based on the observed results, we are convinced that through its educational work the NAWIB can significantly help to improve the survival of patients after cardiac arrest. Providing scientifically prepared information to the general public and disseminators, supporting the exchange of expert knowledge, and implementing sustainable and qualified CPR lessons, also in the school context, remain its basic tasks.