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Sudden cardiac death due to out-of-hospital cardiac arrest is the third leading cause of mortality in industrialised nations. In Europe and in the USA, 800 000 people die every year despite the fact that the emergency medical services initially resuscitate them. The main problem is that emergency medical services take an average of 8 min – and often much more – before they arrive at the scene. The brain tissue, however, commences to die after 3 to 5 min. Therefore, resuscitation procedures initiated by emergency medical services will start too late in the vast majority of cases, and this is the time interval in which lay resuscitation is mandatory. Lay people witness an outof-hospital cardiac arrest in more than 60% of incidents, and most of them occur at home. When lay people start chest compressions and other resuscitation procedures, survival is tripled or quadrupled, and also the probability of good neurological outcome will increase. Nevertheless in many countries, the lay resuscitation rate is below 30%, whereas in some countries, the rate is 50, 60 or 80%. If all countries could achieve these high lay resuscitation rates, we would be able to save several hundred thousands of patients every year worldwide.

The 10 fundamental principles of lay resuscitation