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Three Pushes
ush the Chest
If you see a person collapsing suddenly, losing consciousness and stopping breathing, ask people nearby to call 119 and find an AED. Then, start pushing down on the person’s chest forcefully as soon as possible (chest compressions). This circulates blood to the brain and other vital organs by manually pumping the heart. The repetition of this simple CPR (cardiopulmonary resuscitation) procedure can save many lives.
ush the AED Buttons
When an AED (automated external defibrillator) arrives, follow the voice guidance, check for safety around the device, and press the SHOCK button.
ush Yourself to Do Whatever You Can
The most difficult thing to do for most people is probably to approach the person suffering from sudden cardiac arrest and talk to that person. Be brave and try to speak to him or her, then do whatever you can to help save the person.
The Osaka Life Support Association stresses the "Three PUSHes" through the Project. To save lives using the widely available AEDs, the most important thing to do for the people near the person that has suddenly collapsed with cardiac arrest is to actively participate in lifesaving. The Project communicates that many lives can be saved if people provide proactive assistance.
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If more people learn this simple lifesaving procedure with an AED, more lives can be saved. This simplified procedure is also recommended by the Japanese Circulation Society.
* In the case of a cardiac arrest caused by a factor other than heart disease, such as drowning, it is recommended to provide rescue breathing at the same time.
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Reexamining the Value of Life Through Learning CPR
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The PUSH Project aims to provide opportunities to reexamine the value of life by including a seminar on CPR and AED in school educa- tion. The photo shows a seminar at a junior high school. In this class, "CPR Training Box" (nicknamed "Mr.PUSH," http://osakalifesupport.jp/img-top/cpr.pdf), a tool developed by the Osaka Life Support Association for teaching a simplified emergency resuscitation procedure, was used. By allowing each participant to use the training kit, the 45-minute seminar provided a hands-on lesson to the participants.
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The PUSH Project seeks to give communities the power to save the lives of people who collapse due to cardiac arrest through the broad promotion of CPR, which simply involves chest compres- sions (cardiac massage) anyone can perform.

Death can strike anyone, anywhere and at any time. (See the detailed information on the Osaka Life Support Association’s website.) If your heart stops suddenly, your chances of being saved are extremely low—on the order of several percent (Utstein Osaka Project). In Japan alone, some 50,000 people die unexpectedly by sudden cardiac arrest each year. When someone’s heart stops beating, chest compressions must be administered immediately, followed by electric shock administered with an AED.
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Increase the percentage of bystanders who perform CPR on individuals suffering cardiac arrest from 35%* to 50% or more.
Increase the rate of survival with minimal neurologic impairment among those suffering cardiac arrest outside the hospital and witnessed by others from 10%* to 13% or more.
The results of these activities will be analyzed statistically and assessed objectively.
(*Data from the Utstein Osaka Project)
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Brief seminars will be presented for 5% of the population every year to teach people how to perform chest compressions and use an AED—the most important aspects of CPR.
Students will be reminded of the ultimate value of human life through the broad promotion of CPR at schools.
The effectiveness of brief seminars showing how to perform chest compressions and use an AED will be demonstrated to promote these seminars around the world.