Navigation Links
Eliminating Mouth-to-Mouth Boosts CPR Results: Study
Date:12/11/2012

By Steven Reinberg
HealthDay Reporter

MONDAY, Dec. 10 (HealthDayNews) -- Bystander CPR saves more lives when just chest compression is performed without mouth-to-mouth resuscitation, a new study from Japan shows.

Followed by use of easy-to-use publicly available defibrillators, chest compression alone kept more people alive with good brain function than traditional CPR (cardiopulmonary resuscitation) with mouth-to-mouth rescue breathing, the study found.

"We would like to suggest that compression-only CPR should be the standard and conventional CPR with rescue breathing the option," said lead investigator Dr. Taku Iwami, a senior lecturer in the department of preventive services at Kyoto University School of Public Health.

When someone suffers cardiac arrest, the heart stops beating. Experts say the findings are welcome news because many people don't want to perform mouth-to-mouth breathing or are unable to perform chest compressions and rescue breathing at the same time.

For the study, published Dec. 10 in the journal Circulation, Iwami's team looked at the medical records of more than 1,300 people who suffered out-of-hospital cardiac arrests from 2005 to 2009.

In each case, the arrest was witnessed, and bystanders gave CPR and shocks from an automatic defibrillator (AED).

Almost 37 percent of the victims received only chest compressions, while the others got traditional CPR -- chest compressions and rescue breathing.

In the month after their cardiac arrest, about 46 percent of those who received chest compressions alone were still alive, compared with about 40 percent of those who got traditional CPR, the researchers found.

Moreover, of those given chest compressions alone, more than 40 percent retained good brain function, compared with around 33 percent of those given compressions and rescue breathing, they added.

One expert supported the findings.

"This is very encouraging because it shows that simple actions like starting CPR with just chest compressions really made a positive difference and saved lives," said Dr. Michael Sayre, a professor of emergency medicine at the University of Washington in Seattle.

Since 2008, the American Heart Association has recommended that when someone sees a person go into cardiac arrest, chest compression alone should be started. But Iwami said the matter was controversial, and the study was conducted to determine whether chest compression alone is effective.

Sayre said that if chest compressions are started almost immediately, there is enough air in the victim's lungs to supply oxygen to the body.

Availability of an automated external defibrillator (AED) -- a portable device that delivers an electric shock to restart the heart -- is crucial to the patient's survival, he said. AEDs are available in public areas in the United States and in other countries including Japan.

"It's the combination that makes a big difference," he said.

"Doing something is always better than doing nothing," Sayre added. "So, if you see someone collapse, start pushing hard and fast on the center of their chest."

Another expert, Dr. Gregg Fonarow, a professor of cardiology at the University of California, Los Angeles, noted that the majority of the people who suffered bystander-witnessed cardiac arrests during the study period did not receive any type of CPR or public access defibrillation.

That highlights "the critical need for global improvement in individuals trained and willing to perform chest compression-only CPR and increased access to automatic external defibrillator devices," he said.

Iwami agreed. "We should implement programs to increase the number of lay rescuers who can at least perform chest compressions and use an AED," he said.

However, in certain cases, traditional CPR is still preferable. For infants and children, for instance, the American Heart Association still recommends CPR with a combination of breaths and compressions.

Iwami said further studies are needed on whether bystanders should perform compression-only CPR on children.

More information

For more details on hands-only CPR, visit the American Heart Association.

SOURCES: Taku Iwami, M.D., Ph.D., senior lecturer, Department of Preventive Services, Kyoto University School of Public Health, Japan; Gregg Fonarow, M.D., spokesman, American Heart Association, and professor, cardiology, University of California, Los Angeles; Michael Sayre, M.D., spokesperson, American Heart Association, professor of emergency medicine, University of Washington, Seattle; Dec. 10, 2012, Circulation


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Eliminating the good cholesterol receptor may fight breast cancer
2. New regulatory mechanism discovered in cell system for eliminating unneeded proteins
3. Study suggests eliminating Medicare consultation payments associated with a net increase in spending
4. Gatekeeper of brain steroid signals boosts emotional resilience to stress
5. Dessert With Breakfast Boosts Weight Loss: Study
6. Exercise Program Boosts Health After Lung Transplant: Study
7. Gene Boosts Tomatos Color, But May Make It Less Tasty
8. Joint Replacement Boosts Heart Attack Risk Right After Surgery: Study
9. Coordinated Care Boosts Cardiac Arrest Survival: Study
10. Protein that boosts longevity may protect against diabetes
11. More Evidence That Exercise in Middle Age Boosts Health
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Eliminating Mouth-to-Mouth Boosts CPR Results: Study 
(Date:2/27/2017)... (PRWEB) , ... February 26, 2017 , ... Miro is ... pioneer sound and video system brings songs, movies, TV shows and much more apps ... offers clear, high-definition sound. An immersive view of 1280 x 720 provides crisp images ...
(Date:2/27/2017)... CA (PRWEB) , ... February 27, 2017 , ... ... serving San Francisco and environs, is proud to announce an upgrade to the ... on the upgraded Yelp page on topics as diverse as Platelet Rich Plasma ...
(Date:2/26/2017)... , ... February 26, 2017 , ... NuevaCare, a leading ... diverse as Millbrae, Belmont, and Palo Alto, is proud to announce an important upgrade ... Area consumers look for home care close to home, and by having city-specific pages, ...
(Date:2/26/2017)... , ... February 26, 2017 , ... ... after receiving cognitive rehabilitation, according to a study released today at the 1st ... cognitive rehabilitation programs are proven to be effective in improving cognitive function in ...
(Date:2/24/2017)... ... February 24, 2017 , ... Only two months after the official release of ... in Cannes (France), XO Private has initiated a second print-run of its lavish luxury ... a metre across when open, weighs in at more than six kilos, retails at ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... Research and Markets has announced the addition of the "Dry ... offering. ... Dry eye Drugs Price Analysis and Strategies - 2016, provides drug pricing ... answers the following questions: What are the ... they positioned in the Global Dry eye market? What ...
(Date:2/24/2017)... , Feb. 24, 2017 Medical information ... to increase their self-service capabilities to manage inquiries ... (HCPs). New research from consulting leader ... have developed self-service website portals where HCPs can ... just one of many findings to emerge from ...
(Date:2/24/2017)... , Feb. 23, 2017 Report analyzes the ... provides separate comprehensive analytics for the US, Canada ... , Asia-Pacific , Latin ... forecasts are provided for the period 2015 through 2022. Also, ... data and analytics are derived from primary and secondary research. ...
Breaking Medicine Technology: