Navigation Links
Hands-Only Resuscitation OK for Cardiac Arrest
Date:3/31/2008

New American Heart Association guidelines don't require ventilation

MONDAY, March 31 (HealthDay News) -- If you see someone collapse in a public place or at home and you think it might be a heart attack, start pushing on his or her chest as hard as you can and as often as you can.

Those are the latest instructions from the American Heart Association, which asserts that hands-only cardiopulmonary resuscitation (CPR) can be done in an emergency situation, even by people who have no training in the technique.

The statement, published in the April 29 issue of Circulation, does not rule out mouth-to-mouth breathing as part of CPR. "But we have learned enough to say that passers-by can save lives with chest compression alone," said Dr. Michael Sayre, an associate professor of emergency medicine at Ohio State University and chairman of the AHA committee that wrote the statement.

"We believe that approximately 250,000 Americans suffer cardiac arrest each year," Sayre said. "Perhaps 15,000 of them will live. We believe that getting more people to do CPR could probably save thousands of lives a year."

The details of traditional CPR -- how often and how hard to push -- can be ignored, Sayre said. "We've done a little bit of research to suggest that most people are not likely to push hard enough and it's difficult to push too hard or too fast," he said.

Dr. Benjamin S. Abella, clinical research director at the University of Pennsylvania Center for Resuscitation Science, added, "in a case of cardiac stress, it's probably unrealistic for a member of the public to know what 100 pushes a minute and 2 inches of depth are."

So the new guidelines work out to a simple two-step measure: First dial 911 to call for emergency medical help, then begin hands-only CPR.

"It's fairly clear that CPR, when done by any standard, can double or potentially triple survival," Abella said. "That is great enough to warrant any risk."

The hands-only advice also eliminates a potential hindrance to providing help -- fear of what might happen with mouth-to-mouth contact, Abella said. "This allows bystanders to do a simpler form of CPR that avoids mouth-to-mouth contact with a stranger," he said.

The new recommendation for hands-only CPR is an update to 2005 American Heart Association guidelines, which said bystanders should use compression-only CPR if they were unwilling or unable to provide breaths. Three studies published in 2007 showed no negative impact on survival when mouth-to-mouth ventilation was eliminated, the association statement said.

It's still best to have CPR done in the conventional way by medical personnel trained in the technique, the heart association said. The new recommendation applies only to bystanders who come to the aid of adult cardiac arrest victims outside a hospital setting.

Hands-only CPR should not be used on infants or children, or adults whose cardiac arrest is from respiratory causes such as drug overdose or near-drowning.

About 75 percent of all sudden cardiac arrests happen at home, the heart association estimates, and the new guideline applies in such cases: 911 first, hands-only CPR second.

More information

You can learn more about CPR from the American Heart Association.



SOURCES: Michael Sayre, associate professor, department of emergency medicine, Ohio State University School of Medicine, Columbus; Benjamin S. Abella, M.D., clinical research director, University of Pennsylvania Center for Resuscitation Science, Philadelphia; April 1, 2008, Circulation


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Mock drills boost child resuscitation skills in failing adult emergency rooms
2. Token resuscitation attempts on hopelessly ill patients prolong suffering
3. Cardiac Science Adds NextGen to Its Roster of Certified EMR System Partners
4. Heart Failure Raises Risks After Non-Cardiac Surgeries
5. Medical Simulation Corporation to Present Comprehensive Cardiac Patient Scenario at the Society for Cardiovascular Angiography and Interventions (SCAI) and American College of Cardiology (ACC) Conference
6. SCAI Applauds CMS Decision to Continue Coverage of Cardiac CT Scans
7. Cardiovascular nursing: Striving for excellence in the care of cardiac patients
8. Vital Images Comments on CMS Decision to Allow Local Coverage for Cardiac CT Angiography
9. Researchers make case for standardized analysis of cardiac imaging
10. Cardiac Science to Present at the Seventh Annual Invest Northwest Conference
11. New Method Boosts Cardiac Arrest Survival
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Hands-Only Resuscitation OK for Cardiac Arrest
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer care, and ... in the eye of the beholder, according to experts who offered insights and commentary ... of Managed Care. For the full issue, click here . , For the ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are ... with endometriosis. These women need a treatment plan to not only alleviate symptoms ... can help for preservation of fertility and ultimately achieving a pregnancy. The specialists ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the largest ... as the Medical Director of its new Mesquite-Samuell Farm facility. , “We are ... Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published ... unfamiliar with. The article goes on to state that individuals are now more comfortable ... less common operations such as calf and cheek reduction. The Los Angeles area medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016  Arkis BioSciences, a leading innovator ... more durable cerebrospinal fluid treatments, today announced it ... funding is led by Innova Memphis, followed by ... private investors.  Arkis, new financing will accelerate the ... market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Dialysis Devices Global Market - Forecast to 2022" report ... is the treatment method for the patients with kidney failure, ... and excess fluid from the patient,s blood and thus the ... sodium, potassium and chloride in balance. Increasing ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic ... Coating, Parenteral) - Global Forecast to 2021" report ... The global pharmaceutical excipients market is projected to ... of 6.1% in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: