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Cardiocerebral Resuscitation, A New Technique For Out-Of-Hospital Cardiac Arrest

300% increase in the survival rates by a new resuscitation approach for cardiac arrest pioneered at The University of Arizona Sarver Heart Center. When emergency responders used// Cardiocerebral Resuscitation, the new technique that does away with mouth-to-mouth breathing, it enhanced the willingness to perform resuscitation in lay individuals.

'In out-of-hospital cardiac arrest, the brain and the heart need resuscitation, not the lungs,' said Gordon A. Ewy, director of UA Sarver Heart Center, where the new approach was developed. Ewy is one of few people in the world named a 'CPR Giant' by the American Heart Association.

In CPR according to current AHA guidelines, 30 chest compressions are delivered, followed by two mouth-to-mouth breaths. While the responder presses on the chest, oxygenated blood is moved through the body and delivered to the organs.

'But when you stop chest compressions to give mouth-to-mouth ventilations, no blood is moved and the organs essentially are starved,' Ewy says. 'In fact, during CPR, blood flow to the brain and the organs is so poor that stopping chest compression for any reason – including so called 'rescue breathing' – is not helpful.'

At the American Heart Association's 2006 Scientific Sessions in Chicago, Ewy presented data from Emergency Medical Services in the Phoenix Metropolitan Area showing that 9 percent of out-of-hospital cardiac arrest victims survived after the implementation of Cardiocerebral Resuscitation. This equals a 300-percent increase compared to the time when first responders used guideline CPR, resulting in a mere 3 percent survival rate.

As a cause of death, out-of-hospital cardiac arrest is second only to all cancer deaths combined, taking the lives of 490,000 Americans every year. Despite periodic updates in the CPR guidelines, survival rates following out-of-hospital cardiac arrest have remained dismal over the past 20 years, hovering between 1 and 3 percen
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