Simpler CPR Guidelines   



Simpler CPR Guidelines

 
New, simplified guidelines for cardiopulmonary resuscitation (CPR) emphasize pushing on the chest over breathing into a person's mouth.

The revised guidelines are aimed at everyone-from bystanders to police rescuers as well as doctors and nurses.

At the heart of the new effort is a desire to increase survival rates for cardiac arrest-when the heart suddenly stops beating.

The chances that a victim of cardiac arrest will be successfully resuscitated and go on to live a normal life range from 2 percent to 70 percent in the United States and Canada, depending on location.
O'Hare and Midway airports in Chicago, however, have reported extraordinarily high rates (74 percent survival to hospital discharge), as have some casinos and some police programs, including the one in Rochester, New York, the researchers said.

The idea is to shift the overall figure toward that higher end. To do that, some 380 international scientists analyzed 20,000 or more studies and came up with several recommendations. Overall the guidelines-which urge lay people to take a CPR course-emphasize a "back-to-basics" approach.

The most common reason people die is because no one nearby knew CPR or didn't actually do it after cardiac arrest happened. One of the reasons for that is the skill has been very complicated.

The biggest change is in the ratio of chest compressions to breaths, which under the new guidelines is now 30 compressions for every two breaths, compared to 15 compressions for every two rescue breaths in the 2000 guidelines.

The more times someone pushes on the chest, the better off the patient is, the more blood flows to the heart and brain and other vital organs.

When blood flow is increased this way, there's less need for oxygen delivered through breaths. Some health experts have advocated doing away with breaths in CPR altogether, but the practice has been shown to be effective for cardiac arrest in infants and children, and among some adults.

This 30-to-2 ratio should be used for everyone outside of the newborn period, Sayre added.

The rate of compressions (100 per minutes) has not changed. The new guidelines do, however, eliminate some steps, including checking a victim's pulse if it has already been ascertained that he or she isn't moving and breathing.
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Happy reading,
Evelyn


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