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Tuesday 14 September 2010

Fwd: Use CPR without the kiss of life- Experts advise (video link below)

Until the second mention of Saint Philomena is me!

Of interest I thinks!

Sancte Philomena Ora Pro Nobis!

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I don't know about the video but Lancet says:

"Cardiac-only resuscitation by bystanders is the preferable approach to resuscitation for adult patients with witnessed out-of-hospital cardiac arrest, especially those with apnoea, shockable rhythm, or short periods of untreated arrest."

BBC Says:

"They checked their theory by looking at the outcomes of more than 4,000 adult patients who had been helped by bystanders.

They found chest-compression-only resuscitation was the clear winner compared with conventional CPR (cardiopulmonary resuscitation, or mouth-to-mouth breathing together with chest compressions).
Colin Elding of the British Heart Foundation said a number of studies had shown it could be as effective as combined mouth-to-mouth ventilation and compression in many cases.
But he said it was right for CPR guidelines to still include mouth-to-mouth.
He added: "The current guidelines state, however, that for 'lay person' CPR, if the rescuer is unwilling or unable to give rescue breaths they should give chest compressions only and that these should be continuous at a rate of 100 per minute. The BHF believes this is sound advice.

"Cardiac arrests are a serious problem in the UK, which is why the BHF recently launched its Doubt Kills campaign, to encourage people experiencing potential heart attack symptoms to call 999.""

Last Updated: Friday, 16 March 2007, 00:03 GMT 
Drop 'kiss of life', urge medics

Chest compressions help pump blood round the body
Advising first-aiders to give the "kiss of life" is off-putting 
and unnecessary, say medics.

And from the New England Journal of Medicine



Data were analyzed for 241 patients randomly assigned to receive chest compression alone and 279 assigned to chest compression plus mouth-to-mouth ventilation. Complete instructions were delivered in 62 percent of episodes for the group receiving chest compression plus mouth-to-mouth ventilation and 81 percent of episodes for the group receiving chest compression alone (P=0.005). Instructions for compression required 1.4 minutes less to complete than instructions for compression plus mouth-to-mouth ventilation. Survival to hospital discharge was better among patients assigned to chest compression alone than among those assigned to chest compression plus mouth-to-mouth ventilation (14.6 percent vs. 10.4 percent), but the difference was not statistically significant (P=0.18).


The outcome after CPR with chest compression alone is similar to that after chest compression with mouth-to-mouth ventilation, and chest compression alone may be the preferred approach for bystanders inexperienced in CPR."

Cardiopulmonary Resuscitation by Chest Compression Alone or with Mouth-to-Mouth Ventilation

Alfred Hallstrom, Ph.D., Leonard Cobb, M.D., Elise Johnson, B.A., and Michael Copass, M.D.
N Engl J Med 2000; 342:1546-1553May 25, 2000



Of the 1941 patients who met the inclusion criteria, 981 were randomly assigned to receive chest compression alone and 960 to receive chest compression plus rescue breathing. We observed no significant difference between the two groups in the proportion of patients who survived to hospital discharge (12.5% with chest compression alone and 11.0% with chest compression plus rescue breathing, P=0.31) or in the proportion who survived with a favorable neurologic outcome in the two sites that assessed this secondary outcome (14.4% and 11.5%, respectively; P=0.13). Prespecified subgroup analyses showed a trend toward a higher proportion of patients surviving to hospital discharge with chest compression alone as compared with chest compression plus rescue breathing for patients with a cardiac cause of arrest (15.5% vs. 12.3%, P=0.09) and for those with shockable rhythms (31.9% vs. 25.7%, P=0.09).


Dispatcher instruction consisting of chest compression alone did not increase the survival rate overall, although there was a trend toward better outcomes in key clinical subgroups. The results support a strategy for CPR performed by laypersons that emphasizes chest compression and minimizes the role of rescue breathing. (Funded in part by the Laerdal Foundation for Acute Medicine and the Medic One Foundation; number, NCT00219687.)"

CPR with Chest Compression Alone or with Rescue Breathing

Thomas D. Rea, M.D., Carol Fahrenbruch, M.S.P.H., Linda Culley, B.A., Rachael T. Donohoe, Ph.D., Cindy Hambly, E.M.T., Jennifer Innes, B.A., Megan Bloomingdale, E.M.T., Cleo Subido, Steven Romines, M.S.P.H., and Mickey S. Eisenberg, M.D., Ph.D.
N Engl J Med 2010; 363:423-433July 29, 2010

"This article has no abstract; the first 100 words appear below.
The major determinants of survival after witnessed out-of-hospital cardiac arrest due to ventricular fibrillation include whether a bystander initiates cardiopulmonary resuscitation (CPR) and how quickly defibrillation is accomplished.
The now-classic observations of Eisenberg et al. were that among patients with out-of-hospital cardiac arrest due to ventricular fibrillation, 43 percent survived to leave the hospital if CPR was initiated by a bystander within four minutes and if definitive therapy was delivered within eight minutes.1 Survival decreased to less than 7 percent if basic CPR was not initiated until 8 minutes, and no patient survived after 16 minutes of untreated ventricular fibrillation."

Cardiopulmonary Resuscitation — Strengthening the Links in the Chain of Survival

Gordon A. Ewy, M.D.
N Engl J Med 2000; 342:1599-1601May 25, 2000

Sancte Philomena Ora Pro Nobis!

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This is so much better.......easier to remember.........let's share it.
Sure is a lot more likely that someone would do this than the old method.

The following video on a new method of CPR only takes a few minutes to watch....and those few minutes spent, could SAVE A LIFE! 

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