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New CPR Rules
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| October 18, 2010 |
It’s official: The American Heart Association says chest compressions come first when performing CPR.
According to new guidelines issued today, ordinary people and
professionals trying to revive people whose hearts have stopped beating
should immediately start pushing on the person’s chest. That’s a
departure from previous recommendations to check for breathing and to
clear the airway before starting chest compressions. Those two steps
should come later, the group said.
In the first few minutes of cardiac arrest, the Heart Association
explains, people still have oxygen in their lungs and bloodstream.
Vigorous chest compression can push that oxygen-rich blood to the heart
and brain and keep it circulating in the body.
Recent research studies have shown that chest compressions are better
alone than when combined with mouth-to-mouth resuscitation for two
reasons. First, mouth-to-mouth interrupts valuable compressions and
second, bystanders’ reluctance to do mouth-to-mouth may prevent them
from helping at all.
"We hope that these guideline changes will encourage more people to
perform CPR in appropriate situations and until help arrives,” Boston
EMS Chief Jim Hooley said in a statement released today. "Being trained
in CPR and how to use an automated external defibrillator are not just
skills for medical professionals – they are potential lifesaving skills
everyone should know.”
So cardiopulmonary resuscitation now means C-A-B, for compressions,
airway, breathing, reversing the ABCs of guidelines first issued in
1996. |
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