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Medical Forum / General / Cardiology / April 2008Experts Now Recommend Hands-Only CPR
Experts Now Recommend Hands-Only CPR <http://hosted.ap.org/dynamic/stories/H/HANDS_ONLY_CPR? SITE=OHCOL&SECTION=HOME&TEMPLATE=DEFAULT> http://tinyurl.com/2s8olc Mar 31, 5:12 PM EDT By STEPHANIE NANO Associated Press Writer NEW YORK (AP) -- You can skip the mouth-to-mouth breathing and just press on the chest to save a life. In a major change, the American Heart Association said Monday that hands-only CPR - rapid, deep presses on the victim's chest until help arrives - works just as well as standard CPR for sudden cardiac arrest in adults. "You only have to do two things. Call 911 and push hard and fast on the middle of the person's chest," said Dr. Michael Sayre, an emergency medicine professor at Ohio State University who headed the committee that made the recommendation. Hands-only CPR calls for uninterrupted chest presses - 100 a minute - until paramedics take over or an automated external defibrillator is available to restore a normal heart rhythm. A child who collapses is more likely to primarily have breathing problems - and in that case, mouth-to-mouth breathing should be used. That also applies to adults who suffer lack of oxygen from a near- drowning, drug overdose, or carbon monoxide poisoning. In these cases, people need mouth-to-mouth to get air into their lungs and bloodstream. -- On the Net: Heart Association: http://www.americantheart.org/handsonlycpr Sarver Heart Center: http://www.heart.arizona.edu/ [excerpted] > Experts Now Recommend Hands-Only CPR > [quoted text clipped - 34 lines] > > [excerpted] American Heart Association link is wrong (extra 't'), try http://www.americanheart.org/handsonlycpr > American Heart Association link is wrong (extra 't'), try > > http://www.americanheart.org/handsonlycpr Thanx for the correction -- I lifted the link directly from the article w/o checking it first. My bad. A more technically accurate title would be Hands-Only BCLS because here in the USA, it has always been Hands-Only CPR compared to Suction- Device CPR abroad. Be hungry... be healthy... be hungrier... be healthier: http://TheWellnessFoundation.com/BeHealthier Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com A latter-day disciple of the KING of kings and LORD of lords. http://HeartMDPhD.com/HolySpirit/DiscipleNow > Experts Now Recommend Hands-Only CPR > [quoted text clipped - 35 lines] > > [excerpted] On Apr 1, 3:54 am, "Andrew B. Chung, MD/PhD" <heartd...@emorycardiology.com> wrote: > A more technically accurate title would be Hands-Only BCLS because > here in the USA, it has always been Hands-Only CPR compared to Suction- [quoted text clipped - 53 lines] > > - Show quoted text - "A more technically accurate title would be Hands-Only BCLS because here in the USA, it has always been Hands-Only CPR compared to Suction- Device CPR abroad. " Incorrect. Bottom line: Chung, you continue to lie and spread medical misinformation. STFU. http://HeartMDPhD.com/Convicts/FoamMouthsatan ---------------| snip |--------------- >> Experts Now Recommend Hands-Only CPR >> [quoted text clipped - 35 lines] >> >> [excerpted] "Andrew B. Chung, MD/PhD" wrote in message >A more technically accurate title would be Hands-Only BCLS because > here in the USA, it has always been Hands-Only CPR compared to Suction- > Device CPR abroad. -------------------------------------------------------------------------------------------------- Your assertion that "here in the USA, it has always been Hands-Only CPR [sic]" is simply wrong. I've carried a CPR card from the American Heart Association for nearly twenty years and AHA CPR algorithms have always included rescue breathing. They now recommend a ratio of two breaths to thirty compressions in all cases (both one person and two person CPR) except newborns and providing a minimum of 100 compressions per minute. Bystanders should not attempt to assess for pulselessness before beginning CPR. Continuous Chest Compression CPR is not an AHA approved algorithm as far as I can tell and is a technique developed by the University of Arizona Sarver Heart Center. Though it would appear that this technique might gain wider acceptance in the future, especially in situations where untrained bystanders are receiving CPR instructions over the phone from emergency personnel. How is it that a board certified cardiologist such as you (especially one who brags so copiously and continually of such certification) is ignorant of basic CPR algorithms? It's a good thing you have no patients to harm. > Experts Now Recommend Hands-Only CPR > [quoted text clipped - 11 lines] > presses on the victim's chest until help arrives - works just as well > as standard CPR for sudden cardiac arrest in adults. No they did not. They are just pointing out what was supposed to be taught since at least the 2005 standards. It is probably that the 2010 standards may encompass this. Google MICR CPR to see the results of the study done in Arizona. "The new approach - termed minimally interrupted cardiac resuscitation or MICR - focuses on maximizing blood flow to the heart and brain through a series of coordinated interventions. It includes an initial series of 200 uninterrupted chest compressions, heart rhythm analysis with a single shock, 200 immediate post-shock chest compressions before the pulse check, early administration of epinephrine to stimulate the heart, and delayed placement of a flexible plastic tube into the trachea for the purpose of ventilating the lungs." |
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