C.P.R. For Cardiac Being Replaced With Simpler Chest Compressions

By Robert Coates on Monday, October 18, 2010
Filled Under: Health
C.P.R. defibrillator

Anyone who has taken C.P.R. training knows how difficult and tiring the procedure can be … even when practicing on a dummy under ideal circumstances. In an emergency and under stress a lot of people who received classroom training for C.P.R. admitted they just couldn’t cope.

Gradually the rules of C.P.R were relaxed a bit from the clear airway, breathing, compression cycle to just start pumping on the chest regardless of your training. Feedback from people who had used C.P.R in real life do or die situations told the professionals that some were reluctant to breathe into a stranger’s mouth whom might be in cardiac arrest.

Time is of the essence when someone goes into arrest outside of  hospital, and those who do not get any help have about a 95% chance of dying.

That reluctance to do C.P.R could be costing lives reasoned the experts so they started telling their C.P.R classes to just do chest compressions in an emergency. Data from those episodes now indicate that not only is the simpler chest compression method effective, but that it is actually better than the C.P.R routine because it gets blood flowing to the heart and brain quicker.

The 30 seconds or so that was being taken before at the beginning to check the air way and to breathe into the victim’s mouth has now been found to be very very critical to the outcome, and that the time is better spent on doing chest compressions on the middle of the chest.

A person in cardiac arrest has about a 15% chance of survival if they get chest compressions right away … and better than a 50% chance if they get support from an Automated External Defibrillator (AED) shortly after the chest compressions get started.

A lot of the heart health agencies in the world have started telling  people today to skip the breathing cycle for suspected cardiac cases and to start chest compressions at a rate of about 100 per minute as quick as they can, and to make a 911 call for assistance. The odds of survival increase fourfold when compressions are started immediately.

For infants and children who have stopped breathing and are unlikely to be having a heart attack, normal C.P.R is still being recommended but there will be changes in the training that C.P.R classes receive.

The recommendations for chest compressions also emphasize that the rescue person should not be afraid to press too hard and possibly risk breaking the victim’s ribs. Better broken ribs than a dead patient is the thinking.

The quality of the chest compressions and their effectiveness is directly related to the amount of pressure applied. In an adult, the chest should be compressed about 2 inches and in a younger person about 1.5 inches.

Did you also know that there are revival techniques you can use on your dog or favorite pet if they stop breathing?

Chest Compressions Superior To CPR For Cardiac Arrest Victims

By Robert Coates on Wednesday, October 6, 2010
Filled Under: Health
chest compressions superior to CPR

A 5 year study done by the Arizona Department of Health Services has concluded that simple is best when it comes to keeping cardiac arrest patients alive until professional help arrives.

Bystanders witnessing an adult  going into cardiac arrest should start doing chest compressions immediately if an automated  defibrillulator isn’t available. Mouth to mouth breathing as taught in cardiopulmonary resuscitation (CPR) practice has been found not to be as effective as just chest pumps.

CPR is still recommended for young children who have quit breathing, because the problem is far more likely to be respiratory than cardiac related.

In addition CPR is more complicated for people to apply and has a perceived health risk associated with it due to mouth to  mouth contact with a stranger. Only  about a third of cardiac arrest patients receive CPR and the health risk is thought to be a big reason why.

Over 90% of people that go into cardiac arrest outside a hospital don’t survive. In 2008 a modified form of CPR started to be taught that consisted of just rapid chest compressions at a rate of about 100 per minute. This technique has been found to be more effective than the old CPR because it is much easier for people to do … and therefore there are more people to do it.

The mouth to mouth CPR method has been found to reduce the flow of blood to the heart when compared to chest pumping because the chest compressions get interrupted with the breathing into the mouth. The critical thing is to keep the heart muscle alive by getting oxygenated blood to it and the chest pumps alone keep the blood flowing and gets enough air into the lungs to  make this happen.

The study found that cardiac arrest patients receiving only chest compressions had about a 5% better survival rate than those receiving CPR with mouth to mouth breathing.