Compression-only CPR may improve survival for patients in cardiac arrest due to shockable rhythms treated by bystanders with public access defibrillation
2013
Commentary on: Iwami T, Kitamura T, Kawamura T, et al.; for the Japanese Circulation Society Resuscitation Science Study (JCS-ReSS) Group. Chest compression-only cardiopulmonary resuscitation for out-of-hospital cardiac arrest with public-access defibrillation: a nationwide cohort study. Circulation 2012;126:2844–51.[OpenUrl][1][Abstract/FREE Full Text][2]
Less than 1 in 10 victims of out-of-hospital cardiac arrests (OHCA) survive.1 Bystander cardiopulmonary resuscitation (CPR) doubles the chances of survival,2 yet is only undertaken in one-third of cases.3 Chest compression-only CPR (CCCPR) has emerged as an alternative to standard CPR, which includes compressions and ventilations. This method is easier to learn and retain and eliminates the necessity for mouth-to-mouth contact (which may be an impediment to a bystander starting CPR). Furthermore, it reduces potentially harmful interruptions in chest compressions caused during ventilations.
A meta-analysis of three randomised controlled trials found that when emergency …
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