Compression-only CPR may improve survival for patients in cardiac arrest due to shockable rhythms treated by bystanders with public access defibrillation

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 … [1]: {openurl}?query=rft.jtitle%253DCirculation%26rft.stitle%253DCirculation%26rft.issn%253D0009-7322%26rft.aulast%253DIwami%26rft.auinit1%253DT.%26rft.volume%253D126%26rft.issue%253D24%26rft.spage%253D2844%26rft.epage%253D2851%26rft.atitle%253DChest%2BCompression-Only%2BCardiopulmonary%2BResuscitation%2Bfor%2BOut-of-Hospital%2BCardiac%2BArrest%2BWith%2BPublic-Access%2BDefibrillation%253A%2BA%2BNationwide%2BCohort%2BStudy%26rft_id%253Dinfo%253Adoi%252F10.1161%252FCIRCULATIONAHA.112.109504%26rft_id%253Dinfo%253Apmid%252F23230315%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=circulationaha&resid=126/24/2844&atom=%2Febmed%2F18%2F5%2Fe47.atom