This makes total sense. Someone did CPR on my X and ended up blowing him up like a balloon because the air wasnt being released back out. To just keep the blood flowing would have saved his life I think.
What does the AHA or ARC think about this newer method? If certified in either and you don't follow the current curriculum you can find yourself responsible.
This video is first of all old and secondly not telling the full truth. The Mayo clinic does NOT say to do this instead of or in place of full CPR. Please don't take my word for it just go to the Mayo clinic website and type in CPR first aid training/techniques.
Once again. Something dangerous circulating the net. First of all this video is 2 years old and second it is always best to learn CPR the correct way. The Mayo clinic only advocates this if you are UNTRAINED. This does not mean this is the best way and everyone should have training to learn all facets. Look it up on the Mayo Clinic website yourself under CPR first aid training you will see they teach the full training method.
@Trebor998 Not checking for a pulse has been part of the AHA Guidelines for CPR and Emergency Cardiovascular Care since 2000. The 2005 Guidelines state: Lay rescuers fail to recognize the absence of a pulse in 10% of pulseless victims (poor sensitivity for cardiac arrest) and fail to detect a pulse in 40% of victims with a pulse (poor specificity)." In the ECC Guidelines 2000 the pulse check was deleted from training for lay rescuers and deemphasized in training for healthcare providers.
@Trebor998 Its very difficult to detect the presence or absence of circulation. Assume someone is in cardiac arrest if they do not respond to shaking and shouting or rubbing knuckles on their sternum AND are not breathing normally.
@oulipian Dont try to figure out the why the victim has collapsed. If an adult suddenly and unexpectedly collapses AND does not respond to shaking the shoulders or rubbing the sternum with your knuckles AND is not breathing normally, call 911, begin chest compressions. Continue until medical help arrives.
What about if it is a woman, and where the comressions are explained to apply, do you work around the breast, or closer to the center? might sound stupid and simplistic, but asking anyway....thanks to anyone who can answer
@macwoodson Compressions should be performed in the middle of the chest with the heel of the hand. The rescuer should place the heel of one hand on the sternum (breastbone) in the center of the chest between the nipples and then place the second hand on top of the first one, interlocking the fingers. The fingers will be to one side of the chest, but the heel of the hand (and therefore the pressure) should be in the middle of the chest.
If someone collapses in public shouldn't you check for a pulse..? If they have a pulse then they don't need CPR so doing just that would only further harm them by breaking ribs. A pulse means the heart is beating just fine so there is something else wrong with them, possibly only rescue breathing.
@TotallyKahloahd When an adult suddenly collapses, checking for a pulse wastes time and is difficult to do. Instead check for responsiveness by rubbing your knuckles firmly on their breastbone and shake them and shout Are you okay? If they dont respond, they most likely need chest compressions. Continue compressions until medical help arrives. A person who doesnt need compressions will usually let you know.
@Pochkostrangis When someone who has been breathing normally suddenly/unexpectedly collapses, you can assume they are in primary cardiac arrest. Respiratory arrest, which in most cases is caused by drug overdose, alcohol intoxication, carbon monoxide poisoning, severe asthma attack, drowning, or choking, the primary problem is not the heart but a lack of oxygen that eventually leads to cardiac arrest. This collapse is neither sudden nor unexpected. 1 in 20 arrests is due to respiratory arrest.
@bohemianh The hands may appear to be over one side of the chest, however the base of the hands should be placed in the center of the chest. It is where the heel of the hand is located that is important, not where the fingers lie.
CPR is intended to keep the blood flowing to the heart and brain while emergency personnel are on their way. Always be sure to call 9-1-1 as soon as possible, either before starting CPR or while someone else is starting CPR. If there is an AED available, be sure to secure the leads to the person properly. The AED will analyze the heart rhythm and advise a shock IF needed. When paramedics arrive, they will take over and have the correct treatments, whether it is medication or a defibrillator.
Do not waste time trying to determine whether the person has a pulse. Shake the persons shoulders and shout Are you okay? If there is no response you might want to forcefully rub the breastbone with your knuckles. If the person is unresponsive and not breathing or breathing abnormally (struggling to breathe, gasping, or snoring), direct someone to call 911 or make the call yourself. Begin chest compressions.
The hands may appear to be over one side of the chest, however the base of the hands should be placed in the center of the chest. It is where the heel of the hand is located that is important, not where the fingers lie.
What if the person's heart starts beating and then you are still pumping on their chest? Won't that interupt the beating heart if you are pumping at the wrong intervals?
That's actually not true, if the heart stops it's not possible to restart it with a defibrillator, a defibrillator only corrects a rhythm, in the case of asystole(The heart actually stopping) chest compressions and various medications like epinephrine or atropine will be necessary to start it up again.
@Avaririta CPR is intended to keep the blood flowing to the heart and brain while emergency personnel are on their way. Always be sure to call 9-1-1 as soon as possible, either before starting CPR or while someone else is starting CPR. If there is an AED available, be sure to secure the leads to the person properly. The AED will analyze the heart rhythm and advise a shock IF needed. When paramedics arrive, they will take over and have the correct treatments, whether it is meds or defibrillator.
I am an MD and Certified Instructor trainer. On all my classes besides the AHA 2005 guidelines I also teach them this technic. The animation is exelent and very ilustrative.
Hands Only CPR was discussed in an American Heart Association Science Advisory, published in April 2008 Circulation. A mandatory pulse check does NOT follow the recommendations in the 2005 CPR Guidelines for HeartSaver CPR Courses. Viewers should not be misled by the demonstrated compression rate which is in excess of the recommended 100 / minute. A rapid rate would lead to quick rescuer exhaustion and ineffective chest compressions.
This is unwise.. we have CPR because it has it's own check and balances.. the new method has exceptions, If U can't remember CPR how are U going to remember the exceptions? How about just learning CPR. If you don't know it and someone drops.. call 911 they will walk U through it. Lets not confuse the public with a method that might kill "the Exception" this is nuts. 10 years from now well have 8 types of CPR and nobody will know how to do any of them. Another slippery slop.
@bytes675 They can't sue you if you are properly certified and get consent. If they are unconcious it is implied consent. As long as you do this and follow proper procedure, you are protected under the Good Samaritain Law.
I rather leave it to people who had been properly trained, unless there is no choice. Bear in mind your kind hearted help may land you in court if others think differently of your action. Always call 911 for help if you have time.
I have heard this was coming on the scene for a while but this was the first demonstration I have seen.
That last comment about CCR not for children, "respiratory failure or drowning and that standard CPR is needed" is very important.
I would imagine in those cases most the O2 has already been depleted from their bloodstream by the time they go into full arrest. Kids don't typically go into full arrest with out choking or a compromised airway first remember ABC Airway Breathing Circulation.
The 1 time I performed CPR, the only pulse I could feel was my own. My adrenaline was pumping so much, my fingers were pulsating. I couldn't even tell if he had a pulse.
Anyone who works in the field of saving lives knows that checking the pulse is not mandatory. Check the research before arguing with the professionals. (I am commenting on the comments written before, not on the content of this video which I found to be accurate and helpful).
I agree with kalyntodd...YOU MUST ALWAYS CHECK FOR A PULSE.. a person can be unconsscious and still have a pulse..you risk causing more harm if you don't check!!!
agreed. Always check for a pulse first. I wonder if they just came up with this b/c most people won't take the time to learn actual CPR and this is easy to remember. Rescue breaths also let you know if there is something obstructing the airway... Which is vital.
It seems odd to imagine performing CPR without the mouth to mouth breaths. Think it through logically - each time you recoil to begin another compression the lungs will also partially expand, in turn instilling some fresh oxygen to the victims lungs. Each compression will blow off some CO2.
Most people probably can't find their OWN pulse - so it's not likely they'll find one on an unconscious stranger. Island Blue is right - there is nothing "new" about non-ventilated CPR. That's why many so-called CPR "saves" are actually efforts on people whose hearts are still beating.
What the public should get from this is the basics, if you think a person's heart has stopped. It's also important to know that CPR does NOT restart hearts & only 2 or 3 out of 100 patients will survive anyway.
The bottom of the palm making contact with the chest should be located at the sternum in a position two fingers above the line from nipple to nipple. A pulse check is great - sometimes waaay too much time is taken to check for a pulse.
I have been teaching CPR for 15 years, compression only CPR has been around since 2000. If you are worried about putting your lips on the mouth of a stranger because you have no barrier device like a pocket mask then compressions only is better than doing nothing.
If the person isn't breathing at some point the heart will stop as well so they need CPR ASAP to give the best chance at serviving. When I teach for ambulance we still do pulse checks because they have more practice.
Checking for a pulse is no longer taught in CPR/First aid classes. I asked why and the answer given to me was that the person checking for a pulse would sometimes have a false positive. In the excitement of the moment, they would mistake their own pulse in their fingertips for the patient's pulse. Therefore they wouldn't start CPR.
I just took CPR! I was taught that we should make sure the airway is open (tilt the head back, chin up slightly), check for breath and begin compressions if person is not breathing. She did teach us with the 2 breaths but DID inform us that it was NOT necessary. That the standard was changing to be continuous chest compressions. I heard this years ago, was told then that chance of survival with the Continuous Chest Compressions is better than CPR. Compress in the center on sternum.
It looks like hes compressing on the right side but you compress on the sternum in the center of the chest with the part of your hand by the thumb. This part is on the sternum, the guy just has big hands on a small dummy. I am leary about not checking for a pulse.
I don't mean to anger you, but I think I would take the authoritative report of the reporter--I hate reporters--on this based on the instruction of the physicians, regarding not taking the pulse. When you call 911, there's a whole raft of people coming who will check the pulse.
checkign for a pulse first would seem to make a lot of sense. One thing that isnt clear from the video: why is he performing the compression on the right side of the body? Shouldn't it be more to the middle of left?? Any input? Thanks.
He's not performing the compressions on the right side. The compressions are being done with the heal of the hand and the rest of his hand is just covering the right side of the chest because it's a very small dummy. I watched it a couple of times and he's clearly giving the compression in the center, directly over the sternum.
checking for a pulse is a must, altho "not for respiratory arrest" - cardiac arrest will quickly follow respiratory arrest. If there is no properly trained person to perform CPR I would hope someone would try something while waiting for an ambulance otherwise the patient will die, current statistics for cardiac arrest in the community is 5% survival rate - it is hoped this will improve with the instilation of defibrilators in the community but everyone should have a basic first aid cert...
This is the new guideline. I am a dispatch supervisor and we do not ask someone to check for a pulse. We determine if they are breathing, if not, we start compressions...600 before first breath.
I'm skeptical of this video. You must ALWAYS check for a pulse before performing CPR. The only reason that CPR is required is if a person does not have a pulse. If there is a pulse and no breathing then the patient needs rescue breathing--NOT CPR. And only perform CPR if you are trained, otherwise you can harm the victim even more.
If the person doesn't have a pulse, you can't do any harm. He's already dead. I've done standard CPR while on an EMT training. The first push down, I broke ribs.
As a Red Cross CPR instructor I can tell you that they changed the standard CPR protocol for adults a couple of years ago. You no longer check for a pulse on adults. Once you have determined the victim is not breathing, the assumption is if the heart hasn't stopped already, ir soon will. Red Cross DOES still do two rescue breaths every 30 compressions, where it used to be 2 rescue breaths every 15. CPR is more of life support than the "resucitaiton" part suggests. An AED is the best bet.
being in emerg response,, this is a good video and good advice,,,, best thing for a dead patient is cpr. YOU ARE NOT HARMING THE PATIENT AT ALL IF THEY ARE DEAD. WHATS A FEW BROKEN RIBS IF THEY SAVE YOU!!!!!
@cdnfireguy9 well i totaly agree with you,but if ou break a rib it just might tear the heart or the lungs so the piont of cpr is usless,but thats a maybe,its not assured will and highly doughtful
In my experience, the average person doesn't know how to check a pulse. If they're not breathing it's a good chance they don't have and adequate pulse either
something is better than just watching someone die, just because you can not remember the number of chest to mouth. This is easy to do without thinking. I agree .
not checking for a pulse is simply irresponsible! you can not only harm someone but if they are not in cardiac arrest you just delayed the care they needed. Once CPR is initiated EMTs need to continue it-EVEN IF THE PATIENT NEVER NEEDED IT!!! ALWAYS ALWAYS ALWAYS CHECK FOR A PULSE
This is called "Hands Only CPR" National Safety Council & Red Cross teaches to do this for a "Out of hospital Cardiac Arrest. You still have to check for breathing. Just because a person is unresponsive does NOT mean they need CPR. Looking for pulse has been gone a LONG time! Once you know they are not responsive and not breathing than CPR. This is not a good video. It gives people incomplete info.
I disagree with not checking pulses. Chest compression in the presence of a contracting heart is not a good idea at all and may do more harm than good. a pulse check takes seconds at most.
By the way, by "CCR", I'm referring to "CardioCerebral Resuscitation" - a term used in an article in Jems magazine in the spring of 2009. Same thing as Continuous Chest Compressions CPR.
You are correct - CPR for infants/pediatrics (cardiac arrest generally secondary to respir arrest) & CCR for adults. That's why I specified my statements for "adults".
Useful, but it says that this method shouldn't be used for respiratory failure. Would the average passer-by know the difference between a "heart attack" and respiratory failure? I'm not sure I would. Also, the demonstrator seemed to have his hands under the right shoulder; it would help if he'd point out that the heel of his hand is on the sternum. He mentioned that in passing, but it would be easy to miss and people could get confused about where they should actually apply the pressure.
Oxygenated blood does nothing if it does not circulate! Circulation blood that is 80% staturated with O2 is FAR better than not circulating blood that is 100% saturated!!
Yes, they have researched this. Come on!! As far as "wanting air with your chest compressions"....for adults, your blood is already oxygenated when your heart stops. Considering compressions only circulate 20% or so of your normal circulatory rate, you don't need to ventilate for the first few minutes of compressions. The most important aspect of CPR is minimal interruptions of compressions (AHA 2005 revised guidelines) - generating as much blood pressure as possible.
I understand it's easier to remember. But is it better? Circulating blood w/out oxygen seems like a waste of time. Are they just dumbing down the technique so less people screw it up? I for one would like a little Air with my Chest Compressions.
I'd be curious to know if they did any research on the possibility of including some type of respiratory support during this type of CPR. For example, if you had a partner helping you, he/she could attempt breathing for the pt. Likewise a demand valve resuscitator could prove benneficial. Ideas?
ILCOR - The International Liaison Committee on Resuscitation is the world-wide agency that creates protocols for CPR and the effective use of AEDs. ILCOR, the most respected agency in this area, cardiovascular and related doctors and academicians . Perhaps they will endorse the Mayo Clinic in the next release of Protocols in 2010, perhaps not. Perhaps it is best for the Mayo Clinic to consult with the experts, the only thing at risk is our lives...just a thought.
She said it's not for cases of respiratory failure, and presumably it's not for some other kids of seizure, but how do you know if you don't check the pulse?
(She said "respitory" - is that how "respiratory" is pronounced in American English?)
As a first responder with the Cochise County Sheriff's Office Assist Team, we are taught to "first assess, the address". Continuous compression works in most cases, however it's important to remember that in the event of something lodged in the airway, mouth to mouth is still appropriate. We normally use a 2 to 30 ratio: 2 puffs of air to 30 compressions.
I have a question though... I know it's only a maniquan but when the Dr is doing chest compressions, he is doing so on the right side of the chest... on the demonstration of the person fallin @ 0:45 they are doing it above the heart . Which is the right spot?
This is about the most assenine thing I have ever heard. Why would you not check for a pulse? If the person has any rhythm and you start compressions you could PUT them into a lethal rhythm.
All due respects, but AHA 2005 instructs us to immediately resume compressions for 2 minutes after a shock without checking for a pulse. You only check for a pulse just before checking for a shockable rhythm. I don't think CPR is very likely to induce a disrhythmia.
As a CPR Instructor, that is not the case with adults...Many responders have trouble finding the pulse on an adult and take up valuable time trying feel for a pulse and even listening for breathing...Even the paramedics agree with this!!!
A modern breakthrough that should save many lives. I published the initial paper on the question of "Is CPR Worthwhile "in the NEJM in 1972 but this takes it to another level.Congrats.
only if it cost less than 3 million dollars to develop! Don't forget, people can put a price tag on anything (I just remembered reading in some magazine that 3 million is the "cost" of creating a fully functional, productive adult) Of course, that's very cynical, but seeing "worth it" made me think of it...
A good way to remember what "100 compressions/minute" feels like is to do it to the beat of The Beegees "Staying Alive." Sing the chorus: "Ha, ha, ha ha, staying alive, staying alive" to yourself as you are doing the compressions. Turns out that song had a hidden meaning!
"Don't waste time checking for a pulse?!" ARE YOU KIDDING ME? As a nurse, this is totally wrong! There are alot of reason people become unconscious, and doing CPR on someone whose heart is NOT STOPPED will cause them massive trauma! I can't believe the Mayo clinic didnt edit that line before releasing thuis video! If someone is in cardiac arrest, then start CPR immediately! Otherwise, keep their airway open by tilting their chin up and wait for trained personnel to arrive.
I'd like to ask these Mayo MD's, when is the last time that an ambulance ever got to a patient that was not breathing and delivered them to the E.R. within 10 minutes. This method might be ok in a hospital setting, but in the real world, this cpr method without breaths is not as reliable as the more proven methods. Just because its easier to remember, doesn't make it better. GET CPR Certified and save a life...
Very true! We've been utilizing this idea for about a year in our department (fire/rescue) and the statistics back it up! We still give breaths, but fewer and no longer highlight airway. Compressions keep the pump primed!
ha I just wanna have fun with you
PilarNamxa876 2 months ago
This makes total sense. Someone did CPR on my X and ended up blowing him up like a balloon because the air wasnt being released back out. To just keep the blood flowing would have saved his life I think.
conservativetothecor 8 months ago
I just took an AHA Heart Saver and AED course where we were taught to give 2 breaths and 30 compressions. Is this wrong?
NoorAlShihaby 1 year ago
@NoorAlShihaby no i would do what you think is best everything works their just picky about how you do it
armymedic98 7 months ago
Why is he compressing the right side of the chest - isn't the heart more to the left?
FleurdeLisband 1 year ago
IF SOMEONE HAS A PULSE>>> YOU DO NOT DO CPR. PERIOD!!!!!!!!!
check for pulse... always!
evanstranddancer 1 year ago
so does this mean we no longer have to do breaths for the patient ever? Is it not necessary to have proper training anylonger?
Rockinitraw 1 year ago
What does the AHA or ARC think about this newer method? If certified in either and you don't follow the current curriculum you can find yourself responsible.
cstellatella 1 year ago
brilliant, thank you very much for this.
TheHippySeedCompany 1 year ago
This video is first of all old and secondly not telling the full truth. The Mayo clinic does NOT say to do this instead of or in place of full CPR. Please don't take my word for it just go to the Mayo clinic website and type in CPR first aid training/techniques.
Rockinitraw 1 year ago
The best of method, thanks to whoever posted please keep posting.
hasmohsin 1 year ago
Once again. Something dangerous circulating the net. First of all this video is 2 years old and second it is always best to learn CPR the correct way. The Mayo clinic only advocates this if you are UNTRAINED. This does not mean this is the best way and everyone should have training to learn all facets. Look it up on the Mayo Clinic website yourself under CPR first aid training you will see they teach the full training method.
Rockinitraw 1 year ago
This is incorrect... look it up on Mayo clinic's website under CPR They train to use breaths.
Rockinitraw 1 year ago
Don't check for a pulse? I don't know about that...
Trebor998 1 year ago
@Trebor998 Not checking for a pulse has been part of the AHA Guidelines for CPR and Emergency Cardiovascular Care since 2000. The 2005 Guidelines state: Lay rescuers fail to recognize the absence of a pulse in 10% of pulseless victims (poor sensitivity for cardiac arrest) and fail to detect a pulse in 40% of victims with a pulse (poor specificity)." In the ECC Guidelines 2000 the pulse check was deleted from training for lay rescuers and deemphasized in training for healthcare providers.
AZDHS 1 year ago
@AZDHS...I see. It just threw me for a double take when they said that...
Trebor998 1 year ago
@Trebor998 Its very difficult to detect the presence or absence of circulation. Assume someone is in cardiac arrest if they do not respond to shaking and shouting or rubbing knuckles on their sternum AND are not breathing normally.
AZDHS 1 year ago
pretty cool to know
wylie686 1 year ago
How do you know the person hasn't suffered a stroke? Is it safe to use this technique in that instance?
oulipian 1 year ago
@oulipian Dont try to figure out the why the victim has collapsed. If an adult suddenly and unexpectedly collapses AND does not respond to shaking the shoulders or rubbing the sternum with your knuckles AND is not breathing normally, call 911, begin chest compressions. Continue until medical help arrives.
AZDHS 1 year ago
What about if it is a woman, and where the comressions are explained to apply, do you work around the breast, or closer to the center? might sound stupid and simplistic, but asking anyway....thanks to anyone who can answer
pianoplayinfool 1 year ago
@pianoplayinfool A rescuer should compress the victims sternum (breastbone) in the center of the chest (for a man or a woman).
AZDHS 1 year ago
It looks to me like the doctors are pressing on the right side of the chest. Is this right?
I think the heart is on the left side.
Pressing on the right side, is this right? Someone let me know please.
Thanks
macwoodson 1 year ago
@macwoodson Compressions should be performed in the middle of the chest with the heel of the hand. The rescuer should place the heel of one hand on the sternum (breastbone) in the center of the chest between the nipples and then place the second hand on top of the first one, interlocking the fingers. The fingers will be to one side of the chest, but the heel of the hand (and therefore the pressure) should be in the middle of the chest.
AZDHS 1 year ago
@macwoodson the heart is in the middle, so you should press in the middle of the chest.
deejayfore 8 months ago
Thanks so much for this information!
kthxwillia 1 year ago
If someone collapses in public shouldn't you check for a pulse..? If they have a pulse then they don't need CPR so doing just that would only further harm them by breaking ribs. A pulse means the heart is beating just fine so there is something else wrong with them, possibly only rescue breathing.
TotallyKahloahd 1 year ago
@TotallyKahloahd When an adult suddenly collapses, checking for a pulse wastes time and is difficult to do. Instead check for responsiveness by rubbing your knuckles firmly on their breastbone and shake them and shout Are you okay? If they dont respond, they most likely need chest compressions. Continue compressions until medical help arrives. A person who doesnt need compressions will usually let you know.
AZDHS 1 year ago
sounds like a great way to break some ribs
lordcantig 1 year ago
@lordcantig Broken ribs can happen during chest compressions but they will heal. The alternative is most certainly death.
AZDHS 1 year ago 2
Yes, and how does one know if this is a respiratory arrest and hence, in need of standard mouth to mouth CPR???
Pochkostrangis 1 year ago
@Pochkostrangis When someone who has been breathing normally suddenly/unexpectedly collapses, you can assume they are in primary cardiac arrest. Respiratory arrest, which in most cases is caused by drug overdose, alcohol intoxication, carbon monoxide poisoning, severe asthma attack, drowning, or choking, the primary problem is not the heart but a lack of oxygen that eventually leads to cardiac arrest. This collapse is neither sudden nor unexpected. 1 in 20 arrests is due to respiratory arrest.
AZDHS 1 year ago
looks like the doctor is pushing on the right side of the torso? I thought the heart was located slighting to the left side?
bohemianh 1 year ago
@bohemianh The hands may appear to be over one side of the chest, however the base of the hands should be placed in the center of the chest. It is where the heel of the hand is located that is important, not where the fingers lie.
AZDHS 1 year ago
Very interesting. It is also so good to know.
talitha43 1 year ago
CPR is intended to keep the blood flowing to the heart and brain while emergency personnel are on their way. Always be sure to call 9-1-1 as soon as possible, either before starting CPR or while someone else is starting CPR. If there is an AED available, be sure to secure the leads to the person properly. The AED will analyze the heart rhythm and advise a shock IF needed. When paramedics arrive, they will take over and have the correct treatments, whether it is medication or a defibrillator.
AZDHS 1 year ago
wonderful demo, advice and instruction.
NOCOMPLACENCYCOM 1 year ago
Do not waste time trying to determine whether the person has a pulse. Shake the persons shoulders and shout Are you okay? If there is no response you might want to forcefully rub the breastbone with your knuckles. If the person is unresponsive and not breathing or breathing abnormally (struggling to breathe, gasping, or snoring), direct someone to call 911 or make the call yourself. Begin chest compressions.
AZDHS 1 year ago
The hands may appear to be over one side of the chest, however the base of the hands should be placed in the center of the chest. It is where the heel of the hand is located that is important, not where the fingers lie.
AZDHS 1 year ago
The current AHA Guidelines does not include a pulse check when performing CPR.
AZDHS 1 year ago
This is great! Here's hoping that we never have to use it but good to have the knowledge just in case.
CATNP2u 1 year ago
What if the person's heart starts beating and then you are still pumping on their chest? Won't that interupt the beating heart if you are pumping at the wrong intervals?
MyHushpuppy 1 year ago
@MyHushpuppy A heart cannot resume beating by CPR. It requires a Defibulator to restart a heart.
iamJoeUSA 1 year ago
@iamJoeUSA
@iamJoeUSA
That's actually not true, if the heart stops it's not possible to restart it with a defibrillator, a defibrillator only corrects a rhythm, in the case of asystole(The heart actually stopping) chest compressions and various medications like epinephrine or atropine will be necessary to start it up again.
Avaririta 1 year ago
@Avaririta CPR is intended to keep the blood flowing to the heart and brain while emergency personnel are on their way. Always be sure to call 9-1-1 as soon as possible, either before starting CPR or while someone else is starting CPR. If there is an AED available, be sure to secure the leads to the person properly. The AED will analyze the heart rhythm and advise a shock IF needed. When paramedics arrive, they will take over and have the correct treatments, whether it is meds or defibrillator.
AZDHS 1 year ago
I agree w you 100%. If u do chest compressions and it's \respiratory arrest, u will just may kill someone.
DizziNY 1 year ago
I am an MD and Certified Instructor trainer. On all my classes besides the AHA 2005 guidelines I also teach them this technic. The animation is exelent and very ilustrative.
Dr. CG Lausell
San Juan, PR
MrLausell 1 year ago 7
Hands Only CPR was discussed in an American Heart Association Science Advisory, published in April 2008 Circulation. A mandatory pulse check does NOT follow the recommendations in the 2005 CPR Guidelines for HeartSaver CPR Courses. Viewers should not be misled by the demonstrated compression rate which is in excess of the recommended 100 / minute. A rapid rate would lead to quick rescuer exhaustion and ineffective chest compressions.
Racemic49 1 year ago 3
This is unwise.. we have CPR because it has it's own check and balances.. the new method has exceptions, If U can't remember CPR how are U going to remember the exceptions? How about just learning CPR. If you don't know it and someone drops.. call 911 they will walk U through it. Lets not confuse the public with a method that might kill "the Exception" this is nuts. 10 years from now well have 8 types of CPR and nobody will know how to do any of them. Another slippery slop.
gat2drgn 1 year ago
@gat2drgn and the exsections are what?
txmaiden 1 year ago
Yea, thats great, you save somebodys life but you crack a bone saving them and then they sue you for everything you have!!
bytes675 1 year ago
@bytes675 They can't sue you if you are properly certified and get consent. If they are unconcious it is implied consent. As long as you do this and follow proper procedure, you are protected under the Good Samaritain Law.
MissMelon380 1 year ago 3
what about terminally ill people - wouldn't it be more merciful to let them go?
avilasakul 1 year ago
I rather leave it to people who had been properly trained, unless there is no choice. Bear in mind your kind hearted help may land you in court if others think differently of your action. Always call 911 for help if you have time.
victorloo88 1 year ago
OMG I hope I never feint at the mall. I never have but if I do please make sure I am not just unconcious first.
ckaufmanntx 1 year ago
I have heard this was coming on the scene for a while but this was the first demonstration I have seen.
That last comment about CCR not for children, "respiratory failure or drowning and that standard CPR is needed" is very important.
I would imagine in those cases most the O2 has already been depleted from their bloodstream by the time they go into full arrest. Kids don't typically go into full arrest with out choking or a compromised airway first remember ABC Airway Breathing Circulation.
kuernodechivo 1 year ago 2
excellent and very useful
hccherney 1 year ago
There is no need for mouth to mouth if you carry a CPR barrier.
SparrowChess 1 year ago
@SparrowChess and How many people carry this?
txmaiden 1 year ago
Try adding closed captions so ALL people can access the video. It isn't so easy to learn if you can't hear the instructions.
deafamy 1 year ago
The 1 time I performed CPR, the only pulse I could feel was my own. My adrenaline was pumping so much, my fingers were pulsating. I couldn't even tell if he had a pulse.
aewiz23 1 year ago
this is a lawsuit waiting to happen.
chenzii 1 year ago
do I do this on the left side, right side, or middle area???
CheyenneLove18 1 year ago
@CheyenneLove18
The middle over the sternum (breastbone), if you go off of this you will break ribs, but as he said you're already dead anyway
ki1ll3 1 year ago
If you are doing effective CPR, u WILL break a rib.
DizziNY 1 year ago 2
what's the red cross' stance on this method?
kumquatsta 1 year ago
Anyone who works in the field of saving lives knows that checking the pulse is not mandatory. Check the research before arguing with the professionals. (I am commenting on the comments written before, not on the content of this video which I found to be accurate and helpful).
Lonestaracer 1 year ago
I agree with kalyntodd...YOU MUST ALWAYS CHECK FOR A PULSE.. a person can be unconsscious and still have a pulse..you risk causing more harm if you don't check!!!
singincwby66 1 year ago
agreed. Always check for a pulse first. I wonder if they just came up with this b/c most people won't take the time to learn actual CPR and this is easy to remember. Rescue breaths also let you know if there is something obstructing the airway... Which is vital.
BrentK7 1 year ago
@BrentK7 The current AHA Guidelines does not include a pulse check when performing CPR.
AZDHS 1 year ago
It seems odd to imagine performing CPR without the mouth to mouth breaths. Think it through logically - each time you recoil to begin another compression the lungs will also partially expand, in turn instilling some fresh oxygen to the victims lungs. Each compression will blow off some CO2.
I
tjd0401 1 year ago
Most people probably can't find their OWN pulse - so it's not likely they'll find one on an unconscious stranger. Island Blue is right - there is nothing "new" about non-ventilated CPR. That's why many so-called CPR "saves" are actually efforts on people whose hearts are still beating.
What the public should get from this is the basics, if you think a person's heart has stopped. It's also important to know that CPR does NOT restart hearts & only 2 or 3 out of 100 patients will survive anyway.
PatricParamedic 1 year ago
Red Cros no longer teaches to check for a pulse in their CPR / First aid training.
I'm sure if you Google "Red Cross CPR" you'll find instructions online given by them directly on their website.
KanzlerM 1 year ago
WHOAAA! "Don't stop to check for a pulse"?!!!!
ALWAYS CHECK FOR A PULSE BEFORE COMPRESSIONS!!!!
BusyintheCity 1 year ago
@BusyintheCity - Not recommended anymore. Even people who are trained find it hard to feel a pulse and valuable "brain" time is wasted.
MotherTW1 1 year ago 2
The bottom of the palm making contact with the chest should be located at the sternum in a position two fingers above the line from nipple to nipple. A pulse check is great - sometimes waaay too much time is taken to check for a pulse.
MrFIRECAP 1 year ago
I am gonna take a CPR course
99waterlife 1 year ago
It looks like he is pushing on the right side because he is using the heal of his hand on the center of the chest and his fingers hang over the ribs.
islandblue2002 1 year ago
I have been teaching CPR for 15 years, compression only CPR has been around since 2000. If you are worried about putting your lips on the mouth of a stranger because you have no barrier device like a pocket mask then compressions only is better than doing nothing.
If the person isn't breathing at some point the heart will stop as well so they need CPR ASAP to give the best chance at serviving. When I teach for ambulance we still do pulse checks because they have more practice.
islandblue2002 1 year ago
Definitely a must see for everyone.
kenj41ne 1 year ago
Checking for a pulse is no longer taught in CPR/First aid classes. I asked why and the answer given to me was that the person checking for a pulse would sometimes have a false positive. In the excitement of the moment, they would mistake their own pulse in their fingertips for the patient's pulse. Therefore they wouldn't start CPR.
ZerlinaZ 1 year ago
I just took CPR! I was taught that we should make sure the airway is open (tilt the head back, chin up slightly), check for breath and begin compressions if person is not breathing. She did teach us with the 2 breaths but DID inform us that it was NOT necessary. That the standard was changing to be continuous chest compressions. I heard this years ago, was told then that chance of survival with the Continuous Chest Compressions is better than CPR. Compress in the center on sternum.
deedwan1 1 year ago
I'm sorry but i'm an Eagle scout... and i'v never heard of this, nor would i ever do this to replace regular CPR.
Curtisexplorer 1 year ago
Thank you for the information. I will share this to others.
alicemarieossr21 1 year ago
It looks like hes compressing on the right side but you compress on the sternum in the center of the chest with the part of your hand by the thumb. This part is on the sternum, the guy just has big hands on a small dummy. I am leary about not checking for a pulse.
TheGloj29 1 year ago
I don't mean to anger you, but I think I would take the authoritative report of the reporter--I hate reporters--on this based on the instruction of the physicians, regarding not taking the pulse. When you call 911, there's a whole raft of people coming who will check the pulse.
Azishome 1 year ago
I wonder if the American Heart Association will change the standards for BLS and ACLS based on this.
Where is the data? Is there More survival with this method? It is certainly easier for the public to understand and perform.
Rodger Orman, MD
rodgero 1 year ago
@rodgero Dr. Orman, there is a better survival rate. Several studies support this.
MotherTW1 1 year ago
checkign for a pulse first would seem to make a lot of sense. One thing that isnt clear from the video: why is he performing the compression on the right side of the body? Shouldn't it be more to the middle of left?? Any input? Thanks.
halloherb 1 year ago
He's not performing the compressions on the right side. The compressions are being done with the heal of the hand and the rest of his hand is just covering the right side of the chest because it's a very small dummy. I watched it a couple of times and he's clearly giving the compression in the center, directly over the sternum.
deedwan1 1 year ago
the neck is the best place to check and listening to the chest is good but that only works if the person isn't too overweight
Robertahausen 1 year ago
I too am extremely skeptical of this video. And how can we be sure that this is a bona fide medical presentation from the Mayo Clinic?
mykittykatmykittykat 1 year ago
Very important and interesting everyone should know.
qbanaso888 1 year ago
checking for a pulse is a must, altho "not for respiratory arrest" - cardiac arrest will quickly follow respiratory arrest. If there is no properly trained person to perform CPR I would hope someone would try something while waiting for an ambulance otherwise the patient will die, current statistics for cardiac arrest in the community is 5% survival rate - it is hoped this will improve with the instilation of defibrilators in the community but everyone should have a basic first aid cert...
pinetree55 1 year ago
This is the new guideline. I am a dispatch supervisor and we do not ask someone to check for a pulse. We determine if they are breathing, if not, we start compressions...600 before first breath.
PARAIXII 1 year ago 2
I'm skeptical of this video. You must ALWAYS check for a pulse before performing CPR. The only reason that CPR is required is if a person does not have a pulse. If there is a pulse and no breathing then the patient needs rescue breathing--NOT CPR. And only perform CPR if you are trained, otherwise you can harm the victim even more.
kalyntodd 1 year ago 2
If the person doesn't have a pulse, you can't do any harm. He's already dead. I've done standard CPR while on an EMT training. The first push down, I broke ribs.
intorainbowz 1 year ago
As a Red Cross CPR instructor I can tell you that they changed the standard CPR protocol for adults a couple of years ago. You no longer check for a pulse on adults. Once you have determined the victim is not breathing, the assumption is if the heart hasn't stopped already, ir soon will. Red Cross DOES still do two rescue breaths every 30 compressions, where it used to be 2 rescue breaths every 15. CPR is more of life support than the "resucitaiton" part suggests. An AED is the best bet.
Rutrag 1 year ago 2
being in emerg response,, this is a good video and good advice,,,, best thing for a dead patient is cpr. YOU ARE NOT HARMING THE PATIENT AT ALL IF THEY ARE DEAD. WHATS A FEW BROKEN RIBS IF THEY SAVE YOU!!!!!
cdnfireguy9 1 year ago 7
@cdnfireguy9 well i totaly agree with you,but if ou break a rib it just might tear the heart or the lungs so the piont of cpr is usless,but thats a maybe,its not assured will and highly doughtful
armymedic98 7 months ago
one lung, who cares! respiratory failure, who cares! If i'm that person who passed out, I'd rather them try something then let me croak on the spot.
onefeather1954 1 year ago
In my experience, the average person doesn't know how to check a pulse. If they're not breathing it's a good chance they don't have and adequate pulse either
mboydmd 1 year ago
don
something is better than just watching someone die, just because you can not remember the number of chest to mouth. This is easy to do without thinking. I agree .
lizzcaseylovesyou 1 year ago
good information! thanks!
Java1633 1 year ago
not checking for a pulse is simply irresponsible! you can not only harm someone but if they are not in cardiac arrest you just delayed the care they needed. Once CPR is initiated EMTs need to continue it-EVEN IF THE PATIENT NEVER NEEDED IT!!! ALWAYS ALWAYS ALWAYS CHECK FOR A PULSE
aschluss 1 year ago
This is called "Hands Only CPR" National Safety Council & Red Cross teaches to do this for a "Out of hospital Cardiac Arrest. You still have to check for breathing. Just because a person is unresponsive does NOT mean they need CPR. Looking for pulse has been gone a LONG time! Once you know they are not responsive and not breathing than CPR. This is not a good video. It gives people incomplete info.
dorifin4 1 year ago
I don't understand why you wouldn't first check for a pulse.
michamus 1 year ago
I disagree with not checking pulses. Chest compression in the presence of a contracting heart is not a good idea at all and may do more harm than good. a pulse check takes seconds at most.
lemaman 1 year ago
By the way, by "CCR", I'm referring to "CardioCerebral Resuscitation" - a term used in an article in Jems magazine in the spring of 2009. Same thing as Continuous Chest Compressions CPR.
SteelDetailer 1 year ago
Adeleigentoo,
You are correct - CPR for infants/pediatrics (cardiac arrest generally secondary to respir arrest) & CCR for adults. That's why I specified my statements for "adults".
SteelDetailer 1 year ago
Useful, but it says that this method shouldn't be used for respiratory failure. Would the average passer-by know the difference between a "heart attack" and respiratory failure? I'm not sure I would. Also, the demonstrator seemed to have his hands under the right shoulder; it would help if he'd point out that the heel of his hand is on the sternum. He mentioned that in passing, but it would be easy to miss and people could get confused about where they should actually apply the pressure.
Adeliegentoo27 1 year ago
Oxygenated blood does nothing if it does not circulate! Circulation blood that is 80% staturated with O2 is FAR better than not circulating blood that is 100% saturated!!
SteelDetailer 1 year ago
Yes, they have researched this. Come on!! As far as "wanting air with your chest compressions"....for adults, your blood is already oxygenated when your heart stops. Considering compressions only circulate 20% or so of your normal circulatory rate, you don't need to ventilate for the first few minutes of compressions. The most important aspect of CPR is minimal interruptions of compressions (AHA 2005 revised guidelines) - generating as much blood pressure as possible.
SteelDetailer 1 year ago
I understand it's easier to remember. But is it better? Circulating blood w/out oxygen seems like a waste of time. Are they just dumbing down the technique so less people screw it up? I for one would like a little Air with my Chest Compressions.
btwhitehurst 1 year ago
also really believe that , people need to really know ......the patient may only have one lung.....and that also could throw in another problem.....
fbwoof2 1 year ago
worth knowing...
wonekawa 1 year ago
great video .. good to know ..
danielle2002 1 year ago
I'd be curious to know if they did any research on the possibility of including some type of respiratory support during this type of CPR. For example, if you had a partner helping you, he/she could attempt breathing for the pt. Likewise a demand valve resuscitator could prove benneficial. Ideas?
bec2774p 1 year ago
Makes sense! Thanks for making this video for us.
SaritaShoemaker 1 year ago
ILCOR - The International Liaison Committee on Resuscitation is the world-wide agency that creates protocols for CPR and the effective use of AEDs. ILCOR, the most respected agency in this area, cardiovascular and related doctors and academicians . Perhaps they will endorse the Mayo Clinic in the next release of Protocols in 2010, perhaps not. Perhaps it is best for the Mayo Clinic to consult with the experts, the only thing at risk is our lives...just a thought.
SteveCdn 1 year ago
trene73: +1
She said it's not for cases of respiratory failure, and presumably it's not for some other kids of seizure, but how do you know if you don't check the pulse?
(She said "respitory" - is that how "respiratory" is pronounced in American English?)
Chriswaterguy 1 year ago
i prefer to do mouth to mouth
Countrobula 1 year ago
As a first responder with the Cochise County Sheriff's Office Assist Team, we are taught to "first assess, the address". Continuous compression works in most cases, however it's important to remember that in the event of something lodged in the airway, mouth to mouth is still appropriate. We normally use a 2 to 30 ratio: 2 puffs of air to 30 compressions.
iuudou2 1 year ago
A great learning tool for us all.Plz pass it on. MAW
klf5191 1 year ago
WAY to fast. He's going at about 200 compressions per minute. Remember..Staying Alive by the Bee Gees.
JohnJ36277 1 year ago
Has this been approved by an official body? I'm an EMS providor and am curious about legality.
wsawtelle 1 year ago
It's all about protocols.....if your MDs sign off on it, then you can do it.
SteelDetailer 1 year ago
I have a question though... I know it's only a maniquan but when the Dr is doing chest compressions, he is doing so on the right side of the chest... on the demonstration of the person fallin @ 0:45 they are doing it above the heart . Which is the right spot?
Janine706 1 year ago
Very good....!!!!!!
MartinoSalvatore 1 year ago
very good way!
ronjrl 1 year ago
now now guys you should always check first for the pulse...... some people just faint you know!
ricknbeccy 1 year ago
Don't waste time checking for a pulse?!?
Try this on me... I need the money!
lolz
SaviourSole 1 year ago
This is about the most assenine thing I have ever heard. Why would you not check for a pulse? If the person has any rhythm and you start compressions you could PUT them into a lethal rhythm.
nursetmw2002 1 year ago
All due respects, but AHA 2005 instructs us to immediately resume compressions for 2 minutes after a shock without checking for a pulse. You only check for a pulse just before checking for a shockable rhythm. I don't think CPR is very likely to induce a disrhythmia.
SteelDetailer 1 year ago
i think assessment first before anything else...don't proceed with chest compressions if there is a pulse...
MrPilipinas16 1 year ago
As a CPR Instructor, that is not the case with adults...Many responders have trouble finding the pulse on an adult and take up valuable time trying feel for a pulse and even listening for breathing...Even the paramedics agree with this!!!
hjblits 1 year ago
Great news. And, that Vivian Williams, what a great, professional voice!
mkaealc 1 year ago
A modern breakthrough that should save many lives. I published the initial paper on the question of "Is CPR Worthwhile "in the NEJM in 1972 but this takes it to another level.Congrats.
Jean Lemire MD
heartdoctor9 1 year ago 6
Good to know!!
lordydordy 1 year ago 2
Great. If only one person is saved it's worth it.
pelhosaini 1 year ago 4
@pelhosaini
only if it cost less than 3 million dollars to develop! Don't forget, people can put a price tag on anything (I just remembered reading in some magazine that 3 million is the "cost" of creating a fully functional, productive adult) Of course, that's very cynical, but seeing "worth it" made me think of it...
btmims 1 year ago
Wow. This is good to know.
veronica9080 1 year ago 2
Very interesting....
kckcats 1 year ago
Kind of silly not to check for a pulse before starting CPR. If the heart is beating, chest compressions aren't necessary!
trene73 1 year ago 4
@trene73
I totally agree!
scorp111772 1 year ago
@trene73
I totally agee with you. You should always check the pulse first...
scorp111772 1 year ago 2
This is much better than the Mouth to Mouth system.
The public however should be educated to this new process.
Yubapersonca 1 year ago
Always great to find a better way!
mafltchr 1 year ago
AMAZING! Thank you.
prksinc 1 year ago
A good way to remember what "100 compressions/minute" feels like is to do it to the beat of The Beegees "Staying Alive." Sing the chorus: "Ha, ha, ha ha, staying alive, staying alive" to yourself as you are doing the compressions. Turns out that song had a hidden meaning!
Acumook 1 year ago
Has this process been approved by any governing bodies?
wsawtelle 1 year ago
its useful video .. thanx 4 posting it .
its might be helpful 4 someone
i hope no one get in situations .
perfumed88 1 year ago
I thought the heart was on the left side. But that fact do not matter?
KrapylN 1 year ago
Very informative and something we can all do
LaVerneTwist 1 year ago
The rate the doctors in the video are going is much faster than 100/min and would not allow for adequate refill of the heart between compressions.
emtcox01 1 year ago
Thanks, this would be much easier.
teresahoopsdetroit 1 year ago
This is good information.
WillSev1 1 year ago
good 2 know
deweydusk 1 year ago
CPR New method by Mayo Clinic
wa5hsv 1 year ago
So...why are the compressions being performed on the RIGHT side of the chest??? The heart is on the LEFT side!
Misleading. AND you ALWAYS CHECK A PULSE BEFORE YOU START COMPRESSIONS!!!!
medicminx 1 year ago
"Don't waste time checking for a pulse?!" ARE YOU KIDDING ME? As a nurse, this is totally wrong! There are alot of reason people become unconscious, and doing CPR on someone whose heart is NOT STOPPED will cause them massive trauma! I can't believe the Mayo clinic didnt edit that line before releasing thuis video! If someone is in cardiac arrest, then start CPR immediately! Otherwise, keep their airway open by tilting their chin up and wait for trained personnel to arrive.
RN4HD 1 year ago
In these times of "blood born pathogens" and other contagious illness's, this method makes CPR safer for both parties!
PoorMansPlato 1 year ago
AND elevate the legs while doing this!!!!!!
MasterBowyer 1 year ago
I'd like to ask these Mayo MD's, when is the last time that an ambulance ever got to a patient that was not breathing and delivered them to the E.R. within 10 minutes. This method might be ok in a hospital setting, but in the real world, this cpr method without breaths is not as reliable as the more proven methods. Just because its easier to remember, doesn't make it better. GET CPR Certified and save a life...
Miguelflash 1 year ago
Thank you very much Gladiola
dangcha 1 year ago
Good to know. You never know when you're going to save someone's life.
cashisking98 1 year ago
About time to simplafy. Get the word out!
chuckboyle 1 year ago
Wonderful! I love it!! Thanks!
LadyV05 1 year ago
Very true! We've been utilizing this idea for about a year in our department (fire/rescue) and the statistics back it up! We still give breaths, but fewer and no longer highlight airway. Compressions keep the pump primed!
ztlibb 1 year ago
thank you for posting.
GloriDays 1 year ago
I'm sorry, but I've always been taught to never do chest compressions if the heart is beating. You have to check for a pulse.
dufbad 1 year ago
GOOD METHOD
tHANKS
album0com 1 year ago
Thank you :)
michael82384 1 year ago
wow guys - you are awesome!!!
komisarv 1 year ago
Excelent information!!
Ricuritadel2000 1 year ago
they say don't check for a pulse????????
What if the person just passed out? Find a pulse!!! before you break or bruise their ribs.
workinprogress77 1 year ago
To me, this form of CPR looks like it would only work if an ambulance can get to you within 10 minutes.
NKOWlifelight 1 year ago
thanks for sharing!
SeanLaRueHomeLoans 1 year ago