New CPR Guidelines

[Asolh1992]

great wallah thank you for such usfull information

my greating student at clinical laboratory sciences sectione

[RumNAss]

@ misswoohoo1 that is why GSA was established in 2001 :)

[MissWooHoo1]

im afraid if i do it wrong to the person or their family would sue me...

[CouldBePublishing]

If we were healthy to begin with, most would not need CPR. Take your health back!

NoMoreVitamins

[armymedic98]

do you have to have a liceinse to do cpr?

im trying to study cpr,because im about to take a class

at Civil Air Patrol(USAF auxillary)and they dont give you a liecens but you know how to do it after you take the classes,so im just courius plz respond

[Pali4everandever]

@armymedic98 you do have to have a license. but if a person was on the street and they weren't breathing you can do it.. but if anything goes wrong you are under the good samaritan act

[jayoli23]

@armymedic98 As a nurse I questioned my husband that is in the army if yal are still allowed to do CPR.. i dont remember his response to be honest. What I do remember is him saying yal are taught differently and under different circumstances. Most of yals under pressure moments are "in the line of duty". After stating that, no you do not need a license because the good samaritan act. Yet someone may have a DNR band or necklace on... meaning DO NOT RESUSCITATE.. good luck with class!

[armymedic98]

@jayoli23 Thank you,i was just questioning that because my dad,(he's a surgeon)once said that you can get sued if you where to break a rib or something if you do not have a license of that matter,i pretty much know you can,most likely not get sued for doing something wrong by a family member,or the victim him or herself,but the judge,(in the right mind)will be on your side,thanks again.

[0magnum88]

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[WiNtErAuTuMSpRiNg]

it's the same compression rate for one or two people now :D

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[timberland1108]

once the person is intubated you can do 1 breath every 5 sec

[kulugo14ph]

after 4-5mins brain start to damage w/out performing cpr you can easily determine if a person adequate breathing base on your personal impression...signs n symptoms of lack of oxygen in the body person turn to bluish color(cianosis),apnea or difficulty in breathing.....always check the abc's,not breathing no pulse do cpr.....

[Wolfhound27]

AHA 2005 Guidelines have removed pulse checks for non-healthcare professionals. If a person has no response, and is not breathing normally after opening and clearing airway, CPR should be performed. This is because research showed laypeople had difficulty accurately detecting whether a pulse was present or not. The reason for CPR being commenced "If not breathing normally", is that people in cardiac arrest can have agonal gasps i.e. reflex gasping.

[Xanthosis012]

Questions:

How long do I have time to do cpr? what if I was 10 mins late? How long can the person live without breathing, cuz people may take time to realize such things had happened to the particular person? how to do cpr for drowning?

How much force do I need to exert onto the patient's chest? is the force applied similar to squeezing a can of soda with both hands? or harder or softer?

how long do I have to do the cpr? until help arrive?

plz help, just trying to learn first aid, here

[sniralclarins]

@Xanthosis012 you check for pulse. mostly 10 minutes, the brain is already dead. but that is the reason why you check for the carotid pulse. CPR is done the same way regrdless the cause of injury. Well modifications are done if the peron is suspected of spinal cord or neck injury. Force is usually compression of 1 - 1 1/2 inch on adults. you can stop CPR if: the rescuer is exhausted (because you will not be effective anymore by this time and if medical team arrived. :) hope this helped

[Xanthosis012]

@sniralclarins yeah, thanks...will the pressure of hands break the rib cage when we try to do the pressing?

[Wolfhound27]

It is not impossible to cause rib fractures. It is possible to cause fractures, especially if the compressions are applied too low on the ribcage, hence the 2005 guidlines state compressions to be given in the centre of the chest. The likelihood and risk of rib fractures is low, compared to the risk of not performing CPR.

[Wolfhound27]

See the American Red Cross or American Heart Association home page for more information. Your local fire dept may also do a CPR class.

[fullmaniacpanic]

how hard do you have to press? what if you break their ribs? 

[prlerr]

@fullmaniacpanic... Cont.... if the skin is pink (normal) you are doing a great job but if the person is pale, you need to press harder... Just remember broken ribs heal, dead doesn't... Hope this helps

[Canei3825]

The compression they did on this video is too harsh too deep I know it's only mannequin but it wasn't done right. Not good for viewers

[nat30144]

uhm, can someone explain to me what 30:2 and 15:2 is???

[DangerD205]

@nat30144 You are asking about compression/breath ratio. 30:2 = 30 compressions and 2 breaths, and 15:2 is 15 compressions and 2 breaths. You NEVER do more than 2 breaths because it can cause hypo tension, and a lot of other problems. Also, if you are in a hurry due to elongated clinical death, my personal opinion is to switch to 15:2 for adults sometimes.

[ely8985]

fast and easY!!!

[lylyeoh]

Nowadays for cardiac arrest (not drowning) the latest findings appears to be focus on chest compressions and skip the breathing.

Except for drowning and other "no oxygen" problems. e.g. if they're blue, you better get some oxygen in first - no point circulating blood with no oxygen in it.

[swcoast]

You'd think the person giving chest compressions would now have more focus on delivering twice as many compressions (rather than half) now that an assitant is there to take care of artificial ventilation :-S

[swcoast]

I too heard it's 30:2, but that like some are saying, when it comes down to it a persistent effort is the main thing with a consistent method, irrespective of little variations. But I was wondering out of curiousity - why would it decrease now that there are two rescuers handling the pulmonary and cardiac resuscitations separately?

[nanbrum56]

@swcoast When one rescuer is working at a ration of 15:2, more time is lost repositioning yourself from mouth to chest. By increasing to 30:2, there are fewer interruptions in the steady rhythm. And it's less tiring for the rescuer. When two rescuers are involved, each maintains his/her position at either the mouth or chest . So a steady rhythm can be maintained at a lower ratio.

[swcoast]

@nanbrum56 Hey, that's very clever. Hadn't thought about that, but that's very true. Thanks, I'll bear that in mind. Also, I guess, ideally you'd want to do a 15:2 so that you can administer more rescue breaths. Having two people would definitely then enable both rescuers to make it a more efficient procedure like you say, but also a more effective one consising of more frequent breaths.

[markangela1965]

@swcoast first 10 compressions are only priming the pump therefore not effective, for lay first aiders we do 30:2. The heart for about 5 min or so is in VF or VT so compressions keep the heart in VF or VT til a deFib arrives. New guidelines are due on the 18 oct this year.

[oc1canoozer]

Does this pump to breath ratio apply to drowning victims where the lungs are likely filled with water?

[acadianopps]

@oc1canoozer The ratio is the current AHA guideline and applies to CPR in general, regardless of etiology of injury.

[NICKASHWA]

I lost a friend yesterday. He drowned and when they picked him out he had stopped breathing with his pulse slowing down, the guys accompanying him panicked and were more focused on getting him to a hospital rather than giving him a cpr, how i wish they had the presence of mind to do just that.

[MyKingdomForATaba2Ko]

For cripes' sake it doesn't matter how many times 15 or 30 as long as you keep a system and keep on working till help arrives!

[raybarber]

I've got this theory that every once in a while someone is successfully revived using CPR and the technique then becomes the new standard.

I've been told that, if you really don't fancy giving mouth to mouth, that the compressions will probably shift enough air to and from the lungs for a few minutes.

[lllcccdddmmm]

Omg in the europe this is veri veri old information. The rescues in the czech republic in 1999 has got 30:2 and in the 2006 we have a new recipe it is 70:2 and i think it´s good. And more more peoplas living through this recipe.

[KanzlerM]

Yeah, we know - everything European is so superior. Yawn.

[broman313]

not correct

ADULT 1-2 rescuers 30:2

CHILD1-2 rescuers 30:2

INFANT 1 rescuer 30:2

INFANT 2 rescuer 15:2

[seta02]

@guys who want to have a conscious patient.. are you kidding? imagine performing cpr on you.. it is for unconscious patients only.. no pulse , no breathing

[KanzlerM]

Unconscious & no breathing.

You no longer check for pulse - most people can't do it.

In an emergency, the average (rescuer) person's heart beat is so elevated from adrenaline that your own pulse is all you can feel!

Often an unconscious person has a very weak pulse

[KanzlerM]

(I tried to find pulse on an elderly woman once, and she regained consciousness while my hand was on her neck - she was quite confused!)

I never did feel a pulse - I was trying to calm myself to get a better feel on her carotid artery.

[cprguy02]

This video is geared towrd the professional rescuer and health care provider, not the general public. General public does not do two-person CPR and they don't check for a pulse anymore. All CPR is done with 2 ventilations and 30 compressions (all ages) at a rate fo 100 compressions a minute.  30 compressions should take about 20 seconds to complete. Give enough breath to see chest rise. Get certified, stay certified.

[gyuh2bu]

why noy practice on a live person or a young man so that it would be realistic.

[Jvilander]

constant comprehessions "hard and fast" would hurt a person that is conscious

[CoastalCaldwell]

@Jvilander CPR is performed on those who are clinically dead. Therefore, they are not conscious at the time.

[QuietOneOnLine]

If thet are talking singing crying shouting they are STILL ALIVE... we would NOT DO CPR.

[sniralclarins]

@Jvilander you don't do CPR on a conscious person. :) that is the reason you do "hey hey hey are you okay" and you shake or do a sternal rub to check if the person is conscious or not.

[mangdolphy]

nice video but the compression is a little slow. trick to get the proper compression rhythm is to sync it with the song staying alive staying alive ah ah ah ah staying alive lol. and for 1 rescuer, use of ambubag is not really recommended due to time it takes and fitting problem. use mouth barrier instead or if there's none at all you can just do compression without rescue breath. and for infant and children peroform cpr first for at least 5mins before calling for rescue

[MissChloehoeh]

@Jvilander Imagine someone collapsing (they missed breakfast for exmaple) then some random runs up and starts compressing their chest!

[anubarge]

compressions can break a person's ribs

[CoastalCaldwell]

@anubarge yes, and I've broken many people's ribs doing CPR. I tend to think they would rather live than be a corpse with perfect ribs.

[hamishishere]

thats crazy it could kill u

[khara1234567]

lol, when you do cpr the person is already considered dead, moron

[KanzlerM]

If a person needs CPR, bad CPR is better than none.

[DangerD205]

@khara1234567 That is not true. A person is not considered dead until thier brain has stopped its normal function. I bet if your fathers heart stiopped in front of you, you would not consider him "dead" There is a difference between CLINICALLY dead (when heart and breathing stops) than actual death.

[sniralclarins]

@khara1234567 no not yet dead. just unconscious. that is the reason you do CPR to prevent him from dying not to revive him from death. you can't revive a dead person. lol

[netkilla]

@khara1234567 cpr is not for dead people, clinically dead people don't benefit from CPR