Continuous Chest Compression CPR - Mayo Clinic Presentation

Mayo Clinic Presentation of Continuous Chest Compression CPR - Cardiocerebral Resuscitation
Cardiocerebral resuscitation (CCR) is a new approach to patients with out-of-hospital cardiac arrest that has been shown to improve rates of neurologically intact survival by 250%--300% over the approach advocated by the 2000 American Heart Association guidelines. And EMS systems can realize these improvements without having to buy a single new gadget or device.

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  Education

[Trebor998]

Don't check for a pulse? I don't know about that...

[AZDHS]

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]

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]

How do you know the person hasn't suffered a stroke? Is it safe to use this technique in that instance?

[AZDHS]

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.

[macwoodson]

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

[AZDHS]

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.

[Carlos Lausell]

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

[MissMelon380]

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.

[shoujoluvr707]

ok ok... I've been told that there are the ABC rules and the CAB rules. ABC would apply if I SEE someone actually collapse. I would immediately assess for injury, stabilize the head, check for a carotid pulse and breathing at the same time, and if there is no pulse, begin a full cycle of chest compressions (because most likely if there is no carotid pulse, the patient is not breathing) the CAB rule indicates like this video.. someone has passed out, then I begin continuous chest compressions.

[DKruse88]

That's okay, because the AHA 2010 guidelines changed from "around 100 BPM" to at LEAST 100 BPM, siding with going faster rather than slower.

[LaurentiusLong]

Woah easy there cowboy. Good strong moves but your way, way over 100 bpm...

[PilarNamxa876]

ha I just wanna have fun with you

[Online CPR Certification]

I was always taught the ABC method, but this is good to know. I think it is important to stay up to date in CPR training.

[JakeTheAustralian]

This is absolute crap!

I'm a surf lifesaver with a senior first aid certificate and this is what I have to say.

First you make sure that they are unconscious my trying to wake them up and checking breathing, then if there is no breathing and/or no heartbeat, start cpr.

witch is 30 compressions to 2 breaths. keep doing that until they start breathing again and become conscious

[ChelseaBobcat]

im taking a cpr class in college and they tell us to check for breathing and for a pulse, but people are saying that's been changed for a while, so im wondering why im still being taught to check...

[Joe George]

how do you locate the sternum in women. i dont mean to sound like a dumbass but every one uses male mannequins only. I mean is it still between the nipples or is it different. I know its close to the middle of the chest but how can you tell. thanks in advance

[Christof0127]

Don't always take notes from videos such as this, AHA guidelines for CPR change all the time.. Typically every 2-3 years.

[armymedic98]

no i would do what you think is best everything works their just picky about how you do it