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.

Category:

Education

Tags:

• Hands-only
• CPR
• Continuous
• Chest
• Compression
• Mayo
• Clinic
• health
• medicine
• blood
• pumping
• arrest
• information
• cpr
• save
• respiratory
• patient
• checking
• breathing
• beating
• sternum
• method
• oxygen
• training
• mouth
• chest
• pulse
• compressions

[Trebor998]

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

[AZDHS]

@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]

@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]

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

[AZDHS]

@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.

[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]

@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.

[MrLausell]

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]

@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.

[PilarNamxa876]

ha I just wanna have fun with you

[armymedic98]

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

[armymedic98]

@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

[deejayfore]

@macwoodson the heart is in the middle, so you should press in the middle of the chest.

[conservativetothecor]

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.

[NoorAlShihaby]

I just took an AHA Heart Saver and AED course where we were taught to give 2 breaths and 30 compressions. Is this wrong?

[FleurdeLisband]

Why is he compressing the right side of the chest - isn't the heart more to the left?

[evanstranddancer]

IF SOMEONE HAS A PULSE>>> YOU DO NOT DO CPR. PERIOD!!!!!!!!!

check for pulse... always!

[Rockinitraw]

so does this mean we no longer have to do breaths for the patient ever? Is it not necessary to have proper training anylonger? 

[cstellatella]

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.