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...
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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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.
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!!!
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.
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 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
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.
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.
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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.
I
ALWAYS CHECK FOR A PULSE BEFORE COMPRESSIONS!!!!
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
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.