Document Detail

Rationale for continuous chest compression cardiopulmonary resuscitation.
MedLine Citation:
PMID:  19740774     Owner:  NLM     Status:  MEDLINE    
Every year more than a million cardiac arrests are documented in the industrialised nations of the world, with the majority occurring in settings outside hospital. A major factor in survival after out-of-hospital cardiac arrest (OHCA) is early institution of bystander resuscitation efforts. Sadly, the majority of OHCAs do not receive bystander resuscitation for a variety of reasons. One of them is the requirement for mouth-to-mouth (MTM) ventilation. The 2008 American Heart Association recommendation for "hands only" or continuous chest compression cardiopulmonary resuscitation (CPR) for untrained lay people was a welcome change. However, evidence indicates that MTM and other forms of positive pressure ventilation should be eliminated for all bystanders responding to primary cardiac arrest (unexpected witnessed collapse in an unresponsive person). The requirement for MTM ventilation may well be indicated for patients with respiratory arrest but is detrimental during early resuscitation efforts by anyone providing CPR to patients with primary cardiac arrest. This article provides rationale for continuous chest compression CPR by all bystanders.
R Ramaraj; G A Ewy
Related Documents :
18616204 - The first ligation of the abdominal aorta.
19752324 - Chest compression fraction determines survival in patients with out-of-hospital ventric...
19349324 - Importance of the first link: description and recognition of an out-of-hospital cardiac...
11388934 - Can cardiac sonography and capnography be used independently and in combination to pred...
23900044 - Long-term implications of further st elevation during thrombolytic therapy on left vent...
18692854 - Differential patterns of evolution in acute middle cerebral artery infarction with perf...
Publication Detail:
Type:  Journal Article     Date:  2009-09-08
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  95     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-30     Completed Date:  2009-12-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  1978-82     Citation Subset:  AIM; IM    
Department of Internal Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Airway Obstruction / therapy
Cardiopulmonary Resuscitation / education,  methods*
Heart Arrest / therapy*
Respiration, Artificial / methods*
Respiratory Sounds

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Selective Site Right Ventricular Pacing.
Next Document:  Differential regulation of interleukin 17 and interferon gamma production in inflammatory bowel dise...