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Improved Survival from Cardiac Arrest with Only Chest Compressions

Posted Oct 08 2010 12:00am

Here is some important health information that will be very important to disseminate. A new study found that people who suffered cardiac arrest and received chest compressions from bystanders had higher survival rates than those given standard resuscitation that included mouth-to-mouth breathing (see: Study Backs Simpler CPR for Patients ).  Below is an excerpt from the article:

About 300,000 people in the U.S. collapse each year from cardiac arrest, which can be brought on by a heart attack or other reasons, and fewer than one-third get CPR from bystanders, according to American Heart Association estimates. The breathing part of CPR is a big barrier for many people, the AHA says. Growing evidence has suggested that skipping the mouth-to-mouth breathing in favor of rapid, chest-only compressions is as effective and easier for non-medical personnel to administer....The study...involved 4,415 adults who collapsed following cardiac arrest from 2005 through 2009. Of those, 666 patients received conventional CPR from a bystander and 849 received chest-only compressions. The rest got no CPR. Survival rates, as measured through hospital discharge, were 13.3% for patients receiving chest-only compressions. That compared with 7.8% for people getting conventional CPR and 5.2% for those receiving no CPR. The study was conducted as part of an Arizona program to improve cardiac-arrest care. If an automated external defibrillator is available, people assisting a cardiac-arrest patient should attach the device to the victim and follow its instructions. If an AED isn't available, bystanders should perform chest compressions until paramedics arrive, according to the Arizona cardiac-care website, . Doctors caution that when children are found unresponsive, the cause is typically respiratory and not heart related so they would also need mouth-to-mouth breathing.

This information seems to be very clear to me. I have nothing to add other then to commend the public officials in Arizona for their efforts in improving survival from cardiac arrest through the efforts of bystanders.

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