|BREAKING NEWS....CPR OF "MOUTH TO MOUTH" IS NOT SO HOT ANYMORE......chest compression will do...|
Posted by Vishva News Reporter on July 29, 2010
....GIVE AND GET A GIFT OF LIFE
BY LEARNING CPR....
....WHEN YOUR HEART STOPPING WORKING SUDDENLY
AND YOU COLLAPSE...
......WHAT IS CALLED CPR
GIVEN TO YOU BY A BYSTANDER
COULD GIVE YOU A SECOND LIFE.....
....So could you if you are a bystander
who has learned how to do a simple CPR...
.....WHAT DOES CPR DO....
In adults with cardiac arrest,
rescue breathing through mouth to mouth resuscitation
might not be
when the heart stops suddenly
(usually as the result
of an abnormal rhythm),
the lungs are inflated with oxygen-rich air.
Pumping on the chest called CPR
moves blood through the lungs,
where it picks up
that oxygen, and
delivers it to the heart and brain, which need it most.
.....Cardiopulmonary resuscitation (CPR) is
an emergency procedure
for people in cardiac arrest or, in some circumstances, respiratory
CPR is performed both in hospitals and in pre-hospital settings....
physical interventions to create artificial circulation through rhythmic
pressing on the patient's chest to manually pump blood through the
heart, called chest compressions, and usually also involves the rescuer
exhaling into the patient (or using a device to simulate this) to
ventilate the lungs and pass oxygen in to the blood, called artificial
Today's news story of latest
research on CPR
shows the potential of downplay of the importance of
the artificial respirations,
focus on the chest
compressions only (CCR).
(Haraz N. Ghanbari/associated
Graphic shows how to administer hands-only CPR
(J. Bell - AP)
PVAF is all about sharing knowledge about life to empower humanity to
live a happier life tomorrow than today simply because you have more
life knowledge through today's learning for tomorrow.....
Today's news story is giving a second chance to a human life when the
human body machine goes malfunctioning....and sometimes even stops dead
as per famous
(you can read about by clicking on the
name).....the gist of today's news apart from all the knowledge
sharing and learning is:
....GET YOURSELF AND EVERYONE ELSE
TO LEARN CPR...
..... SAVE AND BE SAVED.....
Please click on the next line to read the latest research on CPR and
then also to have a quick but comprehensive overview of CPR....who knows
who would need it one day......
TODAY'S NEWS-KNOWLEDGE SHARING
OF LATEST LIFE SAVING CPR STUDY....
CPR studies find no benefit to
mouth-to-mouth over chest compressions
Washington Post: Thursday, July 29, 2010: By David Brown,
For anyone trying to save a victim of cardiac arrest, the questions used
to be: How many breaths do I give? How many chest compressions? And do I
really want to do this in the first place?
New research published Thursday, however, adds to growing evidence that
cardiopulmonary resuscitation could be far simpler and less off-putting.
For adults in cardiac arrest, mouth-to-mouth breathing might not be
needed -- or even helpful.
Two studies in which telephone dispatchers instructed bystanders how to
perform CPR found that patients who got only chest compressions were as
likely to survive as ones getting conventional CPR that included rescue
About one-quarter of people who collapse away from a hospital get CPR
before paramedics arrive, which roughly doubles their chance of
The fraction of bystanders too squeamish to begin CPR because
of mouth-to-mouth contact isn't known. But researchers are betting it's
"There is inherent appeal to chest compressions alone because of the
challenges of doing the rescue breathing," said Thomas D. Rea, a
physician at the University of Washington, in Seattle, where one of the
studies was done. "If we can simplify the approach, I think we may
enable more laypeople to perform CPR in a cardiac arrest."
The American Heart Association, which trained 13 million people in CPR
last year, is developing new guidelines for resuscitation that will be
released in October. The current guidelines encourage bystanders to at
least do chest compressions, also known as hands-only CPR.
"To me, these studies are a win for hands-only CPR," said Michael R.
Sayre, a physician at the Ohio State University Medical Center who
chairs the 100-member committee of experts preparing the new protocols.
"I'm confident that the guidelines will help get more people to at least
do chest compressions."
Several experts said, however, that rescue breathing is essential for
children in cardiac arrest, and for people who have suffocated or
drowned. That's because in them breathing stops before the heart, and
restoring respiration might be enough to bring them back to life.
But in adults with cardiac arrest, rescue breathing might not be
necessary because when the heart stops suddenly (usually as the result
of an abnormal rhythm), the lungs are inflated with oxygen-rich air.
Pumping on the chest moves blood through the lungs, where it picks up
that oxygen, and delivers it to the heart and brain, which need it most.
.The prevailing theory is that not interrupting chest compressions with
rescue breaths might ultimately deliver more oxygen than standard CPR in
the crucial seven or eight minutes before paramedics arrive.
|"Our hypothesis was that chest-compressions-only would produce better
survival," Rea said.
Both studies, published Thursday in the New England Journal of Medicine,
found a trend in that direction.
In one of the experiments, EMS dispatchers in two Washington cities
(Seattle and Olympia) and London randomly assigned bystanders willing to
be instructed over the phone to do hands-only or standard CPR on about
1,900 people in cardiac arrest. In the hands-only group, 12.5 percent of
patients survived to leave the hospital, compared with 11 percent in the
standard CPR group.
In the other experiment, the Swedish EMS system randomly assigned about
1,300 victims of cardiac arrest to the two alternatives. In the
hands-only group, 8.7 percent of people survived at least 30 days,
compared with 7 percent of those getting conventional CPR.
Those statistics, however, mask a far more complicated reality.
There is good evidence that victims of cardiac arrest fall into two
groups -- one group harmed by rescue breathing and one group helped by
it. The first group is far larger than the second, which is why
eliminating rescue breathing makes little difference overall.
In the Washington State-London study, 70 percent of victims had a
"cardiac" cause for their cardiac arrest -- usually a heart attack or
angina attack. Those people probably had a lungful of air to call upon
at the start of CPR.
On the other hand, 30 percent had a "non-cardiac" cause for their arrest
-- a drug overdose, a choking episode, a weakness of the chest muscles.
Their breathing had slowed down, depleting lungs and blood of oxygen,
before their hearts stopped.
In people with a cardiac cause, 15 percent getting only chest
compressions survived, compared with 11 percent who got standard CPR. In
the people with non-cardiac causes, however, the trend was in the other
direction. Fewer survived (5 percent) if they got only chest
compressions than if they got standard CPR (7 percent).
Is it possible to distinguish the two groups in the field?
"The published evidence is that the EMS personnel usually can't tell,"
said Sayre, the physician leading the rewrite of the CPR guidelines.
When it comes to rescue breathing, "we are not ready to throw it out,"
said Myron L. Weisfeldt, a cardiologist and CPR researcher at Johns
Hopkins University School of Medicine, who wrote an editorial in the
Nevertheless, it appears increasingly clear that in adults who collapse
without a pulse, doing only chest compressions might be doing a lot
NOW YOU CAN AT LEAST HAVE
A QUICK COMPREHENSIVE OVERVIEW OF WHAT CPR
IS ALL ABOUT IN ADDITION TO
THE KNOWLEDGE SHARING IN TODAY'S NEWS
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