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CMAJ article: Change CPR guidelines

Written by: QMI Agency
 

Jul. 28, 2014

CMAJ article recommends change to CPR guidelines. (Fotolia)


 

An article in the Canadian Medical Association Journal recommends a change to CPR guidelines that would encourage untrained bystanders to perform rescue breathing as well as chest compressions, if trained help isn’t around.

The recommendation is a change from previous protocols set in 2010, which advised against rescue breathing to make it easier for an untrained bystander and because mouth-to-mouth breathing can delay or interrupt chest compressions.

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The article, written by Dr. Anthony M.H. Ho, Dr. Song Wan, and Dr. David C. Chung, says lay people may be reluctant to perform CPR because of the intimate contact of rescue breathing.

Research performed in urban areas, with faster paramedic response times, found compression-only CPR improved survival rates. But in rural areas, excluding ventilation makes survival less likely.

The article recommends ventilation start within minutes of a cardiac arrest, using the head-tilt-chin-lift technique to help open the airway. “The physiologic argument and evidence supporting the addition of this technique to compression-only CPR by untrained bystanders with out-of-hospital cardiac arrests are compelling.”

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