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02.09.2014 admin
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Myth: Proper CPR technique should include frequent use of “mouth to mouth” in between compressions. In fact, the 2010 guidelines set out by the American Heart Association (AHA) do not recommend breathing for someone while performing CPR (and not for your health, as you might think, but for the person experiencing cardiac arrest’s chances of survival).
In 2010, ILCOR (International Liaison Committee on Resuscitation), reviewed hundreds of studies and found that breathing just wasn’t necessary for people when doing CPR. The purpose of the heart is to move blood around the body and supply our organs and tissues with needed nutrients. The pumping action of the heart creates an internal pressure throughout your vascular system (arteries and veins). So now you might be wondering, if oxygen is still needed, why aren’t they recommending the “breathing” step now-a-days? At the moment of cardiac arrest, there is also an adequate amount of oxygen in the blood to maintain metabolism within the brain for a few minutes. When paramedics or doctors show up, you might think they have countless advanced tools and medicines that will get a person’s heart and brain going again. Even giving lots of oxygen to people whose hearts do begin working again is starting to show itself to be a dangerous practice.
So to summarize, because there is usually an adequate amount of oxygen in the blood, for a while, compressions and compressions only is the main focus of good CPR today. There are an average of 383,000 cardiac arrests every year in the United States that occur outside of a hospital. Immediate CPR for someone in cardiac arrest will increase their chance of survival by 300%! Only about 8% of people who suffer from a cardiac arrest outside of the hospital will survive to tell the tale. 70% of Americans say they don’t do CPR in emergency situations because they feel inadequately trained, or it has been too long since their training, so they’re afraid to do it. This is not true, in a cardiac arrest situation you loose 10% chance of survival after every minuet, in this situation the body has around 4minuets worth a oxygen in it, after that you are pumping non oxygenated blood around the body decreasing the chance of that persons survival without adding breaths into the sequence. AHA recommends hands only CPR for someone that wants to help in a cardiac arrest situation, but they are untrained.
Generally, I don’t believe breathes are given until a patient is intubated and a bag can be attached.
By that logic, shouldn’t that also mean that their body has less of a demand for oxygen?
Berg MD, Schexnayder SM, Chameides L, Terry M, Donoghue A, Hickey RW, Berg RA, Sutton RM, Hazinski MF. If you have 2 people, and neither of their services in phoning EMS is needed (and bleeding has already been ruled out), then, sure, one should check airway & give breaths while the other does compressions, because what else can person #2 do besides attend to respiration? I first learned CPR in 92 at the age of 12 (the joys of growing up with two paramedic parents, I tell ya) and have kept up with it since (because above mentioned parents would still have my hide otherwise). Another interesting thing I learned growing up around paramedics and seeing the pros do CPR a time or two is that paramedics and ER personnel don’t do it the same way us civvies are taught.


Too much misinformation and squabbling over who is right does nothing to improve patient outcomes. Ahead of time going to lay out my ‘credentials’ since some people seem so obsessed! Have to admit that when I first saw the new advice on CPR I thought that maybe there had been a drop off in attempted resuscitation because of fears about blood borne infections and that SOMETHING was better than nothing. I has been stated that there is enough oxygen in the blood for 4-5 minutes so first importance is circulating THAT.
Also it has been my experience that people release what they”know” (even if it is COMPLETELY WRONG!) like pulling teeth!! Find Us On YouTube!Subscribe today to check out our free Daily Knowledge Youtube video series! If you can't find the clipart your looking for then please do not hesitate to get in touch and we will gladly help. Even if she swore off of them, it would be silly to give Munchos a lifetime ban, when she knows damn well she’s gonna want them again sometime. If you’re a person who was trained in CPR a long time ago, you might be familiar with the once staple “15 chest compressions then 2 breaths”.
Even for advanced medical personnel, like paramedics and doctors, breathing for someone in cardiac arrest has a limited role.
We can replace hearts, lungs, livers, kidneys, etc., but in the end, they all are really just working together to keep our brains alive. This is measured in millimeters of mercury, and is what gets elevated with excessive intake of cheese and beer (mmmm cheese and beer). Numerous studies have shown that it takes about 10 chest compressions in a row to create enough “pressure” to get blood to the brain. They used to use the age old A-B-C’s (A-airway, B-breathing, C-circulation) as the acronym for what is most important in resuscitation.
Every minute after that, a person’s chance of regaining function within those cells goes down by about 10%.
At the moment someone goes into cardiac arrest, the brain is still trying to function, but with a less than adequate oxygen capacity. A person’s metabolism will naturally use up this available oxygen over time, but combined with agonal respiration, the result is that there can be enough oxygen within the bloodstream that breathing for someone isn’t necessary while you wait for emergency aid. In actuality, CPR and compressions are the main focus during their attempts at successfully resuscitating someone. Medical professionals used to give excessive amounts of oxygen to a patient in cardiac arrest as it was the prevailing thought that the more oxygen you could give someone in cardiac arrest, the greater chance oxygen would reach the brain and keep the cells alive (seems reasonable enough).
While one would think the more oxygen and breathing you can do for someone who isn’t doing it on their own, the better. Cardiac arrest is when the heart ceases to pump, or beat, because of an abnormal electrical impulse within the heart itself.
The vinnie jones advert is for non trained people to get stuck in to try and increase the number of people surviving a cardiac arrest outside the hospital setting.
However, I learned that breaths are useful with victims who have stopped breathing due to drowning.
For Pediatric BLS certified Healthcare Providers, the AHA does recommend rescue breaths first if there is a pulse, or compressions first if there is no pulse. My wife had a seizure in her sleep the other night I didn’t do any breathing for her but I did compressions and when the paramedics got here they used the defibrillator and the breathing thingy not sure what they are called they squish it to send air in to the lungs, In any case she was stabilized and is completely fine today in fact she was only in ICU for a few hours before moving her out to a regular room for observation she is there now.
If you followed the 2005 guidelines, then you’re familiar with the “30 compressions then 2 breaths” technique. The science behind this seemingly huge shift in treating someone has been around for over a decade, but it has only been recently that people in the U.S. When we perform chest compressions, we artificially create this pumping by squeezing the heart.
The minute you stop chest compressions, like when you are giving someone breaths, the blood pressure goes immediately back to 0. They now recommend C-A-B to try to emphasize that compressions are much more important than breathing.


The breathing centers of the brain, specifically the medulla oblongata and the pons region, continue to send signals to the diaphragm in an attempt to keep respiration going. Unfortunately, the exact amount of time where breathing isn’t necessary isn’t precisely known, varying from study to study.  However, ILCOR looked at studies that used different ventilation to compression ratios, from 15 compressions to 2 breaths, all the way up to 100 compressions to 1 breath, and even no breathing and only compressions, and while every study had differing numbers of survival, the trend was always the same. Breathing has now become almost an afterthought, something that’s only done after you have enough people to perform chest compressions and put a defibrillator to use. However, current studies are showing that people are having better survival rates (by survival I mean get discharged from the hospital with some sort of brain function) when they get large doses of oxygen withheld from them and simple “room air” is used instead. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information in this article….
So unless you witness the person collapsed in front of you, assume it was past that time limit and breath 2 times every 30 compressions.
However, if you take BLS (Basic Life Support) for healthcare providers and ACLS (Advanced Cardiac Life Support), which is also for health care providers, they do want breathing. SO after reading this I wonder if this is the case for any situation where the heart stops or breathing has become erratic normally after a seizure it takes about 45 seconds to a minute for her to start breathing again, that did not happen this time. While it is medically possible to get their hearts beating again, there is no benefit to that person at that point. The least amount of interruption in compressions, even for breathing, the better chance the person had of surviving. So don’t worry about having to French-kiss that 300 pound guy with tobacco on his lips and blood in his mouth. Push on that chest!  If you’re a “Forever Alone” guy preforming CPR on a woman, it might just be your only chance to touch a lady’s chest without getting slapped!  If she survives, she’ll probably even thank you!  There’s really only upside here. A heart attack can cause a sudden cardiac arrest, but people who have a heart attack are significantly more likely to survive than those who suffer cardiac arrest.  Either way, if you have chest pain, call 911! This is because medical professionals have airways they can put in and bag masks with which they can breathe for the patient. I’m not trying to side with either you nor Daven, but I think you need a stronger argument than that (both logic and sources) to sway me.
When we let up on the compression, the closed vascular system siphons blood back into the heart, ready to be pushed out again. Since the purpose of performing CPR is to allow a person’s brain the opportunity to function again, and getting blood to that brain is the only way to do it, increasing compressions became the treatment of choice. While this type of breathing is not sufficient to maintain appropriate oxygen levels in someone’s blood for long, it still allows for some exchange of oxygen and carbon dioxide within the lungs. When breathing is addressed, at no point will chest compressions ever be stopped for the sake of breathing. They train over 12 million people a year on how to perform CPR (I don’t have to train that many, thankfully).
The layperson with no medical knowledge does not have any tools they can use and only their CPR knowledge to draw on, so its better to have compressions and focus on giving high quality CPR. If you did, however, get their heart beating, you now have a wonderful garden from which doctors can harvest organs, assuming you’re a donor (and you should be, you won’t be needing those organs anyways when you die or are otherwise brain dead and there are many others who do). No more can Squints go to the pool and fake that he’s drowned just to get Wendy Peffercorn to give him mouth to mouth. A medical professional has more knowledge to draw on, has likely performed CPR before and knows what to do. In that case… give the breaths to get some oxygen for the patient, but compressions are ALWAYS done first.
100 compressions a minute is the goal no matter what though and breathing for the patient is much easier to do with 2 rescuer CPR vs. The AHA manual on ACLS which I am certified in and is using the current manual as a reference.



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