FW: [Emergency Medical Services] CPR Upgrade
Jeff Turner - QEM Fire
Thought I’d send this out since we’re in the middle of the 1st responder course.
Jeff
NEW YORK
- You can skip the mouth-to-mouth breathing
and just press on the chest to save a life. In a major
change, the American Heart Association said Monday
that hands-only CPR — rapid, deep presses on the
victim's chest until help arrives — works just as well
as standard CPR for sudden cardiac arrest in adults.
Experts hope bystanders will now be more willing to
jump in and help if they see someone suddenly
collapse. Hands-only CPR is simpler and easier to
remember and removes a big barrier for people skittish
about the mouth-to-mouth breathing.
"You only have to do two things. Call 911 and push
hard and fast on the middle of the person's chest,"
said Dr. Michael Sayre, an emergency medicine
professor at Ohio
State University
who headed the
committee that made the recommendation.
Hands-only CPR calls for uninterrupted chest presses —
100 a minute — until paramedics take over or an
automated external defibrillator is available to
restore a normal heart rhythm.
This action should be taken only for adults who
unexpectedly collapse, stop breathing and are
unresponsive. The odds are that the person is having
cardiac arrest — the heart suddenly stops — which can
occur after a heart attack or be caused by other heart
problems. In such a case, the victim still has ample
air in the lungs and blood and compressions keep blood
flowing to the brain, heart and other organs.
A child who collapses is more likely to primarily have
breathing problems — and in that case, mouth-to-mouth
breathing should be used. That also applies to adults
who suffer lack of oxygen from a near-drowning, drug
overdose, or carbon monoxide poisoning. In these
cases, people need mouth-to-mouth to get air into
their lungs and bloodstream.
But in either case, "Something is better than
nothing," Sayre said.
The CPR guidelines had been inching toward
compression-only. The last update, in 2005, put more
emphasis on chest pushes by alternating 30 presses
with two quick breaths; those "unable or unwilling" to
do the breaths could do presses alone.
Now the heart association has given equal standing to
hands-only CPR. Those who have been trained in
traditional cardiopulmonary resuscitation can still
opt to use it.
Sayre said the association took the unusual step of
making the changes now — the next update wasn't due
until 2010 — because three studies last year showed
hands-only was as good as traditional CPR. Hands-only
will be added to CPR training.
An estimated 310,000 Americans die each year of
cardiac arrest outside hospitals or in emergency
rooms. Only about 6 percent of those who are stricken
outside a hospital survive, although rates vary by
location. People who quickly get CPR while awaiting
medical treatment have double or triple the chance of
surviving. But less than a third of victims get this
essential help.
Dr. Gordon Ewy, who's been pushing for hands-only CPR
for 15 years, said he was "dancing in the streets"
over the heart association's change even though he
doesn't think it goes far enough. Ewy (pronounced
AY-vee) is director of the University
of Arizona
Sarver Heart
Center in Tucson, where the
compression-only technique was pioneered.
Ewy said there's no point to giving early breaths in
the case of sudden cardiac arrest, and it takes too
long to stop compressions to give two breaths — 16
seconds for the average person. He noted that victims
often gasp periodically anyway, drawing in a little
air on their own.
Anonymous surveys show that people are reluctant to do
mouth-to-mouth, Ewy said, partly because of fear of
infections.
"When people are honest, they're not going to do it,"
he said. "It's not only the yuck factor."
In recent years, emergency service dispatchers have
been coaching callers in hands-only CPR rather than
telling them how to alternate breaths and
compressions.
"They love it. It's less complicated and the outcomes
are better," said Dallas
emergency medical services
chief Dr. Paul Pepe, who also chairs emergency
medicine at the University
of Texas Southwestern
Medical Center.
One person who's been spreading the word about
hands-only CPR is Temecula,
Calif., chiropractor Jared
Hjelmstad, who helped save the life of a fellow health
club member in Southern California
Hjelmstad, 40, had read about it in a medical journal
and used it on Garth Goodall, who collapsed while
working out at their gym in February. Hjelmstad's
15-year-old son Josh called 911 in the meantime.
Hjelmstad said he pumped on Goodall's chest for more
than 12 minutes — encouraged by Goodall's intermittent
gasps — until paramedics arrived. He was thrilled to
find out the next day that Goodall had survived.
On Sunday, he visited Goodall in the hospital where he
is recovering from triple bypass surgery.
"After this whole thing happened, I was on cloud
nine," said Hjelmstad. "I was just fortunate enough to
be there."
Goodall, a 49-year-old construction contractor, said
he had been healthy and fit before the collapse, and
there'd been no hint that he had clogged heart
arteries.
"I was lucky," he said. Had the situation been
reversed, "I wouldn't have known what to do."
"It's a second lease on life," he added.
___
.
__,_._,___
Jason Shumaker
instructors, nothing has changed for healthcare providers. We still have
to do the 30 compressions to one breath. THe change is only for the public
for thoughs people who do not want to do the respirations for fear of
catching something. So do not follow this new information. We are to
follow the way you were taught by me. The American Heart Assotiation
teachings of 30:1. Thanks for the information Jeff but it does not matter
to us. Any questions just contact me,
Jason
Jeff Turner - QEM Fire
> Thought I'd send this out since we're in the middle of the 1st responder
> course.
>
>
>
>
>
> Jeff
>
>
>
>
>
>
>
>
>
> NEW YORK - You can skip the mouth-to-mouth breathing
> and just press on the chest to save a life. In a major
> change, the American Heart Association said Monday
> that hands-only CPR - rapid, deep presses on the
> victim's chest until help arrives - works just as well
> as standard CPR for sudden cardiac arrest in adults.
>
> Experts hope bystanders will now be more willing to
> jump in and help if they see someone suddenly
> collapse. Hands-only CPR is simpler and easier to
> remember and removes a big barrier for people skittish
> about the mouth-to-mouth breathing.
>
> "You only have to do two things. Call 911 and push
> hard and fast on the middle of the person's chest,"
> said Dr. Michael Sayre, an emergency medicine
> professor at Ohio State University who headed the
> committee that made the recommendation.
>
> Hands-only CPR calls for uninterrupted chest presses -
> 100 a minute - until paramedics take over or an
> automated external defibrillator is available to
> restore a normal heart rhythm.
>
> This action should be taken only for adults who
> unexpectedly collapse, stop breathing and are
> unresponsive. The odds are that the person is having
> cardiac arrest - the heart suddenly stops - which can
> occur after a heart attack or be caused by other heart
> problems. In such a case, the victim still has ample
> air in the lungs and blood and compressions keep blood
> flowing to the brain, heart and other organs.
>
> A child who collapses is more likely to primarily have
> breathing problems - and in that case, mouth-to-mouth
> breathing should be used. That also applies to adults
> who suffer lack of oxygen from a near-drowning, drug
> overdose, or carbon monoxide poisoning. In these
> cases, people need mouth-to-mouth to get air into
> their lungs and bloodstream.
>
> But in either case, "Something is better than
> nothing," Sayre said.
>
> The CPR guidelines had been inching toward
> compression-only. The last update, in 2005, put more
> emphasis on chest pushes by alternating 30 presses
> with two quick breaths; those "unable or unwilling" to
> do the breaths could do presses alone.
>
> Now the heart association has given equal standing to
> hands-only CPR. Those who have been trained in
> traditional cardiopulmonary resuscitation can still
> opt to use it.
>
> Sayre said the association took the unusual step of
> making the changes now - the next update wasn't due
> until 2010 - because three studies last year showed
> hands-only was as good as traditional CPR. Hands-only
> will be added to CPR training.
>
> An estimated 310,000 Americans die each year of
> cardiac arrest outside hospitals or in emergency
> rooms. Only about 6 percent of those who are stricken
> outside a hospital survive, although rates vary by
> location. People who quickly get CPR while awaiting
> medical treatment have double or triple the chance of
> surviving. But less than a third of victims get this
> essential help.
>
> Dr. Gordon Ewy, who's been pushing for hands-only CPR
> for 15 years, said he was "dancing in the streets"
> over the heart association's change even though he
> doesn't think it goes far enough. Ewy (pronounced
> AY-vee) is director of the University of Arizona
> Sarver Heart Center in Tucson, where the
> compression-only technique was pioneered.
>
> Ewy said there's no point to giving early breaths in
> the case of sudden cardiac arrest, and it takes too
> long to stop compressions to give two breaths - 16
> than 12 minutes - encouraged by Goodall's intermittent
> gasps - until paramedics arrived. He was thrilled to
> find out the next day that Goodall had survived.
>
> On Sunday, he visited Goodall in the hospital where he
> is recovering from triple bypass surgery.
>
> "After this whole thing happened, I was on cloud
> nine," said Hjelmstad. "I was just fortunate enough to
> be there."
>
> Goodall, a 49-year-old construction contractor, said
> he had been healthy and fit before the collapse, and
> there'd been no hint that he had clogged heart
> arteries.
>
> "I was lucky," he said. Had the situation been
> reversed, "I wouldn't have known what to do."
>
> "It's a second lease on life," he added.
>
> ___
>
>
>
>
> .
>
>
> <http://geo.yahoo.com/serv?s=97359714/grpId=5216747/grpspId=1705216300/msgId
> =6210/stime=1207093829/nc1=5191948/nc2=5191951/nc3=5170406>
> __,_._,___
>
>
> >
>
Jeff Turner - QEM Fire
and not for EMS workers...
Jeff Turner
Probationary FireFighter
QEM Fire Protection District
Jersey County, Illinois
www.qemfire.com