CPR - chest compressions only?

  1. I thought this article was interesting. I know that the guidelines were changed fairly recently, as I had my BLS this last summer, and the compressions to breath ratio had changed. But no breaths at all?

    http://sfgate.com/cgi-bin/article.cg...NGMPOMBIT1.DTL

    http://www.newsday.com/news/health/n...news-headlines
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  2. 22 Comments

  3. by   damarystx
    My understanding is that the study was compression only vs. the old standard of 15 compressions it would be interesting to see it done against the new standards...in my CPR class they said 50 was even better by a very small percent but that the fatigue that resulted outweighed that small increase.....
  4. by   sanctuary
    Wonder how long they persisted in compressions only? Seems like eventually the O2 would be used up, unless agonal breathing is prolonged by compressions. I can see it working for a short period.
  5. by   Rach101
    We have been taught to do compressions only unless there it is a 2 person resucitation where one person is doing compressions and the other maintaining airway and doing breaths.
    Rationale is that too much pressure is lost in the time it takes to stop compressions, ensure airway is open and give breaths. Plus CO2 content is high in exhaled air combined with bad administration of breaths (often ends up going into stomach) =just not worth it. Better to maintain perfusion by maintaing adequate BP thru compressions.
    Apparently the compressions do help with gas exchange due to change in pressure in cavity. Hence why you only need to do compressions. Not sure how long someone could 'last for' only do compressions tho...
  6. by   KellieNurse06
    Am I mistaken or is it now 30 compressions?
    I have to renew my cpr this May and when I did it almost 2 years ago , it was still 15 compressions.
    I am mentioning this because the other morning I was watching The Early Show and that Dr Emily Senay was on & said it's 15 compressions to 2 breaths.......it jumped right out at me and I wasn't really paying attention to the show but I heard that clear as a bell....& I thought she was wrong due to new guidlines I heard........unless I am wrong & misunderstood other people. But my bf is a cop & he has to take cpr classes every year & he even told me the new thing was 30 compressions not 15 like it used to be.......and this was several months ago. Hmmmmmmm
    Last edit by KellieNurse06 on Mar 17, '07
  7. by   eric909
    yes your bf is correct bls is 30 compressions to 2 breaths for an adult according to american heart. i just did acls yesterday so it is pretty fresh in the old brain.
    Last edit by eric909 on Mar 17, '07
  8. by   Rach101
    Its all rather confusing because everywhere has different rules- would make it difficult for a health professional that travels alot. In NZ it is 50 compressions, however i know that the guidelines are different in Australia, USA and Europe.
  9. by   traumahawk99
    it has long been my understanding that "rescue breaths" were A COMPLETE WASTE OF TIME. you move MORE than enough air with chest compressions.

    "rescue breathing" has actually killed more people than it has helped!!!!!!

    FINALLY, ems professionals are waking up to evidence based practices.

    you'll see less and less about breathing and more and more about chest compression and defibrillation, which is what actually saves people.

    i was very happy to hear this news!
  10. by   Halinja
    Quote from Rach101
    Rationale is that too much pressure is lost in the time it takes to stop compressions, ensure airway is open and give breaths. Plus CO2 content is high in exhaled air combined with bad administration of breaths (often ends up going into stomach) =just not worth it. Better to maintain perfusion by maintaing adequate BP thru compressions.
    Apparently the compressions do help with gas exchange due to change in pressure in cavity. Hence why you only need to do compressions. Not sure how long someone could 'last for' only do compressions tho...
    Those are the points I took from it. Not good to let the BP drop, and air not going where it should, with high CO2 levels anyway.

    Also for the general public...people are scared to do breaths because of fear of disease. More people might be willing to do just compressions over compressions and breaths.
  11. by   flashpoint
    Quote from KellieNurse06
    Am I mistaken or is it now 30 compressions?
    I have to renew my cpr this May and when I did it almost 2 years ago , it was still 15 compressions.
    I am mentioning this because the other morning I was watching The Early Show and that Dr Emily Senay was on & said it's 15 compressions to 2 breaths.......it jumped right out at me and I wasn't really paying attention to the show but I heard that clear as a bell....& I thought she was wrong due to new guidlines I heard........unless I am wrong & misunderstood other people. But my bf is a cop & he has to take cpr classes every year & he even told me the new thing was 30 compressions not 15 like it used to be.......and this was several months ago. Hmmmmmmm
    Two rescuer CPR on a child is still 15 to 2...the logic is that children will benefit from the increased ventilations. I'd be willing to bet she just messed up though. Most TV shows like ER are still showing the three stacked shocks, 15 to 2, etc.

    Quote from traumahawk99
    it has long been my understanding that "rescue breaths" were A COMPLETE WASTE OF TIME. you move MORE than enough air with chest compressions.

    "rescue breathing" has actually killed more people than it has helped!!!!!!

    FINALLY, ems professionals are waking up to evidence based practices.

    you'll see less and less about breathing and more and more about chest compression and defibrillation, which is what actually saves people.

    i was very happy to hear this news!
    Umm...EMS professionals don't exactly set the standards...here, we follow AHA guidelines and AHA has been putting a lot of emphasis on defibrilation for a long time. I agree that it is about time they start focusing more on compressions.
    Last edit by flashpoint on Mar 18, '07 : Reason: Because I always have more to say...I never shut up...I just keep talking and talking and going on and on about whatever...
  12. by   Overland1
    What is rather interesting is that the correct rate for compressions is ~100/minute. If you want to practice at that rate, a little background music will help everybody to maintain that rate and timing.

    What was the song with a downbeat that most accurately represents the correct rate?

    "Another One Bites the Dust" (Queen) is the winner. I am not kidding..... try this in your next CPR class - it really does work.
  13. by   endorsed Division 2
    Quote from damarystx
    My understanding is that the study was compression only vs. the old standard of 15 compressions it would be interesting to see it done against the new standards...in my CPR class they said 50 was even better by a very small percent but that the fatigue that resulted outweighed that small increase.....
    we have just had our CPR chest compressions changed to 30 compressions to 2 breaths.
  14. by   palestine nurse
    hallo
    i know that it 30 compression to 2 breathing on mask
    that is principle for cpr
    this right or not

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