New CPR instruction?

The main change isin the # of compressions per 2 breaths. Instead of 15 compressions, it was upped to 30 per 2 breaths for adult and child.

that sure seems like a lot of compressions and not enough oxygen.

oh, and i think i would wear out a lot faster, also. what's the reasoning behind this change?

The vents to compression are still 2 to 15 for adults. The one thing that has changed this year is that children under 8 years of age can now have an AED placed on them. Everything else is the same when it comes to the compression to ventilations on adults. If the pads are too big for the kids place one on the front and the other pad on the back side, just so they do not touch one another.

I just did a search and they did increase the compressions here is some from the article. "compressions instead of mouth-to-mouth resuscitation, the American Heart Association now urges people to give 30 compressions — instead of 15 — for every two rescue breaths." They are saying that push hard and push fast.

I took care of a patient a couple of years ago that 911 told the spouse to only do compressions and no mouth to mouth, he survived he was confused for a while but I we watched him walk out of the hospital with all of his faculities. I also have heard of studies that are showing that it is better to instruct people to do compressions then to try to get them to do mouth to mouth. :}

the reason for the change is to give the blood more of a chance to circulate uninterrupted throughout the body. do a search for the article. i bet this subject will be on tomorrow's new york times science section.

oh, and i think i would wear out a lot faster, also. what's the reasoning behind this change?

I'm just a student, but for my day job, I'm an instructor for the Red Cross. I teach everything from the Emergency Response course (First Responder) to CPR for the Professional and Lay Rescuer classes as well. The changes are still in the pipeline and we are not teaching them as of yet. It is still 15:2 at 100 compressions a minute for an adult patient. 5:1 for infants and children. The big change is as someone mentioned before ( sorry I forgot who) is AED use on kids. The change in curriculum is to reflect a change in the technology (smarter AEDs) not any drastic changes to CPR. Hope that this helps.

aloha

Jim

I'm wondering where the OP got this information. I just took the 8-hour CPR class for healthcare providers, and never was it mentioned that you're supposed to do 30 compressions.......the ratios have not changed, but the AED information has, as discussed in the above post.

In fact, CPR instruction nowadays emphasizes the importance of achieving and maintaining an open airway as the FIRST priority, because if you don't have an airway, all the compressions in the world won't do a bit of good.:uhoh21: Early defibrillation is also vital to survival, so there's a lot of attention paid to AED use as well. I don't know if they're teaching non-medical professionals something different; but I do know that the compression-to-ventilation ratios are still the same as far as we're concerned.

Hey Marla, I got the same information too. Right off of the internet news ticker today. 30:1 will be the new standard, but I don't know when. I've been a CPR Instructor for 7 years, and I think after this, the only person that will be needing CPR is me.

30:2 published by AHA 11/28/05 http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.105.166552v1 this is the pdf file for cpr update from AHA if anyone's interested

TAKEN FROM THE ARTICLE, WILL ERASE... "Lay rescuers should use 30:2 compression-ventilation ratio for all (infant, child, adult victims). Healthcare providers should use a 30:2 compression-ventilation ratio for all 1 rescuer, and all adult CPR and should use a 15:2 compression-ventilation ratio for infant and child 2-rescuer CPR"

Introduction with summary update pdf file http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.105.166550v1 published online today by AHA to be sent out on CIRCULATION magazine next week I believe.

And here's the link for ALL inclusive articles this week from AHA. http://circ.ahajournals.org/rapidaccess.shtml Sorry for all the links guys

I also read it on Yahoo news website earlier.

The ER doc who is the med control for our fire department (and is also on our department) has been telling us this is coming. He's been looking at the research and the stats support the changes. There are much better outcomes for those who receive more compressions.

The reasoning is this: compressions not only circulate blood, they also build a momentum that has to be restarted every time there is an interruption. Another change that's on the way is there won't be frequent pauses for pulse checks.

Our EMS doc has told us that if he ever goes down to give 30-60 compressions between breaths. The article I read said the new guidelines are going to be much simpler. They going to tell people to push harder, faster, and longer. These changes will not only bring about better outcomes, they will streamline both the teaching and learning of CPR and that, in turn, should produce greater numbers of trained people, both lay and medical.

This along with AED access in many public places could make a huge difference in the survival rate for sudden cardiac collapse.

The really wonderful thing is that this is doable without tons of fancy equipment and huge amounts of cash. I'm thrilled that such a modest investment of time and money has the potential to produce such great results.