CPR with Chest Compression Alone or with Rescue Breathing

In this clinical trial of dispatcher-assisted bystander cardiopulmonary resuscitation (CPR), results were similar with chest compressions alone and with chest compressions plus rescue breathing. However, patients with a cardiac cause of the arrest and those with shockable rhythms fared better with c...

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Veröffentlicht in:The New England journal of medicine 2010-07, Vol.363 (5), p.423-433
Hauptverfasser: Rea, Thomas D, Fahrenbruch, Carol, Culley, Linda, Donohoe, Rachael T, Hambly, Cindy, Innes, Jennifer, Bloomingdale, Megan, Subido, Cleo, Romines, Steven, Eisenberg, Mickey S
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Sprache:eng
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Zusammenfassung:In this clinical trial of dispatcher-assisted bystander cardiopulmonary resuscitation (CPR), results were similar with chest compressions alone and with chest compressions plus rescue breathing. However, patients with a cardiac cause of the arrest and those with shockable rhythms fared better with chest-compression-only CPR. These results are likely to influence clinical practice guidelines. Out-of-hospital cardiac arrest claims hundreds of thousands of lives each year worldwide. 1 , 2 Successful resuscitation is challenging but achievable, requiring an interdependent set of actions that consist of early arrest recognition, early cardiopulmonary resuscitation (CPR), early defibrillation, expert advanced life support, and timely postresuscitation care. 3 Early initiation of CPR by a layperson can increase the patient's chances of surviving and having a favorable long-term neurologic recovery. 4 , 5 CPR performed by a layperson has traditionally consisted of chest compressions interspersed with rescue breathing, which allows some measure of both circulation and oxygenation. 6 Interest in CPR that focuses on chest compressions and . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMoa0908993