Just random information for those of you interested...

AHA Journals

 

 

For professional rescuer no more assessing breathing prior to starting chest compressions.

 

Hand placement is now the lower half of the sternum vs the 2005 guideline of midnipple line.

 

 

Dispatchers will only instruct to do chest compression only CPR... no more mouth to mouth.

 

 

Enjoy the read!

In your opinion, are the changes for the better?

Not to me no. I would continue to do it the way I know.

In your opinion, are the changes for the better?

 

 

According to the statistical data reported the lower 1/2 of the sternum makes sense. People were using inpropper hand placement often when using the inline with nipples placement. The lack of mouth to mouth makes sense. Commonly people have to much "hands off" time and that doesn't allow for circulation to happen.

 

 

I think the changes are for the better. Hopefully they (new guidelines) will increase survival rates.

Not to me no. I would continue to do it the way I know.

 

 

You should continue to do it the way you were trained until your renewal comes up.

 

 

Change isn't always a bad thing people. The Doc's who develop this things are VERY good at what they do and study results of countless studies.

As an instructor in ACLS, PALS and CPR I can tell you that the science is showing ventilations in adults does little or no good. The thigs that are saving lives are high quality CPR and early defibrilation. Chest compressions in adults also compress the lungs causing some air exchange and negating the need for ventilations. The move to the lower part of the sternum puts pressure on the ventricles of the heart, increasing the effectiveness of the compressions. The old way to perform compressions placed the pressure on the entire heart, trteating the atria and the ventricles the same. Since the ventricles move blood out of the heart the compressions should be focused on them.

Personally I'm a fan of the machines that pertform CPR, having just done it a couple hours ago I can say that my old back isn't handeling this stuff as well as it used to. All the science is available on the AHA website, it's interesting stuff. They do a lot of CPR studies on cadavars and use pressure monitors in the main arteries to measure the effectiveness of CPR. Even with shore pauses the arterial pressure drops drastically and requires a lot of compressions to become adequate again, just in time to stop and provide breaths.

As far as 911, they have been giving compressions only instructions for some time in different areas of the country. Do you really want to put your lips on a stranger? Especially a stranger who likely has vomit or secretions in their mouth? Not Me!!

You should continue to do it the way you were trained until your renewal comes up.

+1

you're trying to save a life. You were trained a certain way. Continue until recertification comes up and then do it the way they teach you with the new guidelines.

The new guideline for CPR professional rescuer also mandates a minimum of 2 inches of compression

Back when I was taught (more than a decade), compressions were done 2 fingers above the base of the sternum.

Back when I was taught (more than a decade), compressions were done 2 fingers above the base of the sternum.

 

Same. That was less than 10 years ago too.

I learned it in the early 80's, but it doesnt make much difference if someone doesnt start rightaway. When I was a medic, we would get there 10 minutes or more later and no one had started, so they were DOA most of the time. But working in Paterson, who want to take the chance...

The Doc's who develop this things are VERY good at what they do and study results of countless studies.

 

this is the first hear in AHA history where the studys are from doctors only. Usually docs, nurses and medics.