Thursday, April 03, 2008

How to Resuscitate with Your Hands Only?

I have been taught the mouth-to-mouth resuscitation method or the norm is known as CPR (Cardiopulmonary Resuscitation) when I took up my lifeguard badge and thus far, haven't got the chance to practise my skills ............ haha. Yeah, if I had wished so it's like I was hoping for someone to drown when I'm around....... no no no I have a good heart.

The American heart experts have now said that the mouth-to-mouth method is not the only way to save someone. Merely pressing repeatedly at the middle of a person's chest will do now. How? I don't get to use my mouth-to-mouth anymore? What a waste!

The alternative method - "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."

The experts said that this method was easier and people would be more willing to help if compared to the mouth-to-mouth method.

Its method - "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."

But then it did qualify the hands only CPR method as such action would be applicable for adults who unexpectedly collapse, stop breathing and are unresponsive.

The mouth-to-mouth method would still have to be used for:-
* a child who collapses is more likely to primarily have breathing problems — and in that case, mouth-to-mouth breathing should be used.
* adults who suffer lack of oxygen from a near-drowning, drug overdose, or carbon monoxide poisoning to get air into their lungs and bloodstream.

I want to give my 2 cents viewpoint - training is still required. Just press the chest? Which part of the chest? Middle is where? If one has not seen / heard, that person surely won't know the how-to and could cause more complications.

Secondly, if that person was a CPR-trained fella, it would be inhuman not to jump in to help out if a person was dying just because the thought of catching a disease or infection came to mind. Train for what then if there was so much concern. There is a method to mitigate that issue.

The writer who wrote this article should have furnish the whole CPR steps instead of halfway through. I knew how to write an article too just like this blog entry but where does it lead people to.
Tags: CPR, Cardiopulmonary Resuscitation, Mouth To Mouth, Hands Only CPR, Heart Experts, Heart, Chest

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7 Comments:

Blogger ~YM~ said...

Well, if there's really a hands only CPR, thats a good news. The usual CPR would actually use that mouth-to-mouth resuscitation plus the hands method, at a different rhythm, of course.

It's actually acceptable if a trained person do not perform CPR because of fear of contracting disease, which is usually the HIV virus, if the patient's mouth is blood-filled especially.

This also take into account that a CPR done properly by a professional has up to a chance of 10% to save a patient's life.

What's actually worse is that the ribs may be broken during CPR, which health professionals claim that better broken than die, but they may be sued b the victim anyway.

It's just a matter of ethics whether CPR shud be done. Of course, if more people are well-trained, I'mm sure there's a higher chance that a good samaritan might help with CPR, esp if the hands oni technique is feasible. (100 per minute is very tiring actually)

07 April, 2008 00:47  
Blogger Johnny Ong said...

thks for yr comments yee ming. was trying to trigger ppl to think further rather than know the norm only.

its a good step promoted by the heart experts there, no doubt abt it.

and to pump 100 times till the arrival of medical team, i think i'll be next to be admitted after that.

07 April, 2008 01:07  
Anonymous 3POINT8 said...

Ouch...broken ribs.
Will there be a chance that internal injury will be caused from the broken ribs?

07 April, 2008 01:12  
Blogger KY said...

which is why everyone should attend a course in this! :D

14 May, 2008 09:30  
Anonymous Anonymous said...

Please remove this misleading information. According to ILCOR(International Liaison Committee of Resuscitation in which major resus/first aid organizations are members) latest guidelines, the guidelines are that CPR is still the primary method, while compression-only CPR is used with UNTRAINED members.

Abroad, trained dispatchers will teach the caller how to perform CPR. However, as this is not always the case, the study shows that compression only CPR is better than nothing.

This is the reason why EMTs and paramedic worldwide still bag patients. Compressions act as a support for the circulatory system however, oxygenating blood is done through ventilations (often with the administration of oxygen in an ambulance setting)

Please remove/edit this post. It is very misleading, and those trained in CPR may be misquided. Don't worry though, I have seen plenty of similar emails being circulated.

Meanwhile, try to get yourself on a refresher course. Under the new guidelines, its is no longer DRABC but rather DR-CAB

Thanks

(I am a lifeguard, scuba instructor, emergency first response instructor, trained and current EMT currently abroad)

16 May, 2012 06:01  
Blogger Johnny Ong said...

Dear Anon 16 May,
It's good that you are sharing your knowledge here.

Pls read my blogpost properly as I didn't condone any part of the said CPR practise but questioning it instead.

And my blogpost stays! Thank you.

18 May, 2012 09:10  
Anonymous Sonny B said...

I am also a first aid instructor in Australia,the CPR is obviously optimal for the patient because the rescue breaths not only inflate the lungs but also the step of checking and clearing the airway ensure that air is getting to the lungs... It also gives the first aider a small rest although that is not the reason for the mouth to mouth it does help to do the compressions for longer. The chest compressions are very physically taxing, especially if the technique and/or body posture is not so good

that said, the compression only method does manually pump the air in and out of the lungs, much like a bellows action.

When asked about this in classes I tell students to ask themselves what they would want if it was themselves or a loved one in need of CPR. Most answer that any first aid is better than none, and most would use the mouth to mouth with loved ones or children but have to weigh it up and decide at the time if it was a stranger.

Like the comment before this by Anonymous (dive instructor lifeguard etc and very knowledgable person!) I highly recommend every one get along and do a first aid course, even just a cpr half day one, its changed alot and their is much old and outdated or just wrong info out there :)

01 March, 2013 17:23  

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