11 replies to this topic

[Bubble2Bubble]

The American Heart Association has just released new infromation saying
that a study found that doing 30 compressions and two breaths is better than
the old 15/2. I saw this article on a national news program.

any SD member wanting to add to this thread about this topic PLZ Do.


B2B

[Capn Jack]

I saw that too. They mentioned changes to AED procedures and dropping some of the assessment steps.

Anyone have the full details?

[firemedicdiver]

cpr is going to 30:2 compressions to breaths
AED (automatic external defibrillator) is changing also, you will shock once then do cpr for 2 minutes, then shock again followed by cpr, each round of shocks is just one compared to the three that we used to do.
The assessment is different for lay people (non health care providers) they no longer check for pulses (been that way for about 2-3 years now) and that we now do 2 minutes of cpr before calling for help.

I will review the rest of the changes and post them when I get back to work and read them again. These are the ones that just stuck in my head, if I remembered them wrong I'll correct them at the same time I update the rest of the changes.

The changes I believe were supposed to take effect in November 2005 but American Heart Association wont have the updated books and refrences until March 2006. So be on the look out for changes next year.

Hope this helps

[BeachBunny]

Ditto what Dan said. I renewed my CPR a couple of months ago and we did the 30/2, 2 minute before calling, AED stuff, etc....

[Bubble2Bubble]

I found this on the Internet.

Simplification
The authors of the 2005 AHA Guidelines for CPR and ECC simplified the BLS sequences, particularly for lay rescuers, to minimize differences in the steps and techniques of CPR used for infant, child, and adult victims. For the first time, a universal compression-ventilation ratio (30:2) is recommended for all single rescuers of infant, child, and adult victims (excluding newborns).


AmericanHeart.org

More Info



I did find two conflicting reports on how to treat drowning Victims...so you might do your own studying
on that subject.



B2B

Edited by Bubble2Bubble, 25 December 2005 - 07:10 PM.

[finley]

I found this on the Internet.

Simplification
The authors of the 2005 AHA Guidelines for CPR and ECC simplified the BLS sequences, particularly for lay rescuers, to minimize differences in the steps and techniques of CPR used for infant, child, and adult victims. For the first time, a universal compression-ventilation ratio (30:2) is recommended for all single rescuers of infant, child, and adult victims (excluding newborns).


AmericanHeart.org

More Info



I did find two conflicting reports on how to treat drowning Victims...so you might do your own studying
on that subject.



B2B

In actuality...the latest thing is that compressions without respirations can save a life...often there is plenty of oxygen in the bloodstream...it just needs to be circulated...of course, lets hope an AED is handy.

[firemedicdiver]

I found this on the Internet.

Simplification
The authors of the 2005 AHA Guidelines for CPR and ECC simplified the BLS sequences, particularly for lay rescuers, to minimize differences in the steps and techniques of CPR used for infant, child, and adult victims. For the first time, a universal compression-ventilation ratio (30:2) is recommended for all single rescuers of infant, child, and adult victims (excluding newborns).


AmericanHeart.org

More Info



I did find two conflicting reports on how to treat drowning Victims...so you might do your own studying
on that subject.



B2B

In actuality...the latest thing is that compressions without respirations can save a life...often there is plenty of oxygen in the bloodstream...it just needs to be circulated...of course, lets hope an AED is handy.

You are correct in that chest compression alone can save a life based on a recent study (I don't remember the name of it), but it is also based on EMS arriving shortly there after. I believe the study was done in WA where there is alot of EMS/Fire units with quick response times. It the response time is going to be awhile then we have to do the respirations. One of the things that was discussed was to teach just the chest compressions to the lay people in an attempt to alleviate the fears of catching a disease.

On a side note it is amazing that people will kiss a complete stanger but wont do mouth to mouth on one for fear of catching a disease. Now granted you are lip locked a little longer doing mouth to mouth unless you really like the stranger you are kissing. I believe that you are more likely to catch something if the victim vomits, which is what I am more afraid of. I hate watching someone vomit. I am not advocating that everyone do mouth to mouth on everyone or that you should stop kissing strangers but I am advocating that you should have some kind of barrier device with you at all times. They are small enough now that you can carry them any where.

Just my 2 cents worth.

[finley]

I found this on the Internet.

Simplification
The authors of the 2005 AHA Guidelines for CPR and ECC simplified the BLS sequences, particularly for lay rescuers, to minimize differences in the steps and techniques of CPR used for infant, child, and adult victims. For the first time, a universal compression-ventilation ratio (30:2) is recommended for all single rescuers of infant, child, and adult victims (excluding newborns).


AmericanHeart.org

More Info



I did find two conflicting reports on how to treat drowning Victims...so you might do your own studying
on that subject.



B2B

In actuality...the latest thing is that compressions without respirations can save a life...often there is plenty of oxygen in the bloodstream...it just needs to be circulated...of course, lets hope an AED is handy.

You are correct in that chest compression alone can save a life based on a recent study (I don't remember the name of it), but it is also based on EMS arriving shortly there after. I believe the study was done in WA where there is alot of EMS/Fire units with quick response times. It the response time is going to be awhile then we have to do the respirations. One of the things that was discussed was to teach just the chest compressions to the lay people in an attempt to alleviate the fears of catching a disease.

On a side note it is amazing that people will kiss a complete stanger but wont do mouth to mouth on one for fear of catching a disease. Now granted you are lip locked a little longer doing mouth to mouth unless you really like the stranger you are kissing. I believe that you are more likely to catch something if the victim vomits, which is what I am more afraid of. I hate watching someone vomit. I am not advocating that everyone do mouth to mouth on everyone or that you should stop kissing strangers but I am advocating that you should have some kind of barrier device with you at all times. They are small enough now that you can carry them any where.

Just my 2 cents worth.

Correct again...and oh the vomit part reminds me why I don't do mouth to mouth...I need to restcok the gloves and ambu bag in my truck (hmm won't help if Im alone) oh well....

[No Pressure]

The real issue with field CPR is that trained medical and nursing personnel most often cannot provide adequate ventilation for a patient in the hospital (with equipment), much less the lay public trying to do mouth ventilation on an unconscious stranger on the street, or shopping mall floor. It is that the anatomy prevents adequate ventilation, and the lay public do not recognize airway obstruction. Vomiting aside, the technique doesn't work.
Blood flow generated from chest compressions sequentially builds up with each compression. When compressions stop (to check pulse, give breaths, shock, etc), the "built up" circulation drops back to zero, and it takes multiple compressions to build back up. This is the basis for emphasizing more compressions and less of everything else. Hearts also defibrillate better after a couple of minutes of compressions compared to hearts that are shocked right away.
Summary: Don't stop pressing the chest. Call for help. If the individual does not regain a spontaneous pulse and blood pressure within about 10 minutes, their functional survival rate is near zero.

[finley]

HMMM. a Dr. and cute too....Kamala..you are doing a GREAT job with the recruiting...KEEP IT UP

[nextariel]

HMMM. a Dr. and cute too....Kamala..you are doing a GREAT job with the recruiting...KEEP IT UP

Nope, check out his member number - he's been around longer than ME> I believe he was on the first Coz trip. Good to see you back!

[No Pressure]

Luann. Thanks for the kind words. You should see me after a couple of tequilas and an air guitar. Jill, you are right. I was around in the beginning, and at the infamous Jan Coz trip. Where B2B indirectly helped another guy save a LOT of $$$ at the chamber. Plan to go back for a quick trip in March. Oh, the good old days.......when I actually named the first angels.

Edited by No Pressure, 29 January 2006 - 12:22 AM.