Hands-Only CPR: Saving a Life Becomes Easier
When I received my CPR recertification last June my instructor recounted an incident she had heard about from a former student regarding the reality of those who may be too frightened to perform cardiopulmonary resuscitation (AKA CPR). We may know what to do, but what happens when it is time to implement the measures should someone collapse in our presence. The story has a tragic ending, however, it is a lesson we all can learn from.
A few years ago a gentleman at a local road race collapsed and suffered a heart attack while on the course and even though people stopped to help, no one administered CPR. The bystanders called 911 and made sure the man was comfortable, but sadly that was as far as the help went. By the time the first responders arrived at the scene the gentleman was deceased.
Unfortunately this isn't an isolated story. People are often too fearful of implementing a technique they only practiced on mannequins. And when it comes time to put this to the test, fear of doing further harm can stand in the way of helping another human being.
Using the previous CPR guidelines, remembering the number of compressions to the number of breaths in an emergency situation can leave many people feeling overwhelmed. The fear of doing more harm than good takes over and sadly this fear can be the difference between life and death.
CPR was first introduced to physicians 50 years ago and to the general population in the early 1970's. It is something that many of us learned in our high school health class and hopefully something that we will never have to use. But how many of us, unless consistently recertified, remember the number of compressions to breaths?
Recently I heard a radio snippet regarding the American Heart Association's new campaign Hands Only CPR. This campaign was established to make CPR less complicated for anyone who may find themselves in need of performing this life-saving technique. One no longer needs to worry about the number of compressions to breaths--the idea is to pump hard and fast in the center of the chest until the first responders arrive.
While none of us ever wants to find ourselves in a position to use CPR, doing so can be the difference between life and death for anyone who may find themselves suffering a debilitating heart attack. I hope you will take time to get certified in CPR by taking a class through the American Red Cross or any other certification program. And if not, take a look at the link above and know that we all have the power in our own hands to save someone's life should the need arise.
Have you heard about the American Heart Association's "Hands Only CPR" campaign? Have you ever had to use CPR? Would you be willing to use this new technique more so than the older version?
A few years ago a gentleman at a local road race collapsed and suffered a heart attack while on the course and even though people stopped to help, no one administered CPR. The bystanders called 911 and made sure the man was comfortable, but sadly that was as far as the help went. By the time the first responders arrived at the scene the gentleman was deceased.
Unfortunately this isn't an isolated story. People are often too fearful of implementing a technique they only practiced on mannequins. And when it comes time to put this to the test, fear of doing further harm can stand in the way of helping another human being.
Using the previous CPR guidelines, remembering the number of compressions to the number of breaths in an emergency situation can leave many people feeling overwhelmed. The fear of doing more harm than good takes over and sadly this fear can be the difference between life and death.
CPR was first introduced to physicians 50 years ago and to the general population in the early 1970's. It is something that many of us learned in our high school health class and hopefully something that we will never have to use. But how many of us, unless consistently recertified, remember the number of compressions to breaths?
Recently I heard a radio snippet regarding the American Heart Association's new campaign Hands Only CPR. This campaign was established to make CPR less complicated for anyone who may find themselves in need of performing this life-saving technique. One no longer needs to worry about the number of compressions to breaths--the idea is to pump hard and fast in the center of the chest until the first responders arrive.
While none of us ever wants to find ourselves in a position to use CPR, doing so can be the difference between life and death for anyone who may find themselves suffering a debilitating heart attack. I hope you will take time to get certified in CPR by taking a class through the American Red Cross or any other certification program. And if not, take a look at the link above and know that we all have the power in our own hands to save someone's life should the need arise.
Have you heard about the American Heart Association's "Hands Only CPR" campaign? Have you ever had to use CPR? Would you be willing to use this new technique more so than the older version?
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Comments
( http://www.mathesontrigas.com/indus
trialgas/pdfs/safety/emergency_resp
onse.pdf ) to protect against this problem. - 5/4/2010 1:46:28 PM
CPR usually just buys time. What many people don't realize is how many people are actually saved. CPR doesn't always bring people around, that's what Advanced Life Support is for. Hopefully, they are not far away. TV shows show it helping most of the time, and that's not reality.
I wouldn't want to put my mouth on anyone else's mouth with no protection. Ick!
I think this method makes it less scary, knowing you're just doing compressions, not counting & keeping track of breaths vs. compressions. Did I do too many? Not enough?
- 5/4/2010 11:44:37 AM
- 5/1/2010 11:46:22 PM
I have done CPR at least 500 times (probably more actually) in the hospital AND on the street...after I did it on the street I was a WRECK...it is a scary thing and something that I hope to never do again but guess what SHE LIVED and I was NOT doing my best CPR ...so please please learn it and do it...if it were your child, husband, mother or YOU you would want someone to do SOMETHING!!! - 5/1/2010 10:47:53 AM
Unofficially I have always maintained a hands-only theory (never had to use CPR off duty) for myself and my loved-ones. I do however carry an ambu-bag in my car. Another approach I planned to use was to instruct a family member to breath for pt, while I do chest compressions. - 5/1/2010 10:39:08 AM
Bottom line, by doing nothing is worse than doing it by what you may perceive as the wrong way. If in doubt, don't hesitate to take a class! The HANDS ONLY sounds like a great way to get started on saving a life!
My nursing days are over (after 42 years), but you never outgrow your training! It's like riding a bike---you don't forget! - 4/30/2010 3:04:56 PM
Crowd psychology is the problem. When one person walks by, another does too out of not wanting to look stupid and over-react. How to counteract this? Make the path easier by training more people for CPR. And make CPR easier if that’s what it takes.
Switch calls lack of action in a crowd a bad reaction to peer perception as opposed to peer pressure. I like that.
- 4/30/2010 8:00:35 AM
- Josie - 4/30/2010 2:31:52 AM
I remember a long time ago I had learned CPR and that there was never a flinch at doing mouth to mouth. Now we turn and run the other way.
Everyone should learn CPR technique. Hopefully no one will find themselves in a situation where they might need CPR until medical responders on the scene. They would want someone to help them. Think about it. Would you want someone to help you if you were in this situation? - 4/29/2010 6:10:33 PM
- Put your hands in the centre of the chest. I seriously don't understand the confusion here. Look down at your chest. There is a breastbone that runs down the centre. Put your hands on the centre of the breastbone (around the nipple line). Push there.
- You CANNOT be sued for giving CPR (or any first aid) unless you do something that is completely ridiculous. Example: Heimlich manoeuver on someone who is choking is reasonable. Trying to give the person a tracheotomy with a jack knife & a bic pen is ridiculous. Common sense!
- Don't worry too much about remembering the number of breaths &/or compressions. Just do something! Even the "wrong" number is better than nothing.
- AED (Automatic External Defibrillator) is very useful. BUT it is NOT a replacement for CPR because it cannot be used on everyone. AED is not publically accessable in some jurisdictions, so only EMS & hospitals can use them. In my jurisdiction, the public must be trained to use the machines. It's not the operation that is difficult (a monkey could do it) but we want people to understand why the machines won't shock everyone.
- The first "objective" of any kind of first aid is to do your best to PRESERVE LIFE. CPR is *never* counterproductive.
- I have been teaching for years and someone always asks about breaking ribs or puncturing the lung. Both are possible outcomes, but nothing to be concerned about. Your goal is to keep oxygen circulating. Brain damage can start in 4-6 minutes. Complications from broken ribs &/or punctured lungs will not manifest in that short of time. EMS & the hospital staff will deal with those problems later.
I hope that helps put your mind at ease! - 4/29/2010 5:45:40 PM
I'm due to re-certify this December, so it will be interesting to see what else has changed since last time. Something always does. - 4/29/2010 5:13:25 PM
Over the years I have needed to perform CPR numerous times and the majority of them were successful. Not once did I stop to think about the danger to myself even while nursing in Africa, which has the one of the highest HIV rates in the world. I think in reality when the moment is upon you you are so busy trying to position the person correctly, checking the airway, feeling for a pulse etc that you automatically commence CPR should it be necessary.
They old saying " if in doubt, leave it out" is probably the best motto. When I trained and even today when a person collapses (in a hospital) the first thing we do is administer 100% oxygen asap as the bodies oxygen requirements will naturally increase, so unless you witness the collapse of a person and therefore have a time element to work with just doing chest compressions may not be the best idea. The other aspects to look at are how long before trained help will arrive? Are you able to keep up the chest compressions until they arrive?
The few people that have sustained broken ribs, bruising etc from CPR always seem to smile through their tears as they recouperate just grateful to have another chance, so do not worry about such things, you cannot do more damage than has already happened if someone needs CPR.
My fear is that if we do not administer breaths we may leave a few people with severe neurological deficits as mentioned earlier and just like that mans wife we would then be sentencing not only the person but all who love him to hardship and heartache. - 4/29/2010 3:09:27 PM
If it would help me save a family member, I could do both mouth to mouth and chest compressions, being that I knew there wouldn't be no risks. If it was a stranger, I could do chest compressions only if I thought I could be effective. I guess doing something is better than doing nothing. - 4/29/2010 2:02:08 PM
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