Know how to practice cardiopulmonary resuscitation (CPR) before a person with a heart attack outside the hospital places in our hands the ability to rescue life. The ability to create differences is high. The recent investigation by the Karolinska Institute (from Sweden) has shown that the most basic maneuver, that is, using only hands, duplicates the chances of survival in the outpatient environment compared to non-appearance.
Because of CPR compression (arm only) as an alternative to standard CPR (chest compression and mouth-to-mouth breathing), the researchers analyzed the impact of this simpler technique and the relationship between CPR and the survivor of the person to whom 30 days helped. The paper was published in Circulation of the American Heart Association (AHA).
"This is important because cardiopulmonary resuscitation is performed by an ordinary citizen before the emergency service arrives." is one of the most important factors in surviving heart failure outside the hospitalTherefore, increasing CPR by simplifying can greatly increase survival, "explains Gabriel Riva, lead researcher.
The study, with data from the Swedish National Register, focused on eye-witnesses of the outbreak of heart failure involving 30,445 patients. 40% did not receive cardiopulmonary resuscitation, 39% received standard CPR, and 20% only compression. The researchers investigated three time periods (from 2000 to 2005, 2006 to 2010 and 2011 to 2017). In which CPR is only gradually adopted by compression within the Swedish guidelines.
According to their findings, CPR rates performed by non-healthcare personnel increased from 40.8% in the period 2000-2005. At 58.8% in the period 2006-2010, and then at 68.2% in the period 2011-2017. On the other hand, the standard ranged from 35.4% in the first period to 44.8% and later at 38.1%.
Manual CPR increased from 5.4% in the first period to 14% in the second and 30.1% in the third. People who received standard CPR and had only hands twice as likely to survive for 30 days, compared with patients who did not receive it.
The results of the study, in line with previous findings in the United States and Japan, support CPR compression only as a valid option, because it is associated with higher survival rates in outbital cardiac arrest. "People are increasingly accepting when they learn the benefits and potential of CPR, especially with the most basic method, is very easy to learn and very effective when used outside the hospital," said Manny Medina, a nurse and volunteer. AHA.
RCP: how to practice it
Before a person who is motionless and does not respond to stimuli:
Call the number of medical emergencies
Hands With hands folded over the person's bosom, start with 30 compression of the chest at the center of the chest bone; compression ranges from 100 to 120 minutes, and the sternum drops from 5 to 6 centimeters.
AbilPermeabilize the airway: throw your head back, raise your chin – until you experience cervical trauma – and open your mouth.
If you are looking at breathing: look if you extend your chest, listen if you inhale or breathe, feel if there is air passage.
YouDo not breathe: give 2 ventilations, soft, but fast, which cause chest expansion. And maintain 30 compression / 2 ventilation cycles.
✔️If you can not or do not know how to perform ventilation, just hold compression without interruptions at 100 to 120 minutes.
Ize Reduce breaks in compression, perform them efficiently and quickly.
YouAre in the area where AED is available (automatic external defibrillator): turn it on, place patches during printing, and follow the verbal instructions marked with the equipment.
Cyc Keep the 30 compression / 2 ventilation cycles (or compressions only), until the emergency team arrives.
(With data from DPA)