Friday, January 06, 2006

Friday January 6, 2006
Regarding CPR

CPR is probably one of the most ancient procedure (800 BC) recorded in modern history. 2005 CPR guidelines from American Heart Association suggests:

1. 100 compressions per minute.

2. Compression depth of 1 to 2 inches.

3. Allow the chest to recoil completely after each compression (target equal compression and relaxation times)

4. Minimize interruptions in chest compressions. No-flow Fraction* (no-flow fraction of .17)

5. Compression-ventilation ratio of 30:2 (two rescue breaths every 30 chest compressions). Do not deliver more volume or use more force than is needed to produce visible chest rise. Once intubated: ventilate at a rate of 8 to 10 breaths per minute without attempting to synchronize breaths between compressions.

*NFF= No-flow Fraction was defined as the no-flow time (time periods of cardiac arrest without compressions) divided by total cardiac arrest time.

Unfortunately study shows we have not mastered our most ancient procedure yet.3


Click to get articles/abstract
1. History of CPR - Fascinating insight into early attempts to resuscitate people -
2. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care - Circulation. 2005;112:IV-19 – IV-34
3. Quality of Cardiopulmonary Resuscitation During In-Hospital Cardiac Arrest - available free with registration - JAMA - Vol. 293 No. 3, January 19, 2005