Whether or not you’re trained in cardiopulmonary
resuscitation (CPR), you still can help a person who suddenly collapses on the
street, the American Heart Association said on Monday.
The recommendations published in the AHA’s journal
Circulation, emphasized “hands-only” CPR, a simple procedure that does not
involve the mouth-to-mouth resuscitation part of CPR.
“The thing that’s killing people is inaction. You only have
to do two things. Call 911 and push hard and fast on the middle of the person’s
chest,” said Dr. Michael Sayre, an emergency medicine professor at
This kind of CPR should be taken only for adults who suddenly
collapse, breathless and unresponsive. If the heart stops, the victim still has
ample air in the lungs and blood and compressions keep flowing to the brain,
heart and other organs. Brain deaths begin four to six minutes after a person
suffers sudden cardiac arrest if no CPR or defibrillation is given.
In children’s case, it’s better to use mouth-to-mouth
breathing because they might have breathing problems. Also, the technique
should be used in adults who suffer lack of oxygen from a near-drowning, drug
overdose, or carbon monoxide poisoning. These people need mouth-to-mouth to pump
up air into their lungs and bloodstream.
Hands-only CPR involves uninterrupted chest presses, 100 a
minute, until paramedics take over or an automated external defibrillator is
available to restore a normal heart rhythm. The pressure should be applied to
the center of the chest, between the two nipples of the victim.
“Today in the
About 310,000 adults in the
Nearly 94 percent of sudden cardiac arrest victims die
before reaching a hospital and up to 80 percent of sudden cardiac arrests occur
at home, the AHA said.
The new recommendation for hands-only CPR is an update to
2005 American Heart Association guidelines, which said bystanders should use
compression-only CPR if they were unwilling or unable to provide breaths.
Other heart experts welcomed the new guidelines. Dr. Chris
Barton, acting chief of the Emergency Department at
“You want the chest to go down about 2 inches. I weigh 160 pounds, and when I do this I put about half my weigh into it,” he said, according to the San Francisco Chronicle.