Keep Your Lips To Yourself

CPR Changes: No More Mouth To Mouth Reviving Needed
by Frederik Joelving

After 50 years of loyal service, traditional CPR is being replaced by a new, bare-bones version of the life-saving emergency procedure.

Forget about yucky mouth-to-mouth contact -- the P in cardiopulmonary resuscitation (CPR) -- and get right down to pumping hard and fast on the chest, the American Heart Association said on Monday,

That will keep oxygen-rich blood flowing to the brain until trained rescuers can take over.

"Chest compressions are the most important part of CPR," said Dr. Michael Sayre, a spokesman for the American Heart Association. "The major change is switching to starting CPR with chest compressions rather than opening an airway and doing rescue breathing."

Only if a rescuer has been specifically trained in conventional CPR should they give rescue breathing as well, added Sayre, also of Ohio State University in Columbus.

Recent studies have shown that CPR without rescue breathing works as well as or better than the full version in most people who suffer cardiac arrest.

And it might also get more people to do CPR, which is currently performed only about half the time when someone witnesses a person collapse from cardiac arrest. Some 300,000 Americans suffer cardiac arrests every year, and less than one in 10 survive.

That dismal number hasn't changed in three decades. But doctors
say it could, and part of the solution is to get more bystanders to roll up their sleeves and start chest compressions in the center of the chest.

The ideal rate is at least 100 compressions per minute -- coincidentally, about the same pace as the Bee Gees 1977 disco hit "Stayin' Alive." Each compression should be about two inches (five centimeters) deep in adults and children, and about one and a half inches in infants. Rescuers should not lean on the chest between compressions; it's important to let the chest return to its starting position.
http://www.postchronicle.com/news/health/article_212327797.shtml