Continuous Chest Compression Adopted
2005, MERGINET—The University of
2003, TFD accepted
In the journal Resuscitation,
collaborators outlined the potential hindrances
• A lack of bystander CPR. Of all the cardiac arrests between 1990 and 2003, 53.3 percent were witnessed out-of-hospital cardiac arrests with only 19.2 percent receiving bystander CPR; and just 15 percent of surveyed Arizonians expressed willingness to perform mouth-to-mouth ventilations on a stranger, but 68 percent said they would perform chest-compression-only CPR.
The complexity of standard CPR for lay rescuers. A study assessing standard vs.
The emphasis on defibrillation first, regardless of the duration of ventricular
fibrillation. Data collected in 2002 by TFD showed
Frequent interruptions of chest compressions during resuscitation efforts.
To address these hindrances, the
A public education campaign including training courses and television
• A TFD protocol to deliver 200 chest compressions before assessing heart rhythm for all cardiac arrest patients older than eight years and not involved in a traumatic event, not obviously deceased, and where there is no evidence of a primary respiratory arrest. Patients then showing “Vfib/Pulseless VT,” receive an additional 200 chest compressions prior to defibrillation.
• A TFD defibrillation protocol of a single maximum-energy shock followed by 200 chest compressions for up to three rounds.
local response to this effort has been gratifying,” the
Kern KB. Valenzuela TD. Clark LL. Berg RA et al: “An alternative approach to advancing resuscitation science.” Resuscitation 64 (2005) 261-