Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

CPR – To Breathe or not to breathe?

Posted by Laura on July 29, 2010

It’s in the news about CPR given without the 2 breathes to 30 compressions is having the same percent or higher of survival rates for patients.

The New England Journal of medicine has a good article on it, as well as many places in the news right now. (http://www.nejm.org/doi/full/10.1056/NEJMoa0908993)

When we learned CPR, we checked the airway (the look, feel, listen), the pulse – are they breathing? Is there a pulse?

We also learned to start with the 2 breathes. The ratio is 2 to 30 at a rate of 100 compressions per min – I hope I still have all this right!

It now has now  come up through research the survival rate of adults given just the compressions has the same overall rate of survival or even better than if you gave your patient the breathes and compressions. (We are talking only 12% of patients kept alive by CPR go on to be a survivor. ) By giving the breathes you are as a health care provider at a risk for transmission of diseases – besides anything else coming up through the oral membranes. By starting compressions first and not stopping, you keep the heart pumping blood to the brain and the neurological outcome was better.

So what will the American Heart Association (AHA)  or American Red Cross recommend now? I didn’t see anything on the current AHA site though I read in various articles they support the ‘hands only’ technique.  The Red Cross fully supports it, and states so on their site. (http://www.redcross.org/portal/site/en/menuitem.1a019a978f421296e81ec89e43181aa0/?vgnextoid=629a1a8526e1a210VgnVCM10000089f0870aRCRD)

Songs to do compressions to:

Staying Alive – Bee Gees

Saturday Night Fever – Bee Gees

Nellie the Elephant – Toy Dolls (see video below)

(http://www.youtube.com/watch?v=eti21PVHXrg) (lyrics) (you do the chorus twice)

Another One Bites The Dust – Queen

Burnin’ Down the House -Talking Heads

Genius of Love –  Tom Tom Club’s

Rock Me Amadeus – Falco

Ticket to Ride – Beetles

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