R.E.B.E.L. EM - January 21, 2016 - By Salim Rezaie
"One of the major reasons contributing to dismal survival rates in out-of-hospital cardiac arrest (OHCA) is the lack of bystander initiated cardiopulmonary resuscitation (CPR). Even though the majority of OHCA is witnessed, only 1 in 5 patients will receive bystander initiated CPR. Survey studies have shown that bystanders are not wanting to do mouth-to-mouth resuscitation on strangers. Outside of early defibrillation, only early bystander initiated CPR has consistently been shown to improve neurologically intact survival in OHCA. So what about Cardiocerebral Resuscitation, also known as “Hands-Only” CPR?...
So Whats the Bottom Line About CCR?
Conventional CPR with Ventilations should still be the gold standard for medically trained personnel in patients with OHCA, but there seems to be no difference in neurologic outcomes with CCR vs conventional CPR in the lay rescuers.