doi: 10.1161/CIRCULATIONAHA.107.187683
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(Circulation. 2007;116:2893.)
© 2007 American Heart Association, Inc.
Issue Highlights
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
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EFFECTIVENESS OF BYSTANDER-INITIATED CARDIAC-ONLY RESUSCITATION FOR PATIENTS WITH OUT-OF-HOSPITAL CARDIAC ARREST, by Iwami et al. |
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and
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SURVIVAL IS SIMILAR AFTER STANDARD TREATMENT AND CHEST COMPRESSION ONLY IN OUT-OF-HOSPITAL BYSTANDER CARDIOPULMONARY RESUSCITATION, by Bohm et al. |
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Cardiopulmonary resuscitation (CPR) is often performed by bystanders who do not have advanced medical training. There is a question about the efficacy of the addition of rescue breathing to chest compressions in terms of survival and outcomes. Additionally, bystanders may be more hesitant to perform mouth-to-mouth breathing, which may delay or limit cardiac resuscitation. In this issue of Circulation, 2 separate articles by Iwami and colleagues and Bohm and colleagues address these important topics. Iwami and colleagues report a prospective Japanese population-based 5-year observational study of consecutive patients who developed cardiac arrest out of hospital and received attempted CPR by emergency responders. They analyzed outcomes in nearly 5000 witnessed cardiac arrests and found similar rates for survival with a good neurological outcome in those victims who, within 15 minutes of arrest, received either conventional CPR or cardiac-only CPR without addition of rescue breathing. Unfortunately, the survival with favorable neurological outcome rate was only 4% to 5% in both groups. Not surprisingly, survival with good neurological outcome was very poor among victims who received CPR more than 15 minutes after cardiac arrest. Bohm and colleagues describe the results of a Swedish cardiac arrest registry, evaluating the 1-month survival in victims who received bystander standard CPR compared with that of cardiac arrest victims receiving bystander cardiac-only resuscitation. In this 15-year study, most of the 11|275 patients received standard CPR, with only 10% receiving chest compressions only. However, the authors also found no difference in the 1-month survival rate, which was
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