A New Order for CPR, named CAB (Compression-Airway- Breathing)

A link to information about the new CPR guidelines (Compression – Airway- Breathing) may be found here.
A presskit with media materials, statements from experts, and real life stories may be found here.

Excerpt from the American Heart Association Oct 18, 2010 news release

Statement Highlights:

• The 2010 AHA Guidelines for CPR and ECC update the 2005 guidelines.
• When administering CPR, immediate chest compressions should be done first.
• Untrained lay people are urged to administer Hands-Only CPR (chest compressions only).

DALLAS, Oct. 18, 2010 — The American Heart Association is re-arranging the ABCs of cardiopulmonary resuscitation (CPR) in its 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, published in Circulation: Journal of the American Heart Association.

Recommending that chest compressions be the first step for lay and professional rescuers to revive victims of sudden cardiac arrest, the association said the A-B-Cs (Airway-Breathing-Compressions) of CPR should now be changed to C-A-B (Compressions-Airway-Breathing).[Editor Flahiff’s emphasis]

“For more than 40 years, CPR training has emphasized the ABCs of CPR, which instructed people to open a victim’s airway by tilting their head back, pinching the nose and breathing into the victim’s mouth, and only then giving chest compressions,” said Michael Sayre, M.D., co-author of the guidelines and chairman of the American Heart Association’s Emergency Cardiovascular Care (ECC) Committee. “This approach was causing significant delays in starting chest compressions, which are essential for keeping oxygen-rich blood circulating through the body. Changing the sequence from A-B-C to C-A-B for adults and children allows all rescuers to begin chest compressions right away.”

In previous guidelines, the association recommended looking, listening and feeling for normal breathing before starting CPR. Now, compressions should be started immediately on anyone who is unresponsive and not breathing normally.

All victims in cardiac arrest need chest compressions. In the first few minutes of a cardiac arrest, victims will have oxygen remaining in their lungs and bloodstream, so starting CPR with chest compressions can pump that blood to the victim’s brain and heart sooner. Research shows that rescuers who started CPR with opening the airway took 30 critical seconds longer to begin chest compressions than rescuers who began CPR with chest compressions.

The change in the CPR sequence applies to adults, children and infants, but excludes newborns.

Other recommendations, based mainly on research published since the last AHA resuscitation guidelines in 2005:

• During CPR, rescuers should give chest compressions a little faster, at a rate of at least 100 times a minute.
• Rescuers should push deeper on the chest, compressing at least two inches in adults and children and 1.5 inches in infants.
• Between each compression, rescuers should avoid leaning on the chest to allow it to return to its starting position.
• Rescuers should avoid stopping chest compressions and avoid excessive ventilation.
• All 9-1-1 centers should assertively provide instructions over the telephone to get chest compressions started when cardiac arrest is suspected.

Related Links

[Video]

Vinnie Jones’ hard and fast Hands-only CPR  (British Heart Foundation)

[Vide0]

Learn Sarver Heart Center’s Continuous Chest Compression CPR

• Brief Video Training Dramatically Boosts Hands-Only CPR Attempts

ScienceDaily (Mar. 8, 2011) — Study participants who viewed a brief hands-only cardiopulmonary resuscitation (CPR) video were more likely to attempt CPR, and perform better quality CPR in an emergency than participants who did not view the short videos, according to research reported in Circulation: Cardiovascular Quality and Outcomes.

Related Articles

• How to Help a Heart Attack Victim (everydayhealth.com)

• Longer CPR extends survival in both children and adults (EurkAlert, January 2013)

• CPR is less effective than we think (KevinMD.com, June 2012)

• Mayo Clinic: Man survives 96 minutes without pulse (news.cnet.com)
• Should I Get a Home Defibrillator? (everydayhealth.com)
• City tells 911 callers to start CPR if needed (dispatch.com)
• Hands-Only CPR Saves More Lives (zocdoc.com)
• Quality of CPR Varies Among EMS, Hospitals Hurts Survival (medindia.net)
• New ABCs of CPR are CAB (redding.com)
• Passengers can practice CPR at DFW airport kiosk (arkansasonline.com)