Compression-only CPR may improve survival for patients in cardiac arrest due to shockable rhythms treated by bystanders with public access defibrillation
- 1University of Warwick, Warwick Clinical Trials Unit, Gibbett Hill, Coventry, B93 9BE, UK
- 2West Midlands Ambulance Service NHS Foundation Trust, Waterfront Way, Brierley Hill, West Midlands DY5 1LX, UK
- 3Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, B9 5SS, UK
- Correspondence to: Professor Gavin D Perkins
University of Warwick, Warwick Clinical Trials Unit, Gibbett Hill, Coventry, B93 9BE, UK;
Commentary on: Iwami T, Kitamura T, Kawamura T, et al.; for the Japanese Circulation Society Resuscitation Science Study (JCS-ReSS) Group. Chest compression-only cardiopulmonary resuscitation for out-of-hospital cardiac arrest with public-access defibrillation: a nationwide cohort study. Circulation 2012;126:2844–51.
Less than 1 in 10 victims of out-of-hospital cardiac arrests (OHCA) survive.1 Bystander cardiopulmonary resuscitation (CPR) doubles the chances of survival,2 yet is only undertaken in one-third of cases.3 Chest compression-only CPR (CCCPR) has emerged as an alternative to standard CPR, which includes compressions and ventilations. This method is easier to learn and retain and eliminates the necessity for mouth-to-mouth contact (which may be an impediment to a bystander starting CPR). Furthermore, it reduces potentially harmful interruptions in chest compressions caused during ventilations.
A meta-analysis of three randomised controlled trials found that when emergency medical dispatchers (EMD) provided telephone instructions to …