New CPR Procedure

I have been certified in CPR since 1992. In that time I have seen the trends change from providing several breaths and chest compressions to practically eliminating the breaths all together.

The American Heart Association is now suggesting that hands-only or chest compressions are just as effective as the old breath/compression protocol. In this article from the Boston Herald, Dr Michael Sayre, an emergency medicine professor at Ohio State University who headed the committee that made the recommendation, states, "You only have to do two things. Call 911 and push hard and fast on the middle of the person’s chest."

Dr. Gordon Ewy, who’s been pushing for hands-only CPR for 15 years, said he was "dancing in the streets" over the heart association’s change even though he doesn’t think it goes far enough. Ewy (pronounced AY-vee) is director of the University of Arizona Sarver Heart Center in Tucson, where the compression-only technique was pioneered.

Ewy said there’s no point to giving early breaths in the case of sudden cardiac arrest, and it takes too long to stop compressions to give two breaths — 16 seconds for the average person. He noted that victims often gasp periodically anyway, drawing in a little air on their own.

Anonymous surveys show that people are reluctant to do mouth-to-mouth, Ewy said, partly because of fear of infections.

"When people are honest, they’re not going to do it," he said. "It’s not only the yuck factor."

In recent years, emergency service dispatchers have been coaching callers in hands-only CPR rather than telling them how to alternate breaths and compressions.

"They love it. It’s less complicated and the outcomes are better," said Dallas emergency medical services chief Dr. Paul Pepe, who also chairs emergency medicine at the University of Texas Southwestern Medical Center.

One person who’s been spreading the word about hands-only CPR is Temecula, Calif., chiropractor Jared Hjelmstad, who helped save the life of a fellow health club member in Southern California

Hjelmstad, 40, had read about it in a medical journal and used it on Garth Goodall, who collapsed while working out at their gym in February. Hjelmstad’s 15-year-old son Josh called 911 in the meantime.

Hjelmstad said he pumped on Goodall’s chest for more than 12 minutes — encouraged by Goodall’s intermittent gasps — until paramedics arrived. He was thrilled to find out the next day that Goodall had survived.

On Sunday, he visited Goodall in the hospital where he is recovering from triple bypass surgery.

"After this whole thing happened, I was on cloud nine," said Hjelmstad. "I was just fortunate enough to be there."

Goodall, a 49-year-old construction contractor, said he had been healthy and fit before the collapse, and there’d been no hint that he had clogged heart arteries.

"I was lucky," he said. Had the situation been reversed, "I would’t have known what to do."

"It’s a second lease on life," he added.

Hopefully, we will never have to use the new CPR or our defibrillator but it's nice to know that it is less complicated if we do.

Rick Mayo