Hands-Only Resuscitation OK for Cardiac Arrest

By Ed Edelson
HealthDay Reporter
Tuesday, April 1, 2008; 4:00 AM

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MONDAY, March 31 (HealthDay News) -- If you see someone collapse in a public place or at home and you think it might be a heart attack, start pushing on his or her chest as hard as you can and as often as you can.

Those are the latest instructions from the American Heart Association, which asserts that hands-only cardiopulmonary resuscitation (CPR) can be done in an emergency situation, even by people who have no training in the technique.

The statement, published in the April 29 issue of Circulation, does not rule out mouth-to-mouth breathing as part of CPR. "But we have learned enough to say that passers-by can save lives with chest compression alone," said Dr. Michael Sayre, an associate professor of emergency medicine at Ohio State University and chairman of the AHA committee that wrote the statement.

"We believe that approximately 250,000 Americans suffer cardiac arrest each year," Sayre said. "Perhaps 15,000 of them will live. We believe that getting more people to do CPR could probably save thousands of lives a year."

The details of traditional CPR -- how often and how hard to push -- can be ignored, Sayre said. "We've done a little bit of research to suggest that most people are not likely to push hard enough and it's difficult to push too hard or too fast," he said.

Dr. Benjamin S. Abella, clinical research director at the University of Pennsylvania Center for Resuscitation Science, added, "in a case of cardiac stress, it's probably unrealistic for a member of the public to know what 100 pushes a minute and 2 inches of depth are."

So the new guidelines work out to a simple two-step measure: First dial 911 to call for emergency medical help, then begin hands-only CPR.

"It's fairly clear that CPR, when done by any standard, can double or potentially triple survival," Abella said. "That is great enough to warrant any risk."

The hands-only advice also eliminates a potential hindrance to providing help -- fear of what might happen with mouth-to-mouth contact, Abella said. "This allows bystanders to do a simpler form of CPR that avoids mouth-to-mouth contact with a stranger," he said.