New CPR guidelines
launched: HCFI appeals to the masses to learn the lifesaving technique of Hands
Only CPR 10
Hands only CPR is
an effective and easy to learn life-saving technique which can revive sudden
cardiac arrest patients within ten minutes of their death
New Delhi,
February 19, 2016: Sudden
cardiac arrest is the number one killer in India taking an estimated 25 lakh
lives annually. According to the data revealed by
the Delhi Economical Survey, 150 to 250 deaths happen in the city
every single day. Out of these 25 – 45 deaths occur suddenly. With 60% of the
people dying before they reach the hospital and the large number of sudden
cardiac arrest victims; it is essential that each one of us must know the
essential life-saving technique of hands only CPR – 10.
A simple
and easy to learn technique, Hands only CPR 10 does not
require any mouth-to-mouth resuscitation and can be performed by anyone. The
American Heart Association has recently launched a new set of guidelines
according to which compression only or hands only CPR is the most effective
when administered by bystanders.
Welcoming
the AHA guidelines Padma Shri Awardee Dr. KK Aggarwal - President
of Heart Care Foundation of India and Honorary Secretary General of IMA
said, “Sudden cardiac arrests are being found to be the reason for the death of
people as young as in their thirties and forties. In most cases these are triggered
by mild heart issues, which go unnoticed. These are mostly linked to stress and
unhealthy life choices. The hands only CPR 10
mantra is extremely simple to remember and can help revive a sudden cardiac
arrest patient within the first ten minutes of his or her death. The new
guidelines by the American Heart Association are comprehensive and must be
followed and learnt by all. Given how prevalent it is in today’s generation, it
is essential that each person learns the life-saving technique of hands-only CPR10.
“
HCFI Hands
Only CPR 10 Mantra: Within 10 minutes of death (earlier the better), for a
minimum of 10 minutes (the longer the better), compress the center of the chest
of the deceased person continuously and effectively with a speed of 10×10 = 100
per minute. Chest compression should be stopped only when the person
starts breathing or the ambulance arrives.
The new guidelines by the Americal
Heart Association state
·
Bystanders
should initiate compression-only CPR -10.
·
Compression
rate should be 100–120 per minute (updated from “at least” 100 per minute).
·
Compression depth
should be 2–2.5 inches (upper limit added).
·
Compression
time should be maximized.
·
Feedback
devices may be used to optimize compression rate and depth.
·
The
emergency medical dispatcher plays an important role in the early diagnosis of
cardiac arrest, the provision of dispatcher-assisted CPR (also known as
telephone CPR), and the location and dispatch of an AED.
·
The
bystander who is trained and able should assess the collapsed victim rapidly to
determine if the victim is unresponsive and not breathing normally and then
immediately alert the emergency services.
·
The victim
who is unresponsive and not breathing normally is in cardiac arrest and
requires CPR.
·
Bystanders
and emergency medical dispatchers should be suspicious of cardiac arrest in any
patient presenting with seizures and should carefully assess whether the victim
is breathing normally.
·
CPR
providers should perform chest compressions for all victims in cardiac arrest.
·
CPR
providers trained and able to perform rescue breaths should combine chest
compressions and rescue breaths.
·
High-quality
CPR remains essential to improving outcomes.
·
CPR
providers should ensure chest compressions of adequate depth (at least 5 cm but
no more than 6 cm) with a rate of 100–120 compressions min
·
After each
compression allow the chest to recoil completely and minimise interruptions in
compressions.
·
When
providing rescue breaths/ventilations spend approximately 1 s inflating the
chest with sufficient volume to ensure the chest rises visibly. The ratio of
chest compressions to ventilations remains 30:2.
·
Do not
interrupt chest compressions for more than 10 s to provide ventilations.
·
Defibrillation
within 3-5 min of collapse can produce survival rates as high as 50-70 %. Early
defibrillation can be achieved through CPR providers using public access and
on-site AEDs. Public access AED programmes should be actively implemented in
public places that have a high density of citizens.
·
The adult
CPR sequence can be used safely in children who are unresponsive and not
breathing normally. Chest compression depths in children should be at least one
third of the depth of the chest (for infants that is 4 cm, for children 5 cm).
To know more or to organize a training camp in your locality, please
call the NGO’s helpline number 9958771177.
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