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  • Title: Chest compression-only cardiocerebral resuscitation.
    Author: Nagao K.
    Journal: Curr Opin Crit Care; 2009 Jun; 15(3):189-97. PubMed ID: 19451816.
    Abstract:
    PURPOSE OF REVIEW: Conventional cardiopulmonary resuscitation (CPR) by bystanders with chest compressions and mouth-to-mouth ventilation has been documented to save life. Nevertheless, despite four decades of promulgation, it is a serious problem that the majority of bystanders are unwilling or unable to perform conventional CPR. I review the efficacy of chest compression-only cardiocerebral resuscitation (CCR) for all adult patients with out-of-hospital cardiac arrest. RECENT FINDINGS: Recent observational studies showed that chest compression-only CCR by bystanders was equivalent or superior to conventional CPR in adult patients with out-of-hospital cardiac arrest in terms of neurological benefits. In 2008, the American Heart Association Emergency Cardiovascular Care committee recommended that bystanders who witness a sudden collapse in an adult should give chest compressions without ventilations (chest compression-only CCR; hands-only CPR). Furthermore, an observational study showed that chest compression-only CCR by emergency medical services personnel was a preferable approach to advanced cardiovascular life support for adult patients with out-of-hospital cardiac arrest. SUMMARY: To save more lives, I hope that compression-only CCR by citizen is generally, known, recommended, and taught to the public, because chest compression-only CCR by citizen is the preferable approach to basic life support for adult victims with out-of-hospital cardiac arrest.
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