Page 71 - Occupational Health & Safety, June 2017

“If a bystander is not trained in CPR, then
the bystander should provide hands-only CPR. The rescuer should continue hands-only CPR until an automated external defibrillator arrives and is ready for use or EMS providers take over care of the victim.”
The ECC Committee said in 2008 that all victims of cardiac arrest should receive, at a minimum, high-quality chest compres- sions. Its recommendations, to support that goal and to save more lives, included these:
“When an adult suddenly collapses, trained or untrained by- standers should—at a minimum—activate their community emer- gency medical response system (e.g., call 911) and provide high- quality chest compressions by pushing hard and fast in the center of the chest, minimizing interruptions.
“If a bystander is not trained in CPR, then the bystander should provide hands-only CPR. The rescuer should continue hands-only CPR until an automated external defibrillator arrives and is ready for use or EMS providers take over care of the victim.
“If a bystander was previously trained in CPR and is confident in his or her ability to provide rescue breaths with minimal inter- ruptions in chest compressions, then the bystander should provide either conventional CPR using a 30:2 compression-to-ventilation ratio or hands-only CPR. The rescuer should continue CPR until
an automated external defibrillator arrives and is ready for use or EMS providers take over care of the victim.
“If the bystander was previously trained in CPR but is not con- fident in his or her ability to provide conventional CPR including high-quality chest compressions (i.e., compressions of adequate rate and depth with minimal interruptions) with rescue breaths, then the bystander should give hands-only CPR. The rescuer should continue hands-only CPR until an automated external de- fibrillator arrives and is ready for use or EMS providers take over the care of the victim.”
The committee noted that, while all cardiac arrest victims will benefit from delivery of high-quality chest compressions, some victims may benefit from the administration of conventional CPR. So it continued to encourage the public to obtain CPR training to learn the skills required to care for a wide range of cardiovascular- and respiratory-related medical emergencies.
Jerry Laws is the editor of Occupational Health & Safety.
REFERENCES
1. http://circ.ahajournals.org/content/117/16/2162
2. Vol. 29, Issue 2, pp. 158-164, http://onlinelibrary.wiley.com/wol1/
doi/10.1111/1742-6723.12720/full
3. https://ohsonline.com/Articles/2015/06/01/Chain-of-Survival-Starts- with-Awareness-and-Preparedness.aspx
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