The need for head rotation and abdominal compressions during bystander cardiopulmonary resuscitation.
The current AHA-ECC guidelines for basic life support focus on the provision of good chest compressions with minimal interruptions for patients with presumed out-of-hospital cardiac arrest. Moreover, international consensus guidelines now support the use of chest compression-only cardiopulmonary resuscitation (CPR) instructions for dispatcher-assisted CPR given over the phone to untrained bystanders. However, evidence that strongly challenge these recommendations have been overlooked. A review of this evidence argues for the need for head rotation (a hands-free method of airway control) and abdominal compressions during bystander CPR.
Rottenberg
Eric M
EM
Department of Perioperative Services, The Ohio State University Medical Center, Columbus, OH 43210-1228, USA. rottenberg.1@osu.edu
D000005:Abdomen; D000402:Airway Obstruction / Q000150:complications / Q000628:therapy; D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards*; D002985:Clinical Protocols; D004632:Emergency Medical Services / Q000379:methods*; D019983:Guideline Adherence; D006257:Head; D006323:Heart Arrest / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006336:Heart Massage / Q000379:methods; D006801:Humans; D011187:Posture; D012399:Rotation; D016896:Treatment Outcome; D014838:Volunteers