title: [Resuscitation - Basic Life Support in adults and application of automatic external defibrillators].
abstract: Witnesses of a sudden cardiac arrest play a key-role in resuscitation. Lay-persons should therefore be trained to recognize that a collapsed person who is not breathing at all or breathing normally might suffer from cardiac arrest. Information of professional emergency medical staff by lay-persons and their initiation of cardio-pulmonary-resuscitation-measures are of great importance for cardiac-arrest victims. Ambulance-dispatchers have to support lay-rescuers via telephone. This support includes the localisation of the nearest Automatic External Defibrillator (AED). Presentation of agonal breathing or convulsions due to brain-hypoxia need to be recognized as potential early signs of cardiac arrest. In any case of cardiac arrest chest-compressions need to be started. There is insufficiant data to recommend "chest-compression-only"-CPR as being equally sufficient as cardio-pulmonary-resuscitation including ventilation. Rescuers trained in ventilation should therefore combine compressions and ventilations at a 30:2-ratio. Movement of the chest is being used as a sign of sufficient ventilation. High-quality chest-compressions of at least 5 cm of depth, not exceeding 6 cm, are recommended at a ratio of 100-120 chest conpressions/min. Interruption of chest-compression should be avoided. At busy public places AED should be available to enable lay-rescuers to apply early defibrillation.
authors.forename: Andreas
authors.initials: A
authors.lastname: Bohn
authors.forename: Stephan
authors.initials: S
authors.lastname: Seewald
authors.forename: Jan
authors.initials: J
authors.lastname: Wnent
mesh_terms: D003422:Critical Care / Q000592:standards; D019091:Critical Pathways / Q000592:standards*; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D047548:Defibrillators / Q000592:standards*; D004632:Emergency Medical Services / Q000592:standards; D005858:Germany; D006801:Humans; D008020:Life Support Care / Q000592:standards*; D010348:Patient Care Team / Q000592:standards*; D017410:Practice Guidelines as Topic; D012151:Resuscitation / Q000592:standards*