Essay Sample on Compression-Only CPS and CPR

Current Guideline or Practice on Compression-Only CPS

According to the current guidelines published by the American Heart Association (AHA) in 2015 for Cardiopulmonary Resuscitation (CPR), there is proof that survival rates for hospital discharges have gotten improved through high-quality CPR. The 2015 AHA's updated guidelines have expounded on many of the 2010 recommendations to put the focus on high-quality chest compressions which are the intervention with high chances of improving resuscitation outcomes (Bobrow et al., 2010). According to the analysis by AHA's, there is an improvement in the results of resuscitation when there is an immediate high-quality chest compression. Pushing hard and fast remains to be the characteristics defining high-quality compressions.

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History of Compression-Only CPR

In 1740, mouth-to-mouth resuscitation was first recommended by the Paris Academy of Sciences for drowning victims. Twenty-seven years later, in 1767, the first organized effort dealing with unexpected and sudden death was the Society for the Recovery of Drowned Persons. Dr. Friedrich Maass did the very first humans equivocally documented compression in 1891. Dr. George Crile reported 1903, the first successful external chest compression in the resuscitation of a human. He again performed a closed-chest cardiac massage in 1904, and this was the first case in America.

Evidence Supporting Compression-Only CPR

According to Crystal Phend (2012), when chest compression-only CPR got performed by bystanders and used a public-access defibrillator, over 40% of such victims survived out of the hospital for not less than one month without any daily living assistance (Phend, 2012). Comparing this with the conventional CPR, it is was 33% higher. The Journal of the American Heart Association stated that it was the highest rate of survival with the outcomes of neurologically-favorable and that it should be the target survival proceeding the out-of-hospital cardiac arrest.

Pros and Cons of Compression-Only CPR

Some of the advantages of compression-only CPR include the following. There is unlikeliness of infection since there is no mouth to mouth contact. The process is also more natural to teach and learn. The method also facilitates the circulation of blood the organs and the brain until EMS arrives for the administration of more advanced care. The compression only CPR also has cons, and they include the following. First, due to chest compressions, the victim could sustain injuries even after the recovery. Secondly, proper treatment could get delayed in cases where an individual requires ventilation and not chest compressions. Lastly, those suffering from hypoxic cardiac may need ventilation and not compression.

References

Bobrow, B. J., Spaite, D. W., Berg, R. A., Stolz, U., Sanders, A. B., Kern, K. B., ... & LoVecchio, F. (2010). Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. Jama, 304(13), 1447-1454. https://jamanetwork.com/journals/jama/fullarticle/186668Phend C. (2012). Hands-Only CPR Saves More Lives. MedPage Today. https://www.medpagetoday.com/cardiology/arrhythmias/36380

Svensson, L., Bohm, K., Castren, M., Pettersson, H., Engerstrom, L., Herlitz, J., & Rosenqvist, M. (2010). Compression-only CPR or standard CPR in out-of-hospital cardiac arrest. New England Journal of Medicine, 363(5), 434-442. https://www.nejm.org/doi/full/10.1056/Nejmoa0908991