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Commentary on Iwami T, Kitamura T, Kawamura T, et al. Japanese Circulation Society Resuscitation Science Study (JCS-ReSS) Group. Chest compression-only cardiopulmonary resuscitation for out-of-hospital cardiac arrest with public-access defibrillation: a nationwide cohort study. Circulation 2012;126:2844–51.
Implications for practice and research
Out-of-hospital cardiac arrest (OHCA) is a major public health problem.
For decades, guidelines prescribed mouth-to-mouth (MTM) ventilation as the first step in resuscitation of both primary and secondary cardiac arrest.
The report by Iwami and associates is another observational study in patients that found improved survival of patients with primary OHCA who received chest compression only cardiopulmonary resuscitation (CO-CPR) by bystanders.1
Bystander-initiated MTM ventilation alternating with chest compressions was initially the standard, and has been in …
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