TY - JOUR T1 - Another step towards the acceptance of chest compression only CPR for primary cardiac arrest JF - Evidence Based Nursing JO - Evid Based Nurs DO - 10.1136/eb-2013-101289 SP - ebnurs-2013-101289 AU - Gordon A Ewy Y1 - 2013/04/13 UR - http://ebn.bmj.com/content/early/2013/04/15/eb-2013-101289.abstract N2 - 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. 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 … ER -