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Primary healthcare
Cohort study
Another step towards the acceptance of chest compression only CPR for primary cardiac arrest
  1. Gordon A Ewy
  1. Department of Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA
  1. Correspondence to: Dr Gordon A Ewy
    Department of Medicine, University of Arizona College of Medicine, 1501 North Campbell Avenue, Tucson, Arizona 85724, USA; gaewy{at}aol.com

https://doi.org/10.1136/eb-2013-101289

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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.OpenUrlAbstract/FREE Full Text

    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

    Context

    Bystander-initiated MTM ventilation alternating with chest compressions was …

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    Footnotes

    • Competing interests None.