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More people might survive cardiac arrest if more bystanders tried hands-only CPR

More lives could be saved after cardiac arrest if bystanders applied cardiopulmonary resuscitation (CPR), even if it’s just the hands-only version, a new study suggests.

With hands-only CPR emerging as an alternative to the traditional method – chest compressions coupled with mouth-to-mouth rescue breaths – Swedish researchers decided to investigate the impact of the simpler method.

They found that when rates of either type of CPR increased, the chances of surviving a sudden cardiac arrest doubled.

“In this nationwide study (we saw) an almost six-fold higher proportion of patients receiving compression-only CPR,” said co-author Dr. Jacob Hollenberg, director of the Centre for Resuscitation Science at the Karolinska Institutet. “Any type of CPR was associated with doubled survival rates in comparison with cases not receiving CPR before EMS arrival.”

It’s currently unknown whether CPR including mouth-to-mouth rescue breaths when performed by bystanders is superior to the simpler hands-only method, Hollenberg said in an email. There is an ongoing large randomized controlled trial to answer that question, he added.

Hollenberg suspects more people would be willing to learn hands-only CPR than the traditional method.

For the study published in Circulation, Hollenberg and his colleagues analyzed all out-of-hospital bystander-witnessed cardiac arrests reported to the Swedish Register for Cardiopulmonary Resuscitation between 2000 and 2017. Altogether the researchers had data on 30,445 patients.

The proportion of patients receiving CPR from bystanders grew from 40.8 percent in 2000-2005 to 68.2 percent in 2011-2017. The proportion who got standard CPR was 35.4 percent in the earlier period and 38.1 percent in the later period. But over the same time, the proportion who got hands-only CPR rose from 5.4 percent to 30.1 percent.

 

During the nearly two decades covered by the study, survival rates improved for both groups of patients. Thirty-day survival after standard CPR rose from 9.4 percent to 16.2 percent, and after hands-only CPR it rose from 8.0 percent to 14.3 percent.

Overall, compared to patients who didn’t get any kind of CPR from bystanders, those who got standard CPR before first responders arrived were 2.6 times as likely to survive to 30 days and those who got hands-only CPR were twice as likely to survive 30 days.

The study shows that any kind of CPR is better than no CPR, said Dr. Clifton Callaway, vice chair of emergency medicine at the University of Pittsburgh Medical Center. “This is a tremendously robust data set,” Callaway said. “They’ve been able to track this for many, many years.”

The American Heart Association has been popularizing hands-only CPR, Callaway said. “The message they’re trying to convey is that if you don’t choose to give mouth-to-mouth resuscitation, you can still do chest compressions and help somebody with cardiac arrest,” he said, noting that mouth-to-mouth is still required for other conditions, such as drowning.

The reason hands-only can work is that when people experience a cardiac arrest, they still have oxygen in their lungs, Callaway said. “Chest compressions will buy you some time until someone comes to get the heart started again,” he said.

The other advantage to hands-only CPR is that 911 operators can talk you through it even if you haven’t had any training, Callaway said. “Dispatchers should be able to coach anybody to do chest compressions and provide this potential to sustain life until professional help arrives,” he added. “In my mind, there’s no reason we can’t have 60 to 80 percent of Americans who have had a cardiac arrest receiving assistance from bystanders.”

 

 

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Source: https://www.reuters.com/article/us-health-cpr/more-people-might-survive-cardiac-arrest-if-more-bystanders-tried-hands-only-cpr-idUSKCN1RD37U


Teen learned CPR at a JoCo high school. Two weeks later, he used it to save his dad

When Olathe East High School students got their state-mandated CPR training this winter, freshman Seth Johnson couldn’t fully participate because of a broken collarbone. 

But he was paying close attention.

Two weeks after the training, Seth, his arm still in a sling from a lacrosse injury, helped his older sister, Claire, use CPR to save their dad when he went into cardiac arrest.

Call it a hands-on follow-up lesson.

“Just do whatever it takes,” Seth, 14, said he learned. “Don’t be too scared to do CPR if it’s happening.”

Seth and Claire, an Olathe East senior, were both home Feb. 15 because of a snow day.

Their 52-year-old father, Mark, was in the kitchen making lunch when he told Seth he suddenly wasn’t feeling well. He sat down on the couch, but then things got worse.

“He was kind of grunting and I didn’t know what was going on, so I just yelled his name and he wouldn’t respond,” Seth said.

Hearing the yells, Claire ran in, and the two of them pulled their dad off the couch and laid him flat. He wasn’t breathing. Claire told Seth to call 911, and then she started CPR.

Claire had the same training course at Olathe East but also had been CPR certified as a lifeguard her sophomore year. She knew what she was doing, but after about four minutes of heavy chest compressions she was spent, and Seth had to take over.

“It was really exhausting,” said Claire, 18. “I couldn’t imagine doing it anymore. If Seth wasn’t there I would have (tried), but it helped a lot that he was.”

About two minutes later the paramedics arrived and took over, doing chest compressions and shocking Mark three times with an automatic external defibrillator.

He spent five days in the hospital, but has since made a full recovery.

“I went to the gym with him just the other day actually,” Claire said.

Claire and Seth both said their dad’s brush with death has brought their family closer. They spend more time together now and they don’t take for granted that they will always have one another.

 

Mark said he doesn’t remember much from that day. But he does remember waking up in the hospital and being told the story several times as he tried to get reoriented. Every time, he got emotional thinking about his kids’ poise under pressure.

He said a relative’s father had died years earlier under similar circumstances.

“Basically he had a heart attack at home and his wife and daughter were there and they didn’t really know what to do and they lost him,” Mark said. “Thankfully my kids had learned CPR — my son just two weeks earlier. Everything was a miracle.”

The American Heart Association has lobbied for CPR training in schools, and as of last year 38 states — including Kansas and Missouri — had enacted laws requiring it. Kansas’ law was passed in 2017, but some school districts had been doing the training long before that.

Sudden cardiac arrest kills almost 350,000 victims every year, and causes brain damage in an unknown number of people who survive it.

Recent studies have shown that CPR saves less than 20% of people in that situation, but experts say it’s still worth trying, and the earlier it’s administered the more successful it’s likely to be.

In the last two years most emergency dispatch systems in the Kansas City area have connected themselves to PulsePoint, a smartphone app that alerts CPR-certified users when someone near them is in cardiac arrest.

Claire and Seth said they encourage others to get CPR training, and not be afraid to put it to use.

“Always jump into action,” Claire said. “Even if it doesn’t end up working, at least you tried.”

 

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Source: https://www.kansascity.com/news/business/health-care/article229269669.html


More than half of workers aren’t trained on first aid, CPR

About 10,000 cardiac arrest situations occur in the workplace each year, yet only 45 percent of U.S. employees have been trained in first aid – and only 50 percent of workers know where to find an automated external defibrillator

– according to the results of a survey recently conducted by the American Heart Association.

Researchers surveyed more than 3,000 workers in various industries, including more than 1,000 safety managers in OSHA-regulated industries. They found that 50 percent of workers overall – as well as 66 percent in the hospitality industry – could not locate their workplace’s AED. Results also showed that more than 90 percent of participants said they would take first aid and CPR/AED training if their employer offered it, and 80 percent said that it was “simply the right thing to do.”

 

 

Other findings:

  • 73 percent of office employees believe a co-worker would know how to provide first aid in an emergency, and 70 percent of general industry workers reported the same.
  • 66 percent of workers in education believe a co-worker would know how to use an AED if the situation called for it, and 57 percent of office workers reported the same.
  • 68 percent of office workers rely on a co-worker to know how to administer CPR.

“The data suggests these untrained employees may be relying on their untrained peers in the event of an emergency, leaving employees with a false sense of security that someone in the workplace will be qualified and able to respond, when that is clearly not the case,” Michael Kurz, co-chair of the AHA Systems of Care Subcommittee, said in a June 19 press release. “First aid, CPR and AED training need to become part of a larger culture of safety within workplaces.”

 

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Source: https://www.safetyandhealthmagazine.com/articles/15886-more-than-half-of-workers-arent-trained-on-first-aid-cpr-survey


Less than 20% of Americans are equipped to perform CPR, lets change that…

Anyone can learn CPR, are your employees trained to save a life? 

Green Guard offers weekly CPR classes for companies and groups, Green Guard’s CPRAED and First Aid training program will help employers meet OSHA and other federal and state regulatory requirements for training employees how to respond and care for medical emergencies at work.

This 2-year certification course conforms to the 2015 AHA Guidelines Update for CPR and ECC, and the 2015 AHA and ARC Guidelines Update for First Aid.

CPR classes are a great team building opportunity!

 

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Telephone CPR could save lives, but…

When someone calls 911, the time it takes for paramedics to arrive can be the difference between life and death.

Minnesota lawmaker Julie Sandstede knows this. She represents a rural area, where ambulances may take longer to arrive on the scene of a medical emergency.
When her husband experienced cardiac arrest in 2011, the dispatcher sent the ambulance the wrong way. Luckily, he was saved by a bystander who performed CPR on him under the guidance of a 911 operator.
“(The operator) was able to assess the situation and give direction to what intervention was needed,” Sandstede said. “We were so fortunate.”
Her husband, Evan Sandstede, was lucky to have an operator who knew how to walk someone through CPR. But that’s not always the case.
“When I learned that not all 911 operators are trained in how to instruct CPR over the phone, I couldn’t believe it,” Sandstede said. “I was shocked. … This is unconscionable.”
This legislative session, the Democratic lawmaker has proposed legislation in Minnesota that would require all 911 operators to be trained in telephone CPR.
Telephone CPR is the process in which a 911 operator helps the caller identify cardiac arrest with a short script and provides “just-in-time” instructions on how to provide CPR, said Dr. Michael Kurz, chairman of the American Heart Association’s Telecommunicator-CPR Task Force.
Sandstede proposed the bill after she was approached by the American Heart Association, which has been lobbying for these kinds of laws nationwide.

At least six states already require telephone CPR

At least six states already require 911 operators to be trained in telephone CPR, according to the American Heart Association. They are Louisiana, Kentucky, Wisconsin, Indiana, West Virginia and Maryland.
However, the American Heart Association has been lobbying for all states to adopt telephone CPR requirements. The organization said it would be a cost-effective way to increase the survival rates of people who experience cardiac arrest outside a hospital.
Widespread implementation of telephone CPR would include three to four hours of initial training and a yearly refresher, said Kurz.
“When we talk about public health interventions, this is a relatively low-cost, very high-yield way to improve public health,” he said.
Sandstede said her bill is modeled after Wisconsin’s law, which was enacted in 2018 and set aside $250,000 for telephone CPR training.

Telephone CPR could increase survival rates

About 350,000 sudden cardiac-arrest events occur in the United States each year, and survival rates nationwide average about 10%, Kurz said.
2018 Cleveland Clinic survey found that 54% of Americans say they know how to perform CPR. However, only 11% of respondents knew the correct pace for performing the chest compressions, the survey found.
Having a bystander provide CPR before paramedics arrive on the scene can double or even triple the rate of survival, Kurz said. Telephone CPR-trained 911 operators can identify whether someone is going into cardiac arrest with two questions, and can provide CPR instructions in about 20 seconds.
“The public largely assumes that if you call 911, you’ll receive instructions on whatever the medical emergency is,” Kurz added. “In reality, we know that there’s a very large disconnect.”
Some people think that telephone CPR is equivalent to practicing medicine and only physicians who are licensed should do that. However, Kurz said that is a misconception that is hindering public health.

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Source: https://www.cnn.com/2019/04/09/health/telephone-cpr-trnd/index.html

71-year-old man saves best friend’s life with AED, CPR after heart attack

It was a normal day..

Bill Winness was walking his normal route through the Western Mall with his two friends the morning of April 5 when one started to feel dizzy. He urged Winness to keep going while he sat and rested for a bit.

Just minutes later, a woman came running after the 71-year-old and his friend, Ray Smidt, to tell them that their friend, Keith Clark, was suffering a heart attack.

They ran back as fast as they could. The next thing Winness knew, he was grabbing the Automated External Defibrillator (AED) inside the building while Smidt ran to Clark’s aid. Winness was by Clark’s side instantly after grabbing the AED.

Winness was trained how to use the AED, an electronic device that diagnoses a cardiac arrest, and how to apply electricity in the event of one, in addition to CPR training years ago. All he remembered were the basics, but that was enough.

Winness doesn’t remember panicking, just taking the steps he needed to save his best friend’s life.

“I guess you just do whatever you have to do, you know? You don’t really think about it,” Winness said.

The first step in using the AED was to apply adhesive strips to Clark’s chest for the AED to read what should be done. Since Clark had a pacemaker, the AED just instructed Winness to give CPR. He started chest compressions while another bystander stood on the line with a 9-1-1 dispatcher.

What Winness did helped provide the necessary oxygen to Clark’s brain and helped his heart pump blood while they waited for emergency responders.

It was only minutes, but what he did was vital to preserving Clark’s well-being, according to Scott Christensen, director of clinical service for Patient Care EMS.

“It buys time,” Christensen said. “That time it takes for someone to call for help until first responders arrive, it’s important for someone trained in CPR to give that type of care and assistance. All of that together is what helped save Keith’s life.”

If Winness wasn’t there to give CPR before units arrived, Christensen speculated that Clark might have passed away.

Clark, 81, was released from the heart hospital Friday. He’s in relatively good condition and was advised by his doctor to “lay low” for a few weeks.

This was Clark’s second heart attack, and he’s been suffering episodes for half his life. Winness and Clark talked about what they would do if this happened. They were prepared as much as they could be.

“We all knew where the defibrillator was mounted. We walk by it every day,” Clark said. “I think everybody should know CPR. It probably doesn’t hurt if everybody knew where these AEDs were either.”

Bystanders in Sioux Falls helped give CPR for 73 percent of cardiac arrests in 2017, according to Regional Emergency Medical Services Authority.

It’s common for bystanders to take action in Sioux Falls, just as Bill took charge to help Clark. Nationally though, the REMSA registry’s average is action from bystanders in 38 percent of cardiac arrests.

Part of that is because of wide CPR training in the Sioux Falls area and because of dispatchers instructing 9-1-1 callers how to give CPR. The high rate of bystander help can also be attributed to Sioux Falls Fire Rescue’s Pulsepoint app, which alerts people when CPR is needed nearby.

“Any CPR is better than no CPR,” Christensen said.

For AEDs, it’s 28 percent of bystanders who intervene with the device in Sioux Falls. About 11 percent of bystanders across the registry intervened with an AED in 2017.

There isn’t a standard on how to provide signs for AEDs, Christensen said. Clark worries there needs to be better ways to inform people where the AEDs are — it could mean life or death.

 

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Source: https://www.argusleader.com/story/news/crime/2019/04/09/71-year-old-man-saves-best-friends-life-aed-cpr-after-heart-attack/3380193002/


Ohio pizza employees use CPR to save co-worker’s life

Gibson Gaynesbloom, 63, went into cardiac arrest March 5 while working at a Little Caesars in New Philadelphia, the television station reported.

His co-workers sprang into action. Keralyn Songer, 34, called paramedics. Nicole Strong, 35, who told WJW she learned CPR in high school, cleared Gaynesbloom’s air passage and put him on his back. Brody Ferris, who learned CPR last summer — “I only had three lifeguarding classes at the YMCA,” he told WJW — also helped out.

Strong continued mouth-to-mouth resuscitation until paramedics arrived, the television station reported.

Gaynesbloom was taken to a hospital and had emergency surgery that saved his life, WJW reported. He is expected to make a full recovery.“They essentially started to save my life. Thank you so much. Thank you all and thank you, everyone,” Gaynesbloom told the television station. “I’ve got children and grandchildren. I want to see them grow up.”

Andrea Tyson, who owns the pizza shop, threw a party for the trio Friday and gave them gift cards, WJW reported.

“The conversation I had with the three of them was that I believe that if one of them was not trained in CPR, then I don’t think he would be here today. I know he wouldn’t be here,” Tyson told the television station.

 

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Source: https://www.ajc.com/news/ohio-pizza-employees-use-cpr-save-worker-life/1aRlJkF2H2n9rHWM29jIOM/


One day you might just need it – CPR/First Aid Training

CPR/First Aid – Corporate and Group Classes

 

Anyone can learn CPR, are your employees trained to save a life? 

Green Guard offers weekly CPR classes for companies and groups, Green Guard’s CPRAED and First Aid training program will help employers meet OSHA and other federal and state regulatory requirements for training employees how to respond and care for medical emergencies at work.

This 2-year certification course conforms to the 2015 AHA Guidelines Update for CPR and ECC, and the 2015 AHA and ARC Guidelines Update for First Aid.

CPR classes are a great team building opportunity!

 

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CPR Saves lives at Food 4 Less

Medford, OR. Fire-Rescue honored four distinct community members, as well as local business, Food 4 Less, on Thursday for their heroic and fast-acting efforts that saved two lives in December.

Over the Christmas holiday, two separate incidents that both involved people going into cardiac arrest, happened a week apart at the same Medford Food 4 Less. According to Medford Fire-Rescue, both patients required a “Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillation (AED).”

The first incident, on December 22nd, began as a reported car crashing into the Food 4 Less building. Several employees and a customer moved quickly to check on the driver and realized she was not responsive or breathing.

They called for help, turned off the car, and pulled her out to begin CPR. One of the employees ran inside the building to retrieve the closest AED. The first arriving Medford Police officer on-scene assisted with CPR until Medford Fire-Rescue firefighters arrived to relieve them. “We happened to be walking by going in shopping and just rendered care to her as we saw fit to what’s going on,” Cliff Maris, local United States Postal Service employee said.

Maris has a history of valiant acts and medical training from his six years in the air force as a Medical Evacuation Specialist 452nd, who served during the first war in Iraq. Maris said helping and taking care of people are the two reasons that motivated him to join the military. “It’s just the training we had in the military that [tells us to] go to it and then take care of the problem instead of running away from it,” Maris said.

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“Due to the rapid and effective CPR performance, the patient arrived to the hospital with a pulse, and a chance,” said Melissa Cano, Emergency Manager for Medford Fire-Rescue.

A week later on December 28th, a Food 4 Less employee was alerted of an unresponsive person, hunched over on a bench. The very same employee who assisted in the previous week’s incident again responded, and was instrumental in the life-saving efforts. They acted swiftly: calling for help, starting CPR, and even issuing a shock from the store AED before the first responders arrived.

“Both incidents are a true testament to the willingness of those in our community to help a person in need,” said Cano. “Medford Fire-Rescue is not only proud to recognize these individuals, but highlight the importance of being properly trained in CPR. Every community member can potentially assist others, and even, save a life.”

 

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Life saving First Aid/CPR lessons – We come to you

CPR/First Aid Training – Corporate and Group Classes – November 26th – 30th

Green Guard offers weekly CPR classes for companies and groups, Green Guard’s CPRAED and First Aid training program will help employers meet OSHA and other federal and state regulatory requirements for training employees how to respond and care for medical emergencies at work.

This 2-year certification course conforms to the 2015 AHA Guidelines Update for CPR and ECC, and the 2015 AHA and ARC Guidelines Update for First Aid.

Looking for a Team Building opportunity? Learn to save a life while providing a great team building exercise.

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