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Push, blow or both: is there a role for compression-only CPR?

机译:推,打击或两者:是否存在仅限压缩CPR的作用?

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摘要

A recent meta-analysis of 79 studies involving 142 740 patients with out-of-hospital cardiac arrest of presumed cardiac aetiology documented a survival-to-hospital discharge rate of 7.6% (95% CI 6.7-8.4) [1]. This analysis showed that survival from out-of-hospital cardiac arrest has changed little over the last 30 years, although a few recent studies report improving survival rates [2, 3]. Bystander cardiopulmonary resuscitation (CPR) increases the chances of long-term survival after out-of-hospital cardiac arrest [1, 4] but bystander CPR rates are low: in England in 2004-2006 the bystander CPR rate was 36% (unpublished data, National Out-of-Hospital Cardiac Arrest Project), which is consistent with the 32% documented in the recent international meta-analysis [1], Reasons for bystanders' not attempting CPR include: no previous training [5]; panic; concern about causing harm; and unwillingness to perform mouth-to-mouth ventilation (rescue breathing) [6].
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