CPR: Hands-on or Hands-off Defibrillation

Pauses in chest compressions are known to be detrimental to survival in cardiac arrest, so much so that the 2010 American Heart Association (AHA) emphasize high-quality compressions while minimizing interruptions. There have been some studies that now advocate for continuous chest compressions during a defibrillation shock. There have been substantial changes to external defibrillation technology

Good chest compressions during CPR does lead to significant injuries.

A brief accounting of the injuries from CPR from this study show:

  • Multiple rib fractures: 57.3%
  • Sternal fractures: 54.2%
  • Intrathoracic bleeding: 36.1%
  • Cardiac injuries: 7.2%
  • Liver injuries: 3.6%

Luckily none of these injuries were judged to have contributed to the cause of death.

AHA 2015 Guidelines: A Preview

On October 15, the new American Heart Association Guidelines for CPR and ECG will be published. Then we will get the answers to the big questions many of us have wondered about?

  1. Has epinephrine in cardiac arrest seen its last days?
  2. Should paramedics continue to intubate cardiac arrest patients?
  3. Will traditional CPR be abandoned for cardiocerebral Resuscitation (CCR)?