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• W2080129104 abstract "A recent editorial on the science of basic life support (BLS) education acknowledges that, despite nearly 4 decades of public instruction in cardiopulmonary resuscitation (CPR) classes, most people who complete CPR training still do not perform effective basic CPR even immediately after training [1]. But still supports the theory that survival rates for unexpected cardiac arrest depend not only on the quality of the education given to potential caregivers but also on the validity of treatment guidelines and a well-functioning chain of survival [2]. The author emphasizes that these factors hinge on BLS training to the highest level of performance. However, a recent study concluded that even with use of real-time feedback, emergency rescuers fail to sustain chest compression quality according to current guidelines [3]. Therefore, because professional rescuers, and for that matter lay bystanders, cannot even be prompted to perform effective CPR, they certainly likely cannot be trained to perform effective CPR. Although a well-functioning chain of survival can influence survival, it can be argued that increasing the number of efficiently educated CPR providers who do not have adequate height and upper-body weight cannot. In addition to those who have a cardiac arrest with smaller hearts and thoraces, male bystanders, may be another factor that is predictive of patient survival [4,5]. The typical male rescuer is generally stronger and more physically able to perform effective CPR than the typical female rescuer. However, the hidden reason why only very few rescuers can perform effective CPR despite receiving high-quality BLS training and/or while using feedback technology is likely because the typical rescuer lacks a combination of adequate height and upper-body weight. To perform effective rate (100-120/min) and depth (≥50 mm) CPR with complete sternal recoil, rescuers need to perform highimpulse CPR. High-impulse CPR with its high-velocity short duration compression phase and longer duration decompression phase (or duty cycle adequatelyb50%) not only produces superior hemodynamics but also apparently produces substantial compression-induced ventilation [6,7]. A longer decompression phase maximizes sternal recoil, thereby increasing venous return, coronary and cerebral perfusion, and inspiratory volume. When chest compressions are performed with gasping suppressed and with enough force to achieve a compression depth of only 38 mm at a 100/min rate and a 50% duty cycle, there is no compressioninduced minute alveolar ventilation [8]. Performing CPR at a rate of" @default.
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• W2080129104 date "2014-08-01" @default.
• W2080129104 modified "2023-09-25" @default.
• W2080129104 title "The critical need for further research and development of abdominal compressions cardiopulmonary resuscitation" @default.
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• W2080129104 doi "https://doi.org/10.1016/j.ajem.2014.05.024" @default.
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