New CPR Guidelines – Adult and Child – Not Infant

Recent research has led to a few changes in the basic guidelines for adult and child cardiopulmonary resuscitation. For one thing, the guidelines have been rewritten to place a greater emphasis on the performance of effective chest compressions. It is now recommended that rescuers should make chest compressions forceful and rapid, at a rate of about 100 compressions per minute.

The chest of the injured person should be allowed to return fully to a normal position after every compression, and there should be no interruptions in compression. The reason for this new emphasis is that studies have shown that effective chest compressions are the best remedy for cardiac arrest, and that rescuers have often given compressions that are either too shallow or too slow. Another recent change to the guidelines for CPR has been the recommendation of a ratio of 30 compressions to 2 ventilations. Formerly, a 15 to 2 ratio was recommended. This change is in keeping with the new emphasis placed on chest compressions; doctors have decided that recommending a longer set of compressions will lead to more effective resuscitation. The doctors declared at the same time that every rescue breath should last exactly one second. It is important that these rescue breaths be powerful enough to make the chest rise. This new recommendation was made after determining that incapacitated individuals require far less oxygen, and so do not need breaths longer than a second. Finally, doctors have issued new procedures for administering CPR in conjunction with a defibrillator. The new recommended protocol is to administer one shock followed by five CPR cycles, beginning with chest compressions. This new protocol has been devised to decrease the length of time before the first set of chest compressions. At present, defibrillation is only recommended for victims above the age of one year.


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