ATLANTA — More bystanders are willing to attempt CPR if an emergency dispatcher gives them firm and direct instructions — especially if they can just press on the chest and skip the mouth-to-mouth, according to new research.
The two new studies conclude that “hands- only” chest compression is enough to save a life. They are the largest and most rigorous yet to suggest that breathing into a victim’s mouth isn’t needed in most cases.
The American Heart Association has been promoting hands-only CPR for two years, though it’s not clear how much it has caught on. The new studies should encourage dispatchers and bystanders to be more aggressive about using the simpler technique.
“That could translate into hundreds if not thousands of additional lives saved each year. What are we waiting for?” said Dr. Arthur Kellermann, a Rand Corp. expert on emergency medicine.
An estimated 310,000 Americans die each year of cardiac arrest outside hospitals or in emergency rooms. Only about 6 percent of those who are stricken outside a hospital survive.
When someone collapses and stops breathing, many people panic and believe that phoning 911 is the best they can do to help.
One of the new studies, carried out in London and the Seattle area, involved more than 1,900 people who witnessed someone in cardiac arrest and called 911 or some other emergency number. Emergency dispatchers instructed callers to do either hands-only CPR or an older form of standard CPR that alternates 15 pushes with two quick breaths.
The second study was done in Sweden and included nearly 1,300 subjects. In both studies, there was no significant difference in the survival rates of people who got conventional CPR and those who got the hands-only version.
The studies are being published in today’s New England Journal of Medicine.
