TY - JOUR
T1 - Action sequence for layperson cardiopulmonary resuscitation
AU - Pepe, Paul E.
AU - Gay, Marc
AU - Cobb, Leonard A.
AU - Handley, Anthony J.
AU - Zaritsky, Arno
AU - Hallstrom, Alfred
AU - Hickey, Robert W.
AU - Jacobs, Ian
AU - Berg, Robert A.
AU - Bircher, Nicholas G.
AU - Zideman, David A.
AU - De Vos, Rien
AU - Callanan, Vic
PY - 2001
Y1 - 2001
N2 - Although some minor modifications were forged, the general consensus was to maintain most of the current guidelines for phone first/phone fast, no-assisted-ventilation CPR, the A-B-C(vs C-A-B) sequence of CPR, and the recovery position. The decisions to leave these guidelines as they are were based on a lack of evidence to justify the proposed changes, coupled with a reluctance to make revisions that would require major changes in worldwide educational practices without such evidence. Nonetheless, some major changes were made. The time-honored procedure of pulse check by lay rescuers was eliminated altogether and replaced with an assessment for other signs of circulation. Likewise, it was recommended that even the professional rescuer now check for these other signs of circulation. Although professional rescuers may simultaneously check for a pulse, they should do so only for a short period of time (within 10 seconds). There was also enthusiasm for deleting the ventilation aspect of EMS dispatcher-assisted CPR instructions that are provided to rescuers at the scene who are inexperienced in CPR. It was made clear, though, that the data are applicable only to adult patients who are receiving CPR and that the data are appropriate most for EMS systems with rapid response times.
AB - Although some minor modifications were forged, the general consensus was to maintain most of the current guidelines for phone first/phone fast, no-assisted-ventilation CPR, the A-B-C(vs C-A-B) sequence of CPR, and the recovery position. The decisions to leave these guidelines as they are were based on a lack of evidence to justify the proposed changes, coupled with a reluctance to make revisions that would require major changes in worldwide educational practices without such evidence. Nonetheless, some major changes were made. The time-honored procedure of pulse check by lay rescuers was eliminated altogether and replaced with an assessment for other signs of circulation. Likewise, it was recommended that even the professional rescuer now check for these other signs of circulation. Although professional rescuers may simultaneously check for a pulse, they should do so only for a short period of time (within 10 seconds). There was also enthusiasm for deleting the ventilation aspect of EMS dispatcher-assisted CPR instructions that are provided to rescuers at the scene who are inexperienced in CPR. It was made clear, though, that the data are applicable only to adult patients who are receiving CPR and that the data are appropriate most for EMS systems with rapid response times.
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U2 - 10.1067/mem.2001.114175
DO - 10.1067/mem.2001.114175
M3 - Article
C2 - 11290966
AN - SCOPUS:17744380790
SN - 0196-0644
VL - 37
SP - S17-S25
JO - Annals of emergency medicine
JF - Annals of emergency medicine
IS - 4 SUPPL.
ER -