Action sequence for layperson cardiopulmonary resuscitation

Paul E. Pepe, Marc Gay, Leonard A. Cobb, Anthony J. Handley, Arno Zaritsky, Alfred Hallstrom, Robert W. Hickey, Ian Jacobs, Robert A. Berg, Nicholas G. Bircher, David A. Zideman, Rien De Vos, Vic Callanan

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
JournalAnnals of Emergency Medicine
Volume37
Issue number4 SUPPL.
DOIs
StatePublished - 2001

Fingerprint

Cardiopulmonary Resuscitation
Ventilation
Guidelines
Reaction Time
Consensus

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Pepe, P. E., Gay, M., Cobb, L. A., Handley, A. J., Zaritsky, A., Hallstrom, A., ... Callanan, V. (2001). Action sequence for layperson cardiopulmonary resuscitation. Annals of Emergency Medicine, 37(4 SUPPL.). https://doi.org/10.1067/mem.2001.114175

Action sequence for layperson cardiopulmonary resuscitation. / Pepe, Paul E.; Gay, Marc; Cobb, Leonard A.; Handley, Anthony J.; Zaritsky, Arno; Hallstrom, Alfred; Hickey, Robert W.; Jacobs, Ian; Berg, Robert A.; Bircher, Nicholas G.; Zideman, David A.; De Vos, Rien; Callanan, Vic.

In: Annals of Emergency Medicine, Vol. 37, No. 4 SUPPL., 2001.

Research output: Contribution to journalArticle

Pepe, PE, Gay, M, Cobb, LA, Handley, AJ, Zaritsky, A, Hallstrom, A, Hickey, RW, Jacobs, I, Berg, RA, Bircher, NG, Zideman, DA, De Vos, R & Callanan, V 2001, 'Action sequence for layperson cardiopulmonary resuscitation', Annals of Emergency Medicine, vol. 37, no. 4 SUPPL.. https://doi.org/10.1067/mem.2001.114175
Pepe PE, Gay M, Cobb LA, Handley AJ, Zaritsky A, Hallstrom A et al. Action sequence for layperson cardiopulmonary resuscitation. Annals of Emergency Medicine. 2001;37(4 SUPPL.). https://doi.org/10.1067/mem.2001.114175
Pepe, Paul E. ; Gay, Marc ; Cobb, Leonard A. ; Handley, Anthony J. ; Zaritsky, Arno ; Hallstrom, Alfred ; Hickey, Robert W. ; Jacobs, Ian ; Berg, Robert A. ; Bircher, Nicholas G. ; Zideman, David A. ; De Vos, Rien ; Callanan, Vic. / Action sequence for layperson cardiopulmonary resuscitation. In: Annals of Emergency Medicine. 2001 ; Vol. 37, No. 4 SUPPL.
@article{c470c84a39a044058db39a0205315162,
title = "Action sequence for layperson cardiopulmonary resuscitation",
abstract = "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.",
author = "Pepe, {Paul E.} and Marc Gay and Cobb, {Leonard A.} and Handley, {Anthony J.} and Arno Zaritsky and Alfred Hallstrom and Hickey, {Robert W.} and Ian Jacobs and Berg, {Robert A.} and Bircher, {Nicholas G.} and Zideman, {David A.} and {De Vos}, Rien and Vic Callanan",
year = "2001",
doi = "10.1067/mem.2001.114175",
language = "English (US)",
volume = "37",
journal = "Annals of Emergency Medicine",
issn = "0196-0644",
publisher = "Mosby Inc.",
number = "4 SUPPL.",

}

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.

UR - http://www.scopus.com/inward/record.url?scp=17744380790&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=17744380790&partnerID=8YFLogxK

U2 - 10.1067/mem.2001.114175

DO - 10.1067/mem.2001.114175

M3 - Article

C2 - 11290966

AN - SCOPUS:17744380790

VL - 37

JO - Annals of Emergency Medicine

JF - Annals of Emergency Medicine

SN - 0196-0644

IS - 4 SUPPL.

ER -