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CPR Guidelines May Lower Out-of-Hospital Death Rate

CPR Guidelines May Lower Out-of-Hospital Death Rate

11/15/10

SATURDAY, Nov. 13 (HealthDay News) -- When implemented, the American Heart Association's 2005 guidelines on cardiopulmonary resuscitation (CPR) can dramatically boost survival rates among people being treated outside a hospital setting, according to an expert report.

A case report on the effectiveness of the new guidelines is scheduled to be presented Saturday at the AHA's annual meeting in Chicago by Dr. Michael Dailey, an associate professor of emergency medicine at Albany Medical College.

Dailey also serves as medical director of emergency medical services (EMS) for the town of Colonie, N.Y., population 80,000. He said that local implementation of the AHA directives beginning in 2006 translated into a quadrupling of survival rates in his community over a three-year period.

Adoption of the guidelines took many forms, including the expansion of CPR training along the lines of the AHA's "CPR Anytime" format. Since 2005, about 200 Colonie residents a year have been trained in CPR, Dailey said.

In addition, the town has embraced other AHA suggestions, such as the use of impedance threshold devices (which increase blood supply to heart and brain during resuscitation), faster deployment of mechanical CPR devices, bringing down emergency response times by upwards of a full minute, a commitment to performing two minutes of CPR before applying defibrillation, and favoring a period of high-quality CPR prior to application of advanced airway placement and IV access.

Also, as of 2009, once in the hospital, resuscitated patients in comas have received therapeutic hypothermia, he added. Since 2005, Colonie has also opened three Level One cardiac arrest centers.

The result: Colonie's out-of-hospital cardiac arrest survival track record has jumped from just 4 percent in 2005 to 22 percent by 2009, Dailey said.

More information

For more on CPR, visit the American Heart Association.

Copyright © 2010 HealthDay. All rights reserved.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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