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January 18, 2012
Iowa agencies push bystander CPR
By Erik Hogstrom
DUBUQUE, Iowa — Bystanders performing chest compression on cardiac-arrest victims could save more lives than they harm. That's the conclusion of an American Heart Association scientific statement published in the journal "Circulation." Cardiac arrest occurs when the heart completely stops pumping.
Chest compression can help manually pump blood to the organs that need it most during that time of crisis -- including the brain. However, people who lack CPR training but encounter someone who needs it are often afraid to act. Wouldn't their unskilled efforts cause more harm than good?
"People ask that in the classes we teach," said Amy Cherne, clinical nurse specialist for critical care and cardiac services at Mercy Medical Center-Dubuque. "They could be hurting the person more by not doing anything for them."
The American Heart Association makes four recommendations for EMS personnel and 911 dispatchers:
"Bystander CPR is clearly linked to improved cardiac-arrest survival rates, but only 25 to 35 percent of all cardiac arrest patients get bystander CPR in most places," said Dr. Ben Bobrow, co-author of the American Heart Association study and the medical director of the Arizona Department of Health Services' bureau of EMS & Trauma System.
Bobrow said that some localities already have implemented the association's recommendations.
"Places like Seattle that have far higher bystander CPR also have higher survival rates," he said. Cherne said bystanders need not worry about perfect technique. "If you push hard and push fast, you're doing really well," she said.
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