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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2010

Open Access 01-12-2010 | Commentary

Continuous chest compressions: encouraging but unusual

Authors: Daniel Bergum, Eirik Skogvoll

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2010

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Excerpt

In the case report by Steen-Hansen [1], the author presents evidence that continuous chest compressions may provide adequate circulation over a long time. Together with the compression-caused airway flow, circulation was sufficient to provide a critical amount of oxygen delivery to vital organs until arrival of emergency rescuers to perform eventual defibrillation. Gasping and moaning is sometimes observed while doing CPR, suggesting that it is effective in providing cerebral blood flow. Here, this notion is strengthened by the observation that small pauses of chest compressions led gasping to cease. …
Literature
1.
Steen-Hansen JE: Favourable outcome after 26 minutes of "Compression only" resuscitation. SJTREM. 2010
2.
KANTO Group: Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet. 2007, 369 (9565): 920-6. 10.1016/S0140-6736(07)60451-6.CrossRef
3.
Kitamura T, Iwami T, Kawamura T, Nagao K, Tanaka H, Nadkarni VM, et al: Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study. The Lancet. 2010, 375 (9723): 1347-1354. 10.1016/S0140-6736(10)60064-5.CrossRef
4.
Vaillancourt C, Verma A, Trickett J, Crete D, Beaudoin T, Nesbitt L, et al: Evaluating the effectiveness of dispatch-assisted cardiopulmonary resuscitation instructions. Acad Emerg Med. 2007, 14 (10): 877-83. 10.1111/j.1553-2712.2007.tb02321.x.CrossRefPubMed
Metadata
Title
Continuous chest compressions: encouraging but unusual
Authors
Daniel Bergum
Eirik Skogvoll
Publication date
01-12-2010
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1757-7241-18-20

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