Journal Mobile

R Good
Journal Issue: 
Volume 40: Issue 1: 2010




Adult cardiopulmonary resuscitation (CPR) has been shown to improve survival for individuals suffering cardiac arrest. Despite this, the delivery of basic life support  to  victims  outside  the  clinical  environment  remains  poor,  particularly  as only a minority receive resuscitation. In addition, research continues to examine the optimal techniques for CPR and guidelines have been modified to reflect the latest developments.  These  guidelines  are  a  compromise  between  simplicity  and effectiveness.  While  the  core  of  the  guidelines  remains  unchanged,  the  latest recommendations focus on minimising any delay in the assessment of the collapsed patient  and  the  initiation  of  CPR. They  also  address  the  recent  body  of  opinion promoting compression-only CPR as an alternative to the combined technique of compression  and  mouth-to-mouth  ventilation. Throughout  the  guidelines  a  more pragmatic approach to resuscitation is adopted to try to encourage all individuals, whether trained healthcare professionals or lay people, to initiate resuscitation. An  acknowledgement  of  the  reasons  why  individuals  may  be  reluctant  to  start resuscitation  through  fear  or  anxiety  will  hopefully  help  to  encourage  the instigation of these techniques. This overview will summarise the guidelines and highlight alterations or alternatives where appropriate.