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Practice

Cardiopulmonary resuscitation

Faizan Khan and Christian Vaillancourt
CMAJ January 09, 2017 189 (1) E25; DOI: https://doi.org/10.1503/cmaj.160393
Faizan Khan
School of Epidemiology (Khan, Vaillancourt), Public Health and Preventive Medicine, University of Ottawa; Clinical Epidemiology Program (Khan, Vaillancourt), Ottawa Hospital Research Institute; Department of Emergency Medicine (Vaillancourt), The Ottawa Hospital, Ottawa, Ont.
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Christian Vaillancourt
School of Epidemiology (Khan, Vaillancourt), Public Health and Preventive Medicine, University of Ottawa; Clinical Epidemiology Program (Khan, Vaillancourt), Ottawa Hospital Research Institute; Department of Emergency Medicine (Vaillancourt), The Ottawa Hospital, Ottawa, Ont.
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  • For correspondence: cvaillancourt@ohri.ca
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  • Response to Carr "CPR - correction"
    Christian Vaillancourt
    Posted on: 10 February 2017
  • CPR - correction
    Tony Carr
    Posted on: 10 February 2017
  • Posted on: (10 February 2017)
    Response to Carr "CPR - correction"
    • Christian Vaillancourt, Senior Scientist
    • Other Contributors:

    The statement could be improved for clarity, but is actually accurate.

    Previous recommendations used to recommend that chest compressions be performed at a rate of 100 per min. In a large observational study, the compression rate actually performed by rescuers was higher than 100 per min 50% of the time. As it turns out, the highest survival rate was achieved when the compression rate was between 100 and 120 per m...

    Show More

    The statement could be improved for clarity, but is actually accurate.

    Previous recommendations used to recommend that chest compressions be performed at a rate of 100 per min. In a large observational study, the compression rate actually performed by rescuers was higher than 100 per min 50% of the time. As it turns out, the highest survival rate was achieved when the compression rate was between 100 and 120 per minute. In the end, while the compression rate should not far exceed 120 compressions per minute, it appears that providing compressions at a rate exceeding the past recommendations of 100 per minute is desirable.

    Christian Vaillancourt MD MSc Associate Professor, Department of Emergency Medicine Senior Scientist, Ottawa Hospital Research Institute Research Chair in Emergency Cardiac Resuscitation, University of Ottawa Associate Medical Director, Regional Paramedic Program for Eastern Ontario

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
  • Posted on: (10 February 2017)
    CPR - correction
    • Tony Carr, psychiatrist

    There is an unfortunate misprint in the first line of this useful clinical note - the word "not" has been omitted!

    Item 1 headline should read: "Chest compressions during CPR should NOT be fast pushes."

    The authors point out that more than 50% of the public administer chest compressions too fast. 100 per minute (i.e. walking speed) is ideal.

    Conflict of Interest:

    ...
    Show More

    There is an unfortunate misprint in the first line of this useful clinical note - the word "not" has been omitted!

    Item 1 headline should read: "Chest compressions during CPR should NOT be fast pushes."

    The authors point out that more than 50% of the public administer chest compressions too fast. 100 per minute (i.e. walking speed) is ideal.

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
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Canadian Medical Association Journal: 189 (1)
CMAJ
Vol. 189, Issue 1
9 Jan 2017
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Cardiopulmonary resuscitation
Faizan Khan, Christian Vaillancourt
CMAJ Jan 2017, 189 (1) E25; DOI: 10.1503/cmaj.160393

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Cardiopulmonary resuscitation
Faizan Khan, Christian Vaillancourt
CMAJ Jan 2017, 189 (1) E25; DOI: 10.1503/cmaj.160393
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    • Chest compressions during cardiopulmonary resuscitation should be fast pushes
    • Perishock pauses should be limited to improve survival
    • Rescuers may adopt an interrupted or continuous CPR strategy
    • Vasopressin offers no advantage over epinephrine in cardiac arrest
    • A target temperature should be maintained in the postcardiac arrest period
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