Cardiopulmonary resuscitation is a fundamental life-saving technique used to restore blood circulation and breathing in individuals experiencing cardiac arrest. Over the past decade, the field of CPR has witnessed remarkable advancements, pushing the efficacy of CPR to new heights.
In this article, we delve into a comparative analysis of CPR today vs CPR a decade ago, exploring the evolution of the technique. We’ll go through the differences and highlight the various advancements that have improved the quality and outcome of resuscitation efforts.
CPR a Decade Ago: What Has Changed Today?
CPR has been an important life support skill since the early 1960s. Over the years, advancements in medical science and technology have led to improvements in CPR techniques and practices.
In the following text, we’ll outline some changes that have happened in the CPR technique and give you the new practice.
Chest Compressions
In the first 50 years after the AHA was founded, the recommended rate of chest compressions increased from 60 compressions a minute to about 100. Following more research, that rate was revised to the current recommendation of 100-120 compressions per minute.
But that is not the only part of chest compressions that has changed. Namely, in the past, the recommended depth of compressions was 1.5 to 2 inches. However, now it is at least 2 inches but no more than 2.5 inches.
So why has this changed? When chest compressions are in that range and depth, the likelihood of resuscitation is at its highest.
CPR Order
For decades, the recommended sequence for CPR was “ABC” (Airway, Breathing, and Chest compressions). But, in 1995, the AHA recommended adding a D (for defibrillation) to the standard, getting the acronym ABCD.
In the past, the traditional approach to CPR began with clearing the airway, followed by delivering rescue breaths and finally administering chest compressions and defibrillating. The reasoning behind this order was to ensure that the victim’s airway was open and that oxygen could reach the lungs before focusing on restoring circulation through chest compressions.
Over time, research and clinical evidence provided insights into the critical factors influencing survival rates during cardiac arrest. People understood that immediate, high-quality chest compressions were of utmost importance in maintaining blood flow to the brain and heart. This prompted a reevaluation of the sequence in CPR, so in 2010, AHA changed its guidelines, so the order now reads CAB.
The shift to CAB emphasizes the primacy of chest compressions. This way, the rescuer can immediately start providing blood flow to vital organs, particularly the brain, which is crucial for improving the chances of survival.
Mouth-to-Mouth Rescue Breathing
The emphasis on rescue breaths was bigger in the past. The AHA recommended performing 30 chest compressions followed by two rescue breaths in a cycle. But, the American Heart Association no longer actively recommends mouth-to-mouth resuscitation.
One reason for it is that untrained persons find giving only chest compressions without rescue breathing much simpler. In addition, a 2007 study conducted by Ken Nagao in Tokyo discovered that patients who received CPR without rescue breaths were 2.2 times less likely to sustain a brain injury.
Searching for a Pulse
Before performing CPR, previous practices advised checking the pulse and then looking for signs of circulation. But, medical professionals understood that this squandered valuable time.
So, in 2010, the AHA advised bystanders not to stop to check for a pulse; instead, they should begin CPR. The most recent 2020 AHA guidelines reaffirmed that advice, highlighting that the risk of harm from performing CPR is low if the victim collapses for a reason other than cardiac arrest, while the risk is higher for people experiencing cardiac arrest who do not receive CPR immediately.
Advancements in CPR Today
With the transition from ABC to CAB, CPR training programs and guidelines have been updated to reflect this change. Educational initiatives now put an accent on the importance of early chest compressions, with less emphasis on rescue breaths, particularly for laypersons who may not feel comfortable or confident delivering them.
CPR training courses now incorporate the hands-on practice of chest compressions as the primary skill, followed by airway management and rescue breaths. By prioritizing chest compressions, individuals can quickly initiate effective CPR and sustain circulation until professional help arrives.
The updated CPR guidelines have also led to a simplification of the CPR process for bystanders, making it easier to remember and perform effectively. The emphasis on chest compressions also reduces the risk of interruptions during the CPR process, ensuring that the victim receives continuous blood flow.
The American Red Cross and Updated CPR Guidelines
The ARC Focused Updates and Guidelines 2021 is a training services program offered by the American Red Cross. These guidelines outline procedures that reflect the accepted emergency practices in the US. They also advise that healthcare professionals and bystanders start with chest compressions when they recognize cardiac arrest.
In 2005, the compression-to-ventilation ratio for adults increased from 15:2 to 30:2. Since then, everyone, including the American Red Cross, has been recommending a CV ratio of 30:2 in adults with cardiac arrest.
How to Get a Tampa ARC CPR Certificate?
CPR today represents a significant advancement over CPR practices in the past. The focus on early and continuous chest compressions, increased awareness, and accessibility of CPR training have contributed to improved survival rates and outcomes.
However, there are over 356,000 OHCA in the US per year, and almost 90% of them are fatal. That’s why the American Red Cross stresses the importance of learning how to perform CPR.
If you are interested in getting CPR certified in Tampa ARC, Florida, keep reading to find out what you should do.
Research CPR Certification Requirements
In many states, CPR is mandatory in high schools, and since 2021, Florida has been one of them. Setting aside the basic high school CPR classes, if you want to get more in-depth knowledge, then you need to determine whether you want a basic CPR certification or a more advanced one.
Different organizations and workplaces may have specific certification requirements, so it’s important to identify the appropriate level you need for your situation.
Find Accredited CPR Training Providers
Numerous training centers offer CPR certification in Tampa, Florida. However, it’s essential to choose a reputable and accredited center in Tampa that follows AHA and ARC guidelines. The American Heart Association and the American Red Cross are the most recognized and reputable CPR training providers, so check their websites for nearby training centers in Tampa.
The ARC provides CPR training programs that are kept up to date with the most recent guidelines and techniques since 1909. A team of internationally recognized experts ensures that what is taught in CPR courses is based on the most recent clinical and educational science.
Choose a Suitable CPR Course
Select a CPR course that aligns with your certification requirements and sign-up for the next session. CPR courses typically offer a combination of hands-on training and theoretical knowledge.
Some courses may be completed entirely in person, while others may have online components. Upon finishing the CPR course and passing the certification exam, you will receive a CPR certificate. This certification validates your competency in performing CPR and indicates that you have met the requirements for the Tampa ARC CPR training.
The Changes in the CPR Technique: Wrapping Up
When comparing CPR today vs. CPR a decade ago, we can see that there were some changes in the last decade. But the good news is that over the last 40 years, the survival rate of out-of-hospital cardiac arrest patients who received CPR has increased. Patients who receive bystander CPR have a higher post-OHCA survival rate, so getting a CPR certification is highly recommended.
It is crucial to note that CPR practices continue to evolve, with ongoing research and advancements shaping future guidelines. Staying up-to-date with CPR training and certifications is essential to ensure proficiency in the latest techniques and to maximize the potential for saving lives in emergencies.